Increased Risk of Suicide Attempts and Unintended Death Among Those Transitioning From Prison to Community in Later Life

Barry, Lisa C.; Steffens, David C.; Covinsky, Kenneth E.; Conwell, Yeates; Li, Yixia; Byers, Amy L.

doi:10.1016/j.jagp.2018.07.004

Cited by 28 publications

(15 citation statements)

References 31 publications

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“…In an interview study with 124 prisoners aged 50+ years, Barry et al demonstrated that a past alcohol dependence and a poor self-rated health were associated with elevated suicidal ideation. Altogether, in their study, 22% of the older prisoners were showing current suicidal ideation and 12% were reporting active suicidal ideation (20).…”

Section: Introductionmentioning

confidence: 98%

Suicide in Older Prisoners in Germany

et al. 2019

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As in many countries, the numbers of older prisoners are rising in Germany, but scientific information on this group is scarce. For the current study, a survey was used that included all prison suicides in Germany between the years of 2000 and 2013. Suicide rates of the elderly prisoners exceeded the suicide rates of the general population and the same age group. We observed a continuous decrease in the suicide rate of elderly prisoners. When compared to the younger suicide victims in prison, significantly more elderly suicide victims were: female, of German nationality, remand prisoners, or serving a life sentence. In Germany, elderly prisoners are a vulnerable subpopulation of the prison population. Higher suicide rates than in the same age group in the general population indicate unmet needs regarding mental disorders and their specific treatment.

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Section: Introductionmentioning

confidence: 98%

Suicide in Older Prisoners in Germany

et al. 2019

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“…Study strengths include the comprehensive assessment of Veterans Justice Program services for over 5.4 million Veterans who were recent users of VHA care. In contrast, to our knowledge, the only other national study on justice involvement and suicide among Veteran VHA users was limited to Veterans aged 50 and older (Barry et al, 2018).…”

Section: Discussionmentioning

confidence: 89%

“…One national study has examined suicide risks among formerly incarcerated Veterans. For Medicare‐eligible VHA‐using Veterans aged 50 and older who were incarcerated between 2012 and 2014, there was greater risk of suicide attempts among older Veterans with a criminal justice history as compared to never‐incarcerated Veterans (Barry et al, 2018). No significant differences were found with regard to suicide mortality.…”

mentioning

confidence: 99%

Veterans Justice Programs: Assessing Population Risks for Suicide Deaths and Attempts

Palframan

Blue‐Howells

Clark

et al. 2020

Suicide & Life Threat Behav

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Objectives Understanding suicide risks among Veteran subpopulations is a national priority. This study assessed risks of suicide, suicide attempts, and other‐cause mortality among recipients of Veterans Health Administration (VHA) Veterans Justice Program services as compared to other Veteran VHA users. Methods Per VHA records, the cohort included 5,401,192 Veterans alive as of January 1, 2013 and with VHA utilization in 2012. Receipt of Veterans Justice Outreach (VJO) or Health Care for Reentry Veterans (HCRV) services in 2012 was assessed using encounter codes. Multivariable proportional hazards regression assessed risks of suicide (per National Death Index search results from the VA/DoD Mortality Data Repository) and attempts (per diagnoses and site reports) in 2013–2016, adjusting for demographic and clinical indicators. Results Compared to other patients, Veterans with VJO encounters had greater risk of suicide (unadjusted HR = 2.80, 95% confidence interval [CI] = 2.30–3.40; adjusted HR = 1.25, 95% CI = 1.02–1.53) and attempts (unadjusted HR = 8.88, 95% CI = 8.45–9.35; adjusted HR = 1.06, 95% CI = 1.00–1.11). Veterans with HCRV encounters had elevated risk of suicide attempts (unadjusted HR = 4.56, 95% CI = 4.00–5.20; adjusted HR = 1.42, 95% CI = 1.24–1.62). Risks were also elevated for other external causes of mortality. Conclusions Findings document increased risk of suicidal behavior among Veterans Justice Program recipients. These results have informed VHA suicide prevention activities.

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“…nach Verbüßung einer Freiheitsstrafe ein erhöhtes Suizidrisiko haben, legt einerseits das Vorhandensein individueller Risikofaktoren nahe. Auf der anderen Seite spricht besonders die hohe Suizidrate der Untersuchungsgefangenen, die in allen untersuchten Gefängnispopulationen festgestellt wurde, für das Einwirken institutionell-situativer Einflüsse auf das Suizidrisiko im Gefängnis [1][2][3][4].…”

Section: Hintergrundunclassified

Suizide im deutschen Strafvollzug: Häufigkeit, Risikofaktoren und Prävention

Opitz‐Welke

Konrad

2021

Bundesgesundheitsbl

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ZusammenfassungGefangene haben ein hohes Suizidrisiko und die höchsten Suizidraten sind bei Untersuchungsgefangenen zu verzeichnen. Suizid ist die häufigste singuläre Todesursache in deutschen Gefängnissen. In diesem narrativen Übersichtsbeitrag werden zunächst die Gefängnispopulation und ihre allgemeine Gesundheitsversorgung beschrieben, wobei insbesondere auf psychiatrische und Substanzkonsumstörungen eingegangen wird. Der Hauptteil widmet sich der Prävalenz, den Ursachen und Risikofaktoren von Gefängnissuizid. Maßnahmen zur Suizidprävention werden dargestellt.Der Anteil von Männern unter Gefangenen in Deutschland ist mit 94 % (2020) wie in allen Teilen der Welt sehr hoch. Die meisten Gefangenen sind jungen oder mittleren Alters. Die durchschnittlichen jährlichen Suizidraten bei Männern und Frauen in deutschen Gefängnissen entsprechen mit 105,8/100.000 bzw. 54,7/100.000 denen der meisten Länder in der Europäischen Union (Vollerhebung 2000–2011). Die Suizidraten bei männlichen deutschen Gefangenen sind in den Jahren 2000–2013 unabhängig vom Alter kontinuierlich zurückgegangen. Bei weiblichen Gefangenen stiegen sie dagegen an, wobei die Ursachen hierfür nicht bekannt sind. Es gibt Hinweise darauf, dass psychiatrische Erkrankungen nicht erkannt worden waren.Wichtige suizidpräventive Maßnahmen sind die Unterbringung in Gemeinschaft und die Vermeidung von Isolation, beispielsweise durch das Angebot von Arbeit. Zudem stehen validierte deutschsprachige Screeninginstrumente zur Verfügung, um ein Suizidrisiko frühzeitig zu erkennen. Für eine wirksame Gefängnissuizidprävention bedarf es der Identifikation von Hochrisikopersonen, des Angebots geeigneter suizidpräventiver Maßnahmen sowie der Entwicklung teambezogener Maßnahmen beim Gefängnispersonal.

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Increased Risk of Suicide Attempts and Unintended Death Among Those Transitioning From Prison to Community in Later Life

Abstract: Older re-entry veterans are at considerable risk of attempting suicide and dying by drug overdose or other accidental injury. This study highlights importance of prevention and intervention efforts targeting later-life prison-to-community care transitions.

Cited by 28 publications

References 31 publications

Suicide in Older Prisoners in Germany

Suicide in Older Prisoners in Germany

Veterans Justice Programs: Assessing Population Risks for Suicide Deaths and Attempts

Suizide im deutschen Strafvollzug: Häufigkeit, Risikofaktoren und Prävention

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