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一座大型城市监狱长达25年的自杀情况:对社区精神病学的启示

A quarter century of suicide in a major urban jail: implications for community psychiatry.

作者信息

DuRand C J, Burtka G J, Federman E J, Haycox J A, Smith J W

机构信息

Boston University School of Medicine, MA, USA.

出版信息

Am J Psychiatry. 1995 Jul;152(7):1077-80. doi: 10.1176/ajp.152.7.1077.

DOI:10.1176/ajp.152.7.1077
PMID:7793448
Abstract

OBJECTIVE

The authors' goal was to identify factors that increase the risk of suicide in urban jails.

METHOD

They examined and verified all suicides as of 1992 in a representative large jail in Detroit since the beginning of record keeping in 1967 to 1992.

RESULTS

There were 37 suicides over this time period. Inmates charged with murder or manslaughter were 19 times more likely to commit suicide than were inmates with other charges. Thirty-nine percent of the suicides were committed by individuals charged with murder. All 37 suicides were by hanging, and most occurred at night within 31 days of admission. Many of the inmates who committed suicide had made previous attempts while incarcerated. Thirty-nine percent of the suicides were committed by individuals charged with murder, constituting 2% of the admissions (two per day).

CONCLUSIONS

An important risk factor in jail suicide not previously identified is the charge of murder or manslaughter. Treatment and prevention programs should recognize these inmates as belonging in a very high-risk category.

摘要

目的

作者的目标是确定增加城市监狱自杀风险的因素。

方法

他们检查并核实了自1967年开始记录至1992年底,底特律一所具有代表性的大型监狱中截至1992年的所有自杀事件。

结果

在此期间有37起自杀事件。被控谋杀或 manslaughter(此处可能有误,推测为“过失杀人”)的囚犯自杀可能性比被控其他罪名的囚犯高19倍。39%的自杀事件是由被控谋杀的人实施的。所有37起自杀事件均为上吊,且大多数发生在入狱31天内的夜间。许多自杀的囚犯在监禁期间曾有过自杀未遂经历。39%的自杀事件是由被控谋杀的人实施的,占入狱人数的2%(每天两人)。

结论

此前未被识别出的监狱自杀重要风险因素是被控谋杀或过失杀人。治疗和预防项目应将这些囚犯视为极高风险类别。

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