Sanchez-Morales Daniel, Mason Samantha, Chan Prudence Po Ming, Borschmann Rohan, Simpson Alexander, Weinstock Lauren M, Dmetrichuk Jennifer M, Schaffer Ayal, Mitchell Rachel H B, Steinberg Rosalie, Sinyor Mark
Department of Psychiatry, Sunnybrook Health Sciences Centre, Toronto, ON, Canada.
Department of Psychology, Simon Fraser University, Burnaby, BC, Canada.
Can J Psychiatry. 2025 May 25:7067437251342276. doi: 10.1177/07067437251342276.
ObjectiveThis exploratory correlational study explored the demographic, clinical, and offence-type characteristics of people with documented past-year contact with the criminal justice system (CJS) in Toronto, Canada who died by suicide. We aimed to compare demographic and clinical factors among individuals with CJS contact who died by suicide to those without recorded CJS contact who died by suicide.MethodsCoroners' final death reports from all recorded suicide deaths in Toronto between 1 January 1998 and 31 December 2020 were retrieved by research staff and coded at the Office of the Chief Coroner (OCC) of Ontario. A series of bivariate analyses and binary logistic regression analyses were performed to compare demographic and clinically relevant characteristics between these groups. Descriptive statistics relating to demographic, clinical, and offence-type characteristics were reported.ResultsA total of 5,288 people died by suicide, of whom 251 (4.7% of all suicides) had recorded CJS contact prior to death. Assault, physical assault, impaired driving, serious/death threats, and sexual assault were the most common criminal charges among those in the CJS contact group. When compared with the no recorded CJS contact group, the CJS contact group was slightly younger ( = 40.0, SD = ±13.4 vs. = 47.5, SD = ±18.1, ), had a higher proportion of males (85.6% vs. 69.9%, ), more commonly experienced interpersonal (36.3% vs. 14.5%, ) and/or relationship break-up/breakdown stressors (16.7% vs. 7.5%, ), and substance misuse or substance use disorders (37.5% vs. 18%, ).ConclusionsOur findings highlight that younger men with interpersonal stressors and/or substance misuse characterize suicide decedents with recorded CJS contact in Toronto, Canada. Suicide prevention efforts and strategies should consider the profile differences among those navigating the CJS.
目的
本探索性相关性研究探讨了加拿大多伦多有文件记录显示在过去一年与刑事司法系统（CJS）有接触且死于自杀者的人口统计学、临床和犯罪类型特征。我们旨在比较有CJS接触且死于自杀的个体与无CJS接触记录且死于自杀的个体之间的人口统计学和临床因素。
方法
研究人员检索了1998年1月1日至2020年12月31日期间多伦多所有记录在案的自杀死亡案例的验尸官最终死亡报告，并在安大略省首席验尸官办公室（OCC）进行编码。进行了一系列双变量分析和二元逻辑回归分析，以比较这些组之间的人口统计学和临床相关特征。报告了与人口统计学、临床和犯罪类型特征相关的描述性统计数据。
结果
共有5288人死于自杀，其中251人（占所有自杀人数的4.7%）在死亡前有CJS接触记录。袭击、身体攻击、酒后驾驶、严重/死亡威胁和性侵犯是CJS接触组中最常见的刑事指控。与无CJS接触记录组相比，CJS接触组年龄稍小（=40.0，标准差=±13.4，而=47.5，标准差=±18.1，），男性比例更高（85.6%对69.9%，），更常经历人际（36.3%对14.5%，）和/或关系破裂/解体压力源（16.7%对7.5%，），以及物质滥用或物质使用障碍（比率分别为37.5%对18%，）。
结论
我们的研究结果表明，在加拿大多伦多，有CJS接触记录的自杀死者的特征是有人际压力源和/或物质滥用的年轻男性。自杀预防工作和策略应考虑在刑事司法系统中活动的人群之间的特征差异。
