Division of Violence Prevention, National Center for Injury Prevention and Control, 1242Centers for Disease Control and Prevention, Atlanta, GA, USA.
J Correct Health Care. 2020 Jul;26(3):279-291. doi: 10.1177/1078345820939512. Epub 2020 Jul 31.
Using data from the National Violent Death Reporting System (2003-2014), this study examined the characteristics and contributing circumstances of suicides in correctional facilities. χ and logistic regression analyses revealed that, compared to nonincarcerated suicide decedents, incarcerated suicide decedents had significantly lower odds of positive toxicology for substances but significantly higher odds of substance abuse problems. Descriptive subanalyses indicated that incarcerated suicide decedents often were incarcerated for personal crimes. They often died ≤ 1 week of incarceration, in a cell (frequently single-person or segregation), by hanging, using bedding material. Positive toxicology was more common for incarcerated decedents who died shortly after versus later in their incarceration. Findings highlight the need for enhanced detection and treatment of suicidal behavior, especially during early and vulnerable periods of incarceration.
利用国家暴力死亡报告系统（2003-2014 年）的数据，本研究调查了监狱中自杀事件的特征和促成因素。χ 检验和逻辑回归分析显示，与非监禁自杀死亡者相比，监禁自杀死亡者的毒物学阳性结果的可能性显著降低，但物质滥用问题的可能性显著升高。描述性亚分析表明，监禁自杀死亡者通常因个人犯罪而被监禁。他们经常在监禁后 ≤1 周内，在牢房（通常是单人牢房或隔离牢房）中，通过上吊、使用床上用品材料死亡。毒物学阳性结果在监禁后不久死亡的死者中更为常见，而非在监禁后期死亡的死者中更为常见。研究结果强调了需要加强对自杀行为的检测和治疗，尤其是在监禁的早期和脆弱时期。
