Suicide following a conviction, solitary confinement, or transfer in people incarcerated: A comprehensive retrospective cohort study in France, 2017-2020.

IF 2.7 3区 医学 Q2 PSYCHIATRY Suicide and Life-Threatening Behavior Pub Date : 2024-06-01 Epub Date: 2024-02-15 DOI:10.1111/sltb.13064
Alexis Vanhaesebrouck, Thomas Fovet, Maria Melchior, Thomas Lefevre
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Abstract

Introduction: Suicide rates are higher in prison than in the general population in most countries. The proximity of some suicides to prison events has only received little attention in comparative studies. The aim of this study was to assess the relationship between suicide and four prison events: conviction, disciplinary solitary confinement, nondisciplinary solitary confinement and inter-prison transfer, in a national retrospective cohort study of people in prison.

Methods: All incarcerations in France that occurred during 2017-2020 were eligible. Data were collected from an administrative database of the National Prison Service. Survival bivariate and multivariate analyses were performed with a Cox regression model.

Results: Of 358,522 incarcerations were included, among which 469,348 events and 449 suicides occurred. In multivariate analysis, suicide risk was higher the first day of disciplinary solitary confinement (HR = 42.1 [21.5-82.7] and HR = 119.0 [71.5-197.9], before and after a government decree on the disciplinary system, respectively. It was higher within 2 weeks after a transfer (HR = 3.5 [2.3-5.2])) or entry in nondisciplinary solitary confinement (HR = 6.7 [3.4-13.3]) and lower within 2 weeks after a conviction (HR = 0.6 [0.4-1.0]).

Conclusion: Solitary confinement and transfer were found to be precipitating factors of suicide in people who are incarcerated. These results offer interesting perspectives on prevention.

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被监禁者在定罪、单独监禁或转移后自杀:2017-2020年法国全面回顾性队列研究。
导言:在大多数国家,监狱中的自杀率高于普通人群。在比较研究中,一些自杀事件与监狱事件之间的关系很少受到关注。本研究的目的是在一项全国性监狱服刑人员回顾性队列研究中,评估自杀与四种监狱事件之间的关系:定罪、惩戒性单独监禁、非惩戒性单独监禁和监狱间转移:所有在 2017-2020 年期间发生在法国的监禁事件均符合条件。数据来自国家监狱管理局的行政数据库。采用 Cox 回归模型进行生存二变量和多变量分析:在 358 522 次监禁中,共发生了 469 348 起事件和 449 起自杀事件。在多变量分析中,纪律处分单独监禁的第一天自杀风险较高(HR = 42.1 [21.5-82.7] 和 HR = 119.0 [71.5-197.9],分别在政府颁布纪律处分制度法令之前和之后)。在调职(HR = 3.5 [2.3-5.2])或进入非纪律性单独监禁(HR = 6.7 [3.4-13.3])后两周内,死亡率较高,而在定罪后两周内,死亡率较低(HR = 0.6 [0.4-1.0]):结论:研究发现,单独监禁和转狱是被监禁者自杀的诱发因素。这些结果为预防工作提供了有趣的视角。
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来源期刊
Suicide and Life-Threatening Behavior
Suicide and Life-Threatening Behavior Medicine-Public Health, Environmental and Occupational Health
CiteScore
5.40
自引率
3.10%
发文量
96
期刊介绍: An excellent resource for researchers as well as students, Social Cognition features reports on empirical research, self-perception, self-concept, social neuroscience, person-memory integration, social schemata, the development of social cognition, and the role of affect in memory and perception. Three broad concerns define the scope of the journal: - The processes underlying the perception, memory, and judgment of social stimuli - The effects of social, cultural, and affective factors on the processing of information - The behavioral and interpersonal consequences of cognitive processes.
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