Article

Suicide in recently released prisoners: a population-based cohort study

Centre for Suicide Prevention, University of Manchester, Manchester M13 9PL, UK.
The Lancet (Impact Factor: 39.21). 08/2006; 368(9530):119-23. DOI: 10.1016/S0140-6736(06)69002-8
Source: PubMed

ABSTRACT Several studies have been undertaken on suicide in custody, but few on suicide after the release from prison. We undertook a population-based cohort study to investigate suicide rates in recently released prisoners in England and Wales.
We used the database of the National Confidential Inquiry into Suicide and Homicide by People with Mental Illness for England and Wales to identify all individuals who died by suicide or who received an open verdict at the coroner's inquest between 2000 and 2002. These records were linked to a Home Office register to identify all such deaths in people within 1 year of release from prison in England and Wales. We compared suicide rates per 100,000 person-years in these released prisoners with rates in the general population by using the indirectly age-standardised mortality ratio.
We identified 382 suicides occurring in 244 988 individuals within 1 year of release from prison; a suicide rate of 156 per 100 000 person-years. 79 (21%) suicides occurred within the first 28 days after release. In all age groups, suicide rates were higher in recently released prisoners than in the general population. The overall age-standardised mortality ratio for recently released prisoners was 8.3 (95% CI 7.5-9.3) for men and 35.8 (25.4-50.2) for women.
Recently released prisoners are at a much greater risk of suicide than the general population, especially in the first few weeks after release. The risk of suicide in recently released prisoners is approaching that seen in discharged psychiatric patients. A shared responsibility lies with the prison, probation, health, and social services to develop more collaborative practices in providing services for this high-risk group.

0 Followers
 · 
164 Views
  • 03/2014; 13(1):75-90. DOI:10.1080/14999013.2014.885471
  • Source
    Jeremy Travis, Bruce Western, Steve Redburn
    [Show abstract] [Hide abstract]
    ABSTRACT: After decades of stability from the 1920s to the early 1970s, the rate of incarceration in the United States more than quadrupled in the past four decades. The Committee on the Causes and Consequences of High Rates of Incarceration in the United States was established under the auspices of the National Research Council, supported by the National Institute of Justice and the John D. and Catherine T. MacArthur Foundation, to review evidence on the causes and consequences of these high incarceration rates and the implications of this evidence for public policy. Our work encompassed research on, and analyses of, the proximate causes of the dramatic rise in the prison population and the societal dynamics that supported those proximate causes. Our analysis reviewed evidence of the effects of high rates of incarceration on public safety as well as those in prison, their families, and the communities from which these men and women originate and to which they return. We also examined the effects on U.S. society. After assessing the evidence, the committee found that the normative principles that both limit and justify the use of incarceration as a response to crime were a necessary element of the analytical process. Public policy on the appropriate use of prison is not determined solely by weighing evidence of costs and benefits. Rather, a combination of empirical findings and explicit normative commitments is required. Issues regarding criminal punishment necessarily involve ideas about justice, fairness, and just deserts. Accordingly, this report includes a review of established principles of jurisprudence and governance that have historically guided society’s use of incarceration. Finally, we considered the practical implications of our conclusions for public policy and for research.
  • [Show abstract] [Hide abstract]
    ABSTRACT: Suicide is a serious international health problem and is more likely to occur in vulnerable populations such as offenders. There is an abundance of research into suicides of prisoners, but few studies have been carried out on suicides of offenders serving community sentences. This article identifies and evaluates the limited research that is available. Recommendations for future research are made, including how in-depth interviews can provide important information about near lethal incidents from the service users’ perspective, and how international comparisons could be helpful in understanding this problem further.
    01/2013; 12(1):26-32. DOI:10.1080/14999013.2012.760184

Full-text (2 Sources)

Download
132 Downloads
Available from
Jun 5, 2014