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

The American Journal of Geriatric Psychiatry : Official Journal of the American Association for Geriatric Psychiatry
Lisa C BarryAmy Byers

Abstract

The number of individuals transitioning from correctional facilities to community in later life (age ≥50 ) is increasing. We sought to determine if later-life prison release is a risk factor for suicidal behavior and death by accidental injury, including drug overdose. Retrospective cohort study. U.S. Department of Veterans Affairs and Medicare healthcare systems, 2012-2014. Veterans age ≥50 released from correctional facilities (N = 7,671 re-entry veterans) and those never incarcerated (N = 7,671). Dates of suicide attempt and cause-specific mortality defined using the National Suicide Prevention Applications Network and the National Suicide Data Repository, respectively. Later-life prison release was associated with increased risk of suicide attempt (599.7 versus 134.7 per 100,000 per year; adjusted hazard ratio [HR] 3.45; 95% confidence interval [CI] 2.24-5.32; p < 0.001, Wald χ2 = 31.58, degrees of freedom [df] = 1), death by drug overdose (121.7 versus 43.5; adjusted HR 3.45; 95% CI 1.37-8.73; p = 0.009, Wald χ2 = 6.86, df = 1), and other accidental injury (126.0 versus 39.1; adjusted HR 3.13; 95% CI 1.28-7.69; p = 0.013, Wald χ2 = 6.25, df = 1), adjusting for homelessness, traumatic brain injury, medical and psychiatric c...Continue Reading

Citations

Mar 10, 2020·Suicide & Life-threatening Behavior·Kristen M PalframanJohn F McCarthy
Apr 16, 2019·Frontiers in Psychiatry·Annette Opitz-WelkeAlexander Voulgaris
Feb 25, 2021·The American Journal of Geriatric Psychiatry : Official Journal of the American Association for Geriatric Psychiatry·Julie LutzUNKNOWN Members of the NIMH Workshop on Social Disconnection in Late Life Suicide
Dec 30, 2021·Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz·Annette Opitz-Welke, Norbert Konrad

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