澳大利亚与司法相关的年轻人死亡率,原因和危险因素:一项回顾性,基于人口的数据链接研究
Stuart A Kinner1, Lucas Calais-Ferreira2, Jesse T Young3
1Justice Health Group, enAble Institute, Curtin University, Perth, WA, Australia; Justice Health Group, Centre for Adolescent Health, Murdoch Children's Research Institute, Melbourne, VIC, Australia; Centre for Mental Health and Community Wellbeing, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, VIC, Australia; Griffith Criminology Institute, Griffith University, Brisbane, QLD, Australia.
The Lancet. Public health
|April 2, 2025
概括
青少年司法系统中的年轻人面临着明显更高的过早死亡风险,主要是由于自杀和事故等可预防的原因. 解决这个问题需要更广泛的,多部门干预,超出司法系统.
科学领域:
- 公共卫生 公共卫生
- 犯罪学 犯罪学
- 流行病学 流行病学
背景情况:
- 青少年司法系统中的儿童和青少年表现出不良的健康结果.
- 对于司法涉及的年轻人随后的死亡率的了解有限.
研究的目的:
- 为了调查澳大利亚大规模的全州年轻人队伍的死亡率结果,与青年司法系统联系.
- 确定与该人口中所有原因死亡率相关的人口统计和刑事司法因素.
主要方法:
- 链接了澳大利亚昆士兰州 (1993-2017) 的青少年司法,成人惩戒和国家死亡指数记录.
- 计算了全因和因特定死亡率和标准化死亡率.
- 使用生存分析来确定与死亡率相关的因素.
主要成果:
- 该研究包括48,670名参与者,在13.5年的中位数随访期间观察到1431例死亡.
- 综合死亡率为每10万人/年218.9,标准化死亡率为4.2.
- 自杀,交通事故和意外药物中毒是导致死亡的主要原因. 较高的死亡率与男性,社区监督,拘留和成人惩戒监督有关.
结论:
- 参与司法工作的年轻人面临着因大致可预防的原因过早死亡的风险大幅增加.
- 有效地减少可预防的死亡需要协调,跨部门的战略,超越刑事司法系统.
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