与北卡罗来纳州普通人口相比,曾被监禁的人群中自杀死亡率,2000-2020年
American journal of epidemiology
|November 8, 2023
概括
与普通人群相比,以前被监禁的人在释放后的三年内面临自杀死亡风险的两倍. 这种高风险在释放后立即达到最高水平,并且在方法上显示出明显的模式,特别是非枪支自杀.
科学领域:
- 公共卫生 公共卫生
- 犯罪学 犯罪学
- 心理健康研究 心理健康研究
背景情况:
- 在以前被监禁的人群中,高自杀率是令人担忧的.
- 了解自杀死亡率的差异对于公共卫生干预至关重要.
研究的目的:
- 为了比较以前被监禁的个人和北卡罗来纳州普通人口之间的自杀死亡率和特征.
- 确定影响该人口中自杀风险的人口和方法相关因素.
主要方法:
- 对266,400名从北卡罗来纳州监狱释放的个人 (2000-2020年) 的回顾性队列研究.
- 使用年龄,性别和日历年份的直接和间接标准化.
- 根据种族/种族,性别,年龄和枪支参与度计算标准化死亡率和评估效果修改.
主要成果:
- 以前被监禁的人在被释放后的3年内,他们的自杀死亡率大约是普通人口的两倍.
- 自杀死亡率最高的发生在释放后的前2周内.
- 与普通人群相比,以前被监禁的人群中,非枪支自杀的发生率更高.
结论:
- 在以前被监禁的人群中,自杀死亡率的显著和长期高风险存在.
- 需要有针对性的,长期的社区支持和干预措施,特别是针对弱势子组 (女性,白人,西班牙裔/拉丁裔,新兴成年人).
- 调查结果强调需要减轻监禁的危害,并支持成功的社区重返社会.
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