监禁前和监禁期间的自我伤害:监狱中男性的队列研究,将威尔士以人口为基础的例行收集数据联系起来
Marcos DelPozo-Banos1,2, Mark D Atkinson1, Sze Chim Lee1
1Swansea University Medical School, Faculty of Medicine, Health & Life Science, https://ror.org/053fq8t95Swansea University, Swansea, UK.
BJPsych open
|December 12, 2025
概括
与普通人群相比,英国男性囚犯在监禁前和监禁期间的自我伤害明显高. 预防工作应集中在刑事司法系统中的个人身上,特别是在进入监狱时.
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:
- 在过去的十年里,英国囚犯的自我伤害率有所上升.
- 在囚犯和普通人群之间,精神健康状况和自我伤害患病率存在显著差异.
研究的目的:
- 调查囚犯在监禁前和监禁期间的自我伤害风险因素和心理健康状况.
- 将这些因素与一般人群中的因素进行比较.
主要方法:
- 回顾性队列研究,将电子健康记录与威尔士男性囚犯 (2019年) 和一般人口队列的司法部数据联系起来.
- 逻辑回归检查基于先前的自我伤害和心理健康的监禁可能性.
- 概括估计方程和时间分层的考克斯回归来研究监禁期间自伤风险.
主要成果:
- 囚犯在入狱前表现出更高的自我伤害和心理健康问题 (OR: 2.1).
- 囚犯的自我伤害风险比非囚犯高5.25-6.47倍,在监禁早期达到峰值,并在7个月后下降.
- 药物使用等情况增加了自我伤害风险,而抑郁症和酒精使用在囚犯中随着时间的推移显示出较弱的联系. 要求的囚犯有更高的自我伤害风险.
结论:
- 囚犯在监禁前自我伤害的增加可能会导致和效应,减少已知的风险因素的影响.
- 自伤预防策略对于刑事司法系统中的个人来说至关重要,无论监护状态如何.
- 监狱中的预防应该优先考虑先前自伤,吸毒,学习困难,双相情感障碍以及被拘留的人.
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