意大利北部监狱自杀事件 (1993-2022):一项案例对照研究,研究监狱内外自杀事件之间的差异
Raffaella Calati1,2, Stefano Tambuzzi3, Rosa Gravagnuolo1
1Department of Psychology, University of Milan-Bicocca, Milan, Italy.
International clinical psychopharmacology
|October 9, 2024
概括
意大利监狱中的自杀事件不成比例地影响非白人囚犯和成者,与一般人口的自杀事件不同. 加强预防策略和获得精神病治疗对于这些脆弱的囚犯群体至关重要.
科学领域:
- 法医医学 法医医学
- 犯罪学 犯罪学
- 公共卫生 公共卫生
背景情况:
- 囚犯的自杀率高于普通人群.
- 关于意大利监狱内的自杀特征的了解有限.
研究的目的:
- 为了比较意大利监狱中因自杀而死亡的个人与监狱外的社会人口统计学,临床和自杀相关特征.
- 确定意大利监狱人口中自杀的特定风险因素.
主要方法:
- 米兰法医研究所自杀案例的回顾分析 (1993-2022年).
- 匹配的病例对照研究比较了120起监狱自杀事件与300起非监狱自杀事件 (根据年龄和性别匹配).
- 使用了单变量分析和逻辑回归建模.
主要成果:
- 与监狱以外的自杀相比,监狱自杀的非白人种族,酒,成,特定疾病 (呼吸道,肝炎,ALS) 和暴力方法的比例更高.
- 监狱自杀的抑郁和药物使用率较低,特别是精神药物.
- 后勤回归确定了种族,抑郁和成作为关键的差异化因素.
结论:
- 非白人种族和成的囚犯代表了意大利监狱中自杀的高风险群体.
- 针对性干预和改善对精神病治疗的准入对于预防在惩戒设施中的自杀是必不可少的.
- 迫切需要针对监狱环境的综合性预防自杀策略.
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