Fazel Seena, Benning Ram, Danesh John
Department of Psychiatry, University of Oxford, Warneford Hospital, Oxford, UK.
Lancet. 2005 Oct 8;366(9493):1301-2. doi: 10.1016/S0140-6736(05)67325-4. Epub 2005 Sep 15.
The number of suicides in English and Welsh prisons is increasing, but the excess compared with the general population has not been reliably quantified. We therefore compared, in narrow age bands, all 1312 suicides of male prisoners in England and Wales between 1978 and 2003 with suicide rates in the general male population. The overall standardised mortality ratio for suicide was 5.1 (95% CI, 4.8-5.3), suggesting a five-fold excess of suicides in male prisoners, with a particularly striking excess in boys aged 15-17 years (standardised mortality ratio 18 [13-26]). The proportional excess of suicides of male prisoners has been increasing during the past quarter of a century, which underscores the need for substantial improvements in suicide prevention in prisons.
英格兰和威尔士监狱中的自杀人数正在上升，但与普通人群相比的超额自杀率尚未得到可靠量化。因此，我们在狭窄的年龄组中，将1978年至2003年间英格兰和威尔士1312名男性囚犯的所有自杀案例与普通男性人群的自杀率进行了比较。自杀的总体标准化死亡率为5.1（95%置信区间，4.8 - 5.3），这表明男性囚犯的自杀率高出五倍，在15至17岁的男孩中尤为突出（标准化死亡率18 [13 - 26]）。在过去的四分之一个世纪里，男性囚犯自杀的比例超额一直在增加，这凸显了大幅改善监狱自杀预防工作的必要性。
