精神病医疗服务对监狱自杀的影响
1Department of Psychological Medicine, University of Otago Medical School, Dunedin, New Zealand.
Lancet (London, England)
|December 7, 1991
概括
对将精神障碍囚犯转移到奥克兰精神病院的限制导致监狱自杀率急剧上升. 这凸显了在惩戒设施内获得心理健康护理的迫切需要.
科学领域:
- 法医精神病学 法医精神病学
- 公共卫生政策 公共卫生政策
- 犯罪学 犯罪学
背景情况:
- 1983年,奥克兰实施了严格的限制,将精神障碍的囚犯转移到精神病院.
- 这一政策的改变是奥克兰特有的,新西兰的其他地区保留了以前的做法.
研究的目的:
- 调查限制精神病学转移政策对监狱自杀率的影响.
- 在政策变化后,分析奥克兰男性囚犯自杀风险的变化.
主要方法:
- 在1983年之前和之后的男性囚犯中,对自杀率 (每10万人年) 的比较分析.
- 监禁男性与非监禁男性自杀风险的比较.
- 专注于奥克兰监狱自杀率的地理分析.
主要成果:
- 总体而言,男性囚犯自杀率从27.3 (1973-82) 显著增加到178.0 (1983-87).
- 与未被限制的男性相比,被限制的男性的相对自杀风险从1.6上升到8.2.
- 奥克兰经历了特别剧烈的增长,其监狱自杀率在两个时期之间从每10万人年中的37个增加到549个.
结论:
- 这项研究强烈表明,精神病治疗的限制与监狱自杀率的上升之间存在关联.
- 这些发现强调了为被监禁的人提供易于获得的精神病医疗服务的关键重要性.
- 政策影响表明,需要在惩戒系统内整合心理健康护理,以减轻自杀风险.
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