Centre for Population Health, Burnet Institute, Melbourne, VIC, Australia.
Med J Aust. 2011 Jul 18;195(2):64-8. doi: 10.5694/j.1326-5377.2011.tb03208.x.
To estimate the number of deaths among people released from prison in Australia in the 2007-08 financial year, within 4 weeks and 1 year of release.
DESIGN, PARTICIPANTS AND SETTING: Application of crude mortality rates for ex-prisoners (obtained from two independent, state-based record-linkage studies [New South Wales and Western Australia]) to a national estimate of the number and characteristics of people released from prison in 2007-08.
Estimated number of deaths among adults released from Australian prisons in 2007-08, within 4 weeks and 1 year of release, classified by age, sex, Indigenous status and cause of death.
It was estimated that among people released from prison in 2007-08, between 449 (95% CI, 380-527) and 472 (95% CI, 438-507) died within 1 year of release. Of these, between 68 (95% CI, 56-82) and 138 (95% CI, 101-183) died within 4 weeks of release. Most of these deaths were not drug-related.
The estimated annual number of deaths among recently released prisoners in Australia is considerably greater than the annual number of deaths in custody, highlighting the extreme vulnerability of this population on return to the community. There is an urgent need to establish a national system for routine monitoring of ex-prisoner mortality and to continue the duty of care beyond the prison walls.
估计在 2007-08 财政年度从澳大利亚监狱获释的人在释放后 4 周和 1 年内的死亡人数。
设计、参与者和设置：应用从两个独立的基于州的记录链接研究（新南威尔士州和西澳大利亚州）获得的前囚犯的粗死亡率（obtained from two independent, state-based record-linkage studies [New South Wales and Western Australia]），对 2007-08 年从监狱获释的人数和特征进行全国估计。
根据年龄、性别、土著身份和死因对 2007-08 年从澳大利亚监狱获释的成年人在释放后 4 周和 1 年内的死亡人数进行估计。
据估计，在 2007-08 年从监狱获释的人中，在 1 年内有 449 人（95%CI，380-527）和 472 人（95%CI，438-507）死亡。其中，有 68 人（95%CI，56-82）和 138 人（95%CI，101-183）在释放后 4 周内死亡。这些死亡大多数与毒品无关。
在澳大利亚，最近从监狱获释的囚犯的估计年死亡人数远远超过在押期间的死亡人数，这突显了该人群返回社区后的极端脆弱性。迫切需要建立一个全国性的系统，以常规监测前囚犯的死亡率，并在监狱墙外继续履行关怀义务。
