Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, Goethe University of Frankfurt, Deutschordenstrasse 50, 60528, Frankfurt, Germany,
Eur Child Adolesc Psychiatry. 2015 Feb;24(2):219-25. doi: 10.1007/s00787-014-0568-1. Epub 2014 Jun 22.
Incarcerated adolescents are a high-risk group for suicidal behaviour, but data on completed suicide are scarce in this population. The present study aimed at calculating relative risks (RR) of suicide in detention and identifying age-related risk factors. We compared data of a German national total survey of completed suicide of young detainees (14 to <21 years, N = 79) during the years 2000-2010 with age- and gender-adjusted suicide deaths in non-incarcerated adolescents (N = 3,484) and incarcerated adults (N = 781). Prison suicide accounted for 2.3% of all suicide deaths in adolescents, but only 0.1% of this age group was detained. The RR = 23.0 for adolescent suicide in detention exceeded the RR = 7.7 of adults by far. In adults, suicide rates in pre-trial detention was fivefold higher than in criminal detention; suicide rates were more balanced in adolescent detainees. Our results underline the need for age-specific suicide prevention strategies in detention.
被监禁的青少年是自杀行为的高风险群体，但关于这一人群的自杀完成数据却很少。本研究旨在计算监禁期间自杀的相对风险（RR），并确定与年龄相关的风险因素。我们将德国全国 2000 年至 2010 年期间完成的青少年被监禁者（14 至 <21 岁，N = 79）的自杀总调查数据与非监禁青少年（N = 3,484）和监禁成年人（N = 781）的年龄和性别调整后自杀死亡数据进行了比较。监狱自杀占青少年所有自杀死亡的 2.3%，但该年龄组中只有 0.1%被监禁。被监禁的青少年自杀的 RR = 23.0 远远超过了成年人的 RR = 7.7。在成年人中，审前拘留的自杀率是刑事拘留的五倍；而在青少年被监禁者中，自杀率则更为均衡。我们的研究结果强调了在监禁中制定针对特定年龄的自杀预防策略的必要性。
