监禁期间自我伤害的环境风险因素:试点前性队列研究
Thomas Stephenson1,2, Imogen Harris3, Charlotte Armstrong4
1Department of Forensic and Neurodevelopmental Sciences, Institute of Psychiatry Psychology and Neuroscience, King's College London, London, United Kingdom.
PloS one
|February 4, 2025
概括
监狱环境因素,如单独的细胞放置和频繁的细胞更换增加了自我伤害的风险. 较高的囚犯-工作人员比率可能会减少自我伤害,但这需要进一步研究.
科学领域:
- 犯罪学 犯罪学
- 公共卫生 公共卫生
- 精神病学是一个精神病学.
背景情况:
- 自伤是惩戒设施中一个重要的公共卫生问题.
- 证据将监狱环境因素与自我伤害联系在一起是有限的.
- 这项研究调查了监禁人员自我伤害行为的环境影响.
研究的目的:
- 估计各种监狱环境因素对自我伤害行为的影响大小.
- 提供有关监狱环境与自我伤害之间的关系的前性纵向数据.
- 探索新的关联,如同囚犯交换,与自我伤害.
主要方法:
- 一项试点前性队列研究,涉及149名英格兰预审监狱的男性囚犯.
- 通过临床采访,监狱记录 (环境因素) 和医疗记录收集的数据.
- 监禁后三个月的自我伤害行为被跟踪使用多变量逻辑回归.
主要成果:
- 单细胞安置 (OR 4.31) 和频繁的细胞伴侣更换 (OR 1.52) 与自我伤害风险增加有关.
- 更频繁的细胞变化 (OR 1.83) 也与更高的自我伤害行为相关.
- 较高的囚犯-工作人员比率显示出与减少自我伤害行为的显著关联 (OR 0.89).
结论:
- 这项试点研究提供了有关监狱环境与自伤联系的前性数据.
- 关于单细胞和细胞变化的发现与现有研究一致.
- 预测自我伤害的细胞友变化的新发现值得进一步调查. 建议在更大的研究中进行复制.
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