Suicide risk among recently released prisoners in New South Wales, Australia
Objective: To determine the risk of suicide and drug overdose death among recently released prisoners. Design, setting and participants: Retrospective cohort study of 85 203 adult offenders who had spent some time in full‐time custody in prisons in New South Wales between 1 January 1988 and 31 Decem...
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| Veröffentlicht in: | Medical journal of Australia 2007-10, Vol.187 (7), p.387-390 |
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| creator | Kariminia, Azar Law, Matthew G Butler, Tony G Levy, Michael H Corben, Simon P Kaldor, John M Grant, Luke |
| description | Objective: To determine the risk of suicide and drug overdose death among recently released prisoners.
Design, setting and participants: Retrospective cohort study of 85 203 adult offenders who had spent some time in full‐time custody in prisons in New South Wales between 1 January 1988 and 31 December 2002.
Main outcome measures: Association between time after release and risk of suicide and overdose death.
Results: Of 844 suicides (795 men, 49 women), 724 (86%) occurred after release. Men had a higher rate of suicide than women both in prison (129 v 56 per 100 000 person‐years) and after release (135 v 82 per 100 000 person‐years). The suicide rate in men in the 2 weeks after release was 3.87 (95% CI, 2.26–6.65) times higher than the rate after 6 months. Male prisoners admitted to the prison psychiatric hospital had a threefold higher risk than non‐admitted men both in prison and after release. No suicides among women were observed in the 2 weeks after release. No increased risk of suicide was observed among Aboriginal Australians in the first 2 weeks after release. Of 1674 deaths due to overdose, 1627 (97%) occurred after release. Drug‐related mortality in men was 9.30 (95% CI, 7.80–11.10) times higher, and in women was 6.42 (95% CI, 3.88–10.62) times higher, in the 2 weeks after release than after 6 months.
Conclusions: Prisoners are at a heightened risk of suicide and overdose death in the immediate post‐release period. After 6 months post‐release, the suicide rate approaches the rate observed in custody. |
| doi_str_mv | 10.5694/j.1326-5377.2007.tb01307.x |
| format | Article |
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Design, setting and participants: Retrospective cohort study of 85 203 adult offenders who had spent some time in full‐time custody in prisons in New South Wales between 1 January 1988 and 31 December 2002.
Main outcome measures: Association between time after release and risk of suicide and overdose death.
Results: Of 844 suicides (795 men, 49 women), 724 (86%) occurred after release. Men had a higher rate of suicide than women both in prison (129 v 56 per 100 000 person‐years) and after release (135 v 82 per 100 000 person‐years). The suicide rate in men in the 2 weeks after release was 3.87 (95% CI, 2.26–6.65) times higher than the rate after 6 months. Male prisoners admitted to the prison psychiatric hospital had a threefold higher risk than non‐admitted men both in prison and after release. No suicides among women were observed in the 2 weeks after release. No increased risk of suicide was observed among Aboriginal Australians in the first 2 weeks after release. Of 1674 deaths due to overdose, 1627 (97%) occurred after release. Drug‐related mortality in men was 9.30 (95% CI, 7.80–11.10) times higher, and in women was 6.42 (95% CI, 3.88–10.62) times higher, in the 2 weeks after release than after 6 months.
Conclusions: Prisoners are at a heightened risk of suicide and overdose death in the immediate post‐release period. After 6 months post‐release, the suicide rate approaches the rate observed in custody.</description><identifier>ISSN: 0025-729X</identifier><identifier>EISSN: 1326-5377</identifier><identifier>DOI: 10.5694/j.1326-5377.2007.tb01307.x</identifier><identifier>PMID: 17908000</identifier><identifier>CODEN: MJAUAJ</identifier><language>eng</language><publisher>Sydney: Australasian Medical Publishing Company</publisher><subject>Adolescent ; Adult ; Adult and adolescent clinical studies ; Age ; Asphyxia - mortality ; Australia - epidemiology ; Biological and medical sciences ; Cohort Studies ; Commitment of Mentally Ill - statistics & numerical data ; Drug abuse ; Drug overdose ; Drug Overdose - mortality ; Female ; Follow-Up Studies ; General aspects ; Humans ; Imprisonment ; Indigenous health ; Male ; Medical sciences ; Mental disorders ; Mental illness ; Middle Aged ; Mortality ; Native peoples ; New South Wales ; Prisoner treatment ; Prisoners ; Prisoners - psychology ; Prisoners - statistics & numerical data ; Prisons ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Retrospective Studies ; Risk ; Sex Distribution ; Sex role ; Social determinants of health ; Software ; Statistics ; Substance-Related Disorders - mortality ; Suicide ; Suicide - statistics & numerical data ; Suicides & suicide attempts ; Time Factors ; Womens health</subject><ispartof>Medical journal of Australia, 2007-10, Vol.187 (7), p.387-390</ispartof><rights>2007 AMPCo Pty Ltd. All rights reserved</rights><rights>2007 INIST-CNRS</rights><rights>Copyright Australasian Medical Publishing Company Proprietary, Ltd. Oct 1, 2007</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5457-9958e8924a8660fc7a46f6c001fcea652841b3853bec003da40f0561b33779ea3</citedby><cites>FETCH-LOGICAL-c5457-9958e8924a8660fc7a46f6c001fcea652841b3853bec003da40f0561b33779ea3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.5694%2Fj.1326-5377.2007.tb01307.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.5694%2Fj.1326-5377.2007.tb01307.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=19127931$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17908000$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kariminia, Azar</creatorcontrib><creatorcontrib>Law, Matthew G</creatorcontrib><creatorcontrib>Butler, Tony G</creatorcontrib><creatorcontrib>Levy, Michael H</creatorcontrib><creatorcontrib>Corben, Simon P</creatorcontrib><creatorcontrib>Kaldor, John M</creatorcontrib><creatorcontrib>Grant, Luke</creatorcontrib><title>Suicide risk among recently released prisoners in New South Wales, Australia</title><title>Medical journal of Australia</title><addtitle>Med J Aust</addtitle><description>Objective: To determine the risk of suicide and drug overdose death among recently released prisoners.
Design, setting and participants: Retrospective cohort study of 85 203 adult offenders who had spent some time in full‐time custody in prisons in New South Wales between 1 January 1988 and 31 December 2002.
Main outcome measures: Association between time after release and risk of suicide and overdose death.
Results: Of 844 suicides (795 men, 49 women), 724 (86%) occurred after release. Men had a higher rate of suicide than women both in prison (129 v 56 per 100 000 person‐years) and after release (135 v 82 per 100 000 person‐years). The suicide rate in men in the 2 weeks after release was 3.87 (95% CI, 2.26–6.65) times higher than the rate after 6 months. Male prisoners admitted to the prison psychiatric hospital had a threefold higher risk than non‐admitted men both in prison and after release. No suicides among women were observed in the 2 weeks after release. No increased risk of suicide was observed among Aboriginal Australians in the first 2 weeks after release. Of 1674 deaths due to overdose, 1627 (97%) occurred after release. Drug‐related mortality in men was 9.30 (95% CI, 7.80–11.10) times higher, and in women was 6.42 (95% CI, 3.88–10.62) times higher, in the 2 weeks after release than after 6 months.
Conclusions: Prisoners are at a heightened risk of suicide and overdose death in the immediate post‐release period. After 6 months post‐release, the suicide rate approaches the rate observed in custody.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Adult and adolescent clinical studies</subject><subject>Age</subject><subject>Asphyxia - mortality</subject><subject>Australia - epidemiology</subject><subject>Biological and medical sciences</subject><subject>Cohort Studies</subject><subject>Commitment of Mentally Ill - statistics & numerical data</subject><subject>Drug abuse</subject><subject>Drug overdose</subject><subject>Drug Overdose - mortality</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>General aspects</subject><subject>Humans</subject><subject>Imprisonment</subject><subject>Indigenous health</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Mental disorders</subject><subject>Mental illness</subject><subject>Middle Aged</subject><subject>Mortality</subject><subject>Native peoples</subject><subject>New South Wales</subject><subject>Prisoner treatment</subject><subject>Prisoners</subject><subject>Prisoners - psychology</subject><subject>Prisoners - statistics & numerical data</subject><subject>Prisons</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Retrospective Studies</subject><subject>Risk</subject><subject>Sex Distribution</subject><subject>Sex role</subject><subject>Social determinants of health</subject><subject>Software</subject><subject>Statistics</subject><subject>Substance-Related Disorders - mortality</subject><subject>Suicide</subject><subject>Suicide - statistics & numerical data</subject><subject>Suicides & suicide attempts</subject><subject>Time Factors</subject><subject>Womens health</subject><issn>0025-729X</issn><issn>1326-5377</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqVkE1vEzEQhi0EoqHwF5BViRsb_LG219yiivKhAIeC4GZNvN7WYbNOba_a_Hu8yYqeOc145pl3PC9CF5QshdT1u-2SciYrwZVaMkLUMm8I5SU-PEGLf62naEEIE5Vi-vcZepHStjypYOo5OqNKk4YQskDr69Fb3zocffqDYReGGxyddUPuDyXpHSTX4n3phsHFhP2Av7l7fB3GfIt_Qe_SW7waU47Qe3iJnnXQJ_dqjufo59WHH5efqvX3j58vV-vKilqoSmvRuEazGhopSWcV1LKTlhDaWQdSsKamG94IvnGlyFuoSUeELLVylnbAz9HFSXcfw93oUjbbMMahrDSMC8XqYkaB3p8gG0NK0XWmXLGDeDCUmMlHszWTWWYyy0w-mtlH81CGX88bxs3OtY-js3EFeDMDkCz0XYTB-vTIacqU5rRwqxN373t3-I8vmK9fVuyYF42rk0bc-WxgD102tznvk2khg_FDF46dEG9MG_wkzjmVxru-wEddyhip-V_We6ef</recordid><startdate>200710</startdate><enddate>200710</enddate><creator>Kariminia, Azar</creator><creator>Law, Matthew G</creator><creator>Butler, Tony G</creator><creator>Levy, Michael H</creator><creator>Corben, Simon P</creator><creator>Kaldor, John M</creator><creator>Grant, Luke</creator><general>Australasian Medical Publishing Company</general><general>Australasian Medical Publishing Company Proprietary, Ltd</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>NAPCQ</scope></search><sort><creationdate>200710</creationdate><title>Suicide risk among recently released prisoners in New South Wales, Australia</title><author>Kariminia, Azar ; Law, Matthew G ; Butler, Tony G ; Levy, Michael H ; Corben, Simon P ; Kaldor, John M ; Grant, Luke</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5457-9958e8924a8660fc7a46f6c001fcea652841b3853bec003da40f0561b33779ea3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Adult and adolescent clinical studies</topic><topic>Age</topic><topic>Asphyxia - mortality</topic><topic>Australia - epidemiology</topic><topic>Biological and medical sciences</topic><topic>Cohort Studies</topic><topic>Commitment of Mentally Ill - statistics & numerical data</topic><topic>Drug abuse</topic><topic>Drug overdose</topic><topic>Drug Overdose - mortality</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>General aspects</topic><topic>Humans</topic><topic>Imprisonment</topic><topic>Indigenous health</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Mental disorders</topic><topic>Mental illness</topic><topic>Middle Aged</topic><topic>Mortality</topic><topic>Native peoples</topic><topic>New South Wales</topic><topic>Prisoner treatment</topic><topic>Prisoners</topic><topic>Prisoners - psychology</topic><topic>Prisoners - statistics & numerical data</topic><topic>Prisons</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Retrospective Studies</topic><topic>Risk</topic><topic>Sex Distribution</topic><topic>Sex role</topic><topic>Social determinants of health</topic><topic>Software</topic><topic>Statistics</topic><topic>Substance-Related Disorders - mortality</topic><topic>Suicide</topic><topic>Suicide - statistics & numerical data</topic><topic>Suicides & suicide attempts</topic><topic>Time Factors</topic><topic>Womens health</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kariminia, Azar</creatorcontrib><creatorcontrib>Law, Matthew G</creatorcontrib><creatorcontrib>Butler, Tony G</creatorcontrib><creatorcontrib>Levy, Michael H</creatorcontrib><creatorcontrib>Corben, Simon P</creatorcontrib><creatorcontrib>Kaldor, John M</creatorcontrib><creatorcontrib>Grant, Luke</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><jtitle>Medical journal of Australia</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kariminia, Azar</au><au>Law, Matthew G</au><au>Butler, Tony G</au><au>Levy, Michael H</au><au>Corben, Simon P</au><au>Kaldor, John M</au><au>Grant, Luke</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Suicide risk among recently released prisoners in New South Wales, Australia</atitle><jtitle>Medical journal of Australia</jtitle><addtitle>Med J Aust</addtitle><date>2007-10</date><risdate>2007</risdate><volume>187</volume><issue>7</issue><spage>387</spage><epage>390</epage><pages>387-390</pages><issn>0025-729X</issn><eissn>1326-5377</eissn><coden>MJAUAJ</coden><abstract>Objective: To determine the risk of suicide and drug overdose death among recently released prisoners.
Design, setting and participants: Retrospective cohort study of 85 203 adult offenders who had spent some time in full‐time custody in prisons in New South Wales between 1 January 1988 and 31 December 2002.
Main outcome measures: Association between time after release and risk of suicide and overdose death.
Results: Of 844 suicides (795 men, 49 women), 724 (86%) occurred after release. Men had a higher rate of suicide than women both in prison (129 v 56 per 100 000 person‐years) and after release (135 v 82 per 100 000 person‐years). The suicide rate in men in the 2 weeks after release was 3.87 (95% CI, 2.26–6.65) times higher than the rate after 6 months. Male prisoners admitted to the prison psychiatric hospital had a threefold higher risk than non‐admitted men both in prison and after release. No suicides among women were observed in the 2 weeks after release. No increased risk of suicide was observed among Aboriginal Australians in the first 2 weeks after release. Of 1674 deaths due to overdose, 1627 (97%) occurred after release. Drug‐related mortality in men was 9.30 (95% CI, 7.80–11.10) times higher, and in women was 6.42 (95% CI, 3.88–10.62) times higher, in the 2 weeks after release than after 6 months.
Conclusions: Prisoners are at a heightened risk of suicide and overdose death in the immediate post‐release period. After 6 months post‐release, the suicide rate approaches the rate observed in custody.</abstract><cop>Sydney</cop><pub>Australasian Medical Publishing Company</pub><pmid>17908000</pmid><doi>10.5694/j.1326-5377.2007.tb01307.x</doi><tpages>4</tpages></addata></record> |
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| ispartof | Medical journal of Australia, 2007-10, Vol.187 (7), p.387-390 |
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| language | eng |
| recordid | cdi_pascalfrancis_primary_19127931 |
| source | Wiley Online Library - AutoHoldings Journals; MEDLINE |
| subjects | Adolescent Adult Adult and adolescent clinical studies Age Asphyxia - mortality Australia - epidemiology Biological and medical sciences Cohort Studies Commitment of Mentally Ill - statistics & numerical data Drug abuse Drug overdose Drug Overdose - mortality Female Follow-Up Studies General aspects Humans Imprisonment Indigenous health Male Medical sciences Mental disorders Mental illness Middle Aged Mortality Native peoples New South Wales Prisoner treatment Prisoners Prisoners - psychology Prisoners - statistics & numerical data Prisons Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Retrospective Studies Risk Sex Distribution Sex role Social determinants of health Software Statistics Substance-Related Disorders - mortality Suicide Suicide - statistics & numerical data Suicides & suicide attempts Time Factors Womens health |
| title | Suicide risk among recently released prisoners in New South Wales, Australia |
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