De Luca d'Alessandro E, Di Folco L, Messano G A, Marsella L T
Department of Public Health and Infectious Diseases, Sapienza University of Rome, Italy.
Department of Biomedicine and Prevention, School of Medicine, University of Rome "Tor Vergata", Italy.
Clin Ter. 2015;166(3):e209-15. doi: 10.7417/CT.2015.1856.
The objective of this study is to explore the personal and environmental causes of suicides in jails of an Italian region, by evaluating the extent of the phenomenon, in order to devise strategies for prevention. The examined documentation deals with all cases of suicide among detainees in the 14 prisons of the region Lazio between 01/01/2008 and 31/12/2014. The factors considered for evaluation concerns the are socio-demographics (age, gender, nationality) as well as legal aspects, prison characteristics (type of crime, judicial state) and method used for the suicide. The results show that the method to commit suicide in prisoners of Lazio is hanged. Suicides occur especially in Italian prisoners. Most prison inmates commit suicide less than one year before the end of the detention period. Since the majority of risk factors for suicide are present before the subject enters prison, it is not easy to observe and check the prisoners once they are in jail. The evaluation of the prisoners should be done during the phase when they first enter the jail and not after the intervening variables associated with the detention have had their effects. This suggests that further studies are necessary to better understand the phenomenon and evaluate the possibility to introduce effective preventive measures.
本研究的目的是通过评估意大利某地区监狱自杀现象的严重程度,探究自杀的个人和环境原因,以便制定预防策略。所审查的文件涉及2008年1月1日至2014年12月31日期间拉齐奥地区14所监狱中所有被拘留者的自杀案例。评估所考虑的因素包括社会人口统计学因素(年龄、性别、国籍)以及法律方面、监狱特征(犯罪类型、司法状况)和自杀所用方法。结果表明,拉齐奥地区囚犯的自杀方式是上吊。自杀尤其发生在意大利囚犯中。大多数囚犯在拘留期结束前不到一年自杀。由于自杀的大多数风险因素在对象入狱前就已存在,因此一旦他们入狱,就不容易对囚犯进行观察和检查。对囚犯的评估应在他们首次入狱阶段进行,而不是在与拘留相关的干预变量产生影响之后。这表明有必要进行进一步研究,以更好地理解这一现象并评估引入有效预防措施的可能性。