精神病患者的死亡率,刑事制裁和法庭转移
Erin Spike1, Preeyaporn Srasuebkul2, Tony Butler3
1The Kirby Institute, Faculty of Medicine and Health, University of New South Wales Sydney, Sydney, New South Wales, Australia.
JAMA network open
|October 31, 2024
概括
刑事制裁增加了精神病患者的死亡风险. 这包括精神健康转移,社区制裁和先前监禁,强调需要改进安全策略.
科学领域:
- 精神病学和公共卫生
- 法医精神病学 法医精神病学
- 流行病学 流行病学
背景情况:
- 患有精神病的人面临更高的过早死亡率,并且在刑事司法系统中占有不成比例的比例.
- 对这一群体来说,了解与刑事制裁相关的死亡风险至关重要,但尚未得到充分研究.
研究的目的:
- 调查各种类型的最近的刑事制裁 (在2年内) 与被诊断患有精神病的个人的死亡率之间的联系.
主要方法:
- 一项以人口为基础的回顾性队列研究,利用澳大利亚新南威尔士州的相关行政数据.
- 纳入标准:因精神疾病住院的成年人 (≥18岁).
- 随访期:2001年7月至2019年5月,分析时间为2023年2月至2024年4月.
主要成果:
- 这项研究涉及83,071人,其中31.1%接受了刑事制裁,并记录了11,355人死亡.
- 在65岁以下的个人中,最近的精神健康法庭转移,社区制裁和先前的监禁与增加的全因和外部原因死亡率有关.
- 最近的先前监禁显示了所有原因 (aHR,1.69) 和外部原因死亡率 (aHR,2.64) 的最高调整危险比率.
结论:
- 最近的刑事制裁与精神病患者的死亡风险增加有关,无论制裁类型如何.
- 调查结果强调,需要制定有针对性的战略,以提高与刑事司法系统互动的精神病患者的健康和安全.
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