The deadly aftermath of time spent in prison
An article published in the New England Journal of Medicine for 11 January 2007 comments on a strange aspect of our tendency to lock up our offenders as a disciplinary measure. It concerns the increased risk of death of prisoners soon after their release from custody.
The study, carried out in Washington State, followed 30,000 released inmates
for an average of 1.9 years. During that period the risk of death was 3.5 times
higher than among the state’s general population of the same age, sex and
race. And during the first two weeks of freedom the risk of death was 12.7 times
that among other state residents.
The study concludes that the first few weeks after release may be a time of high
vulnerability to drug overdose and there may be a raised risk from violence,
unintentional injury and a lapse in treating chronic health conditions. The risk
is significantly higher among women than among men.
The leading cause of death of former inmates was found to be drug overdose. The
drug most commonly involved was cocaine. Others included psychostimulants such
as methamphetamine, heroin, methadone and tricyclic antidepressants. Next among
leading causes of death was cardiovascular disease, followed by homicide, suicide,
cancer and motoring accidents.
Cardiovascular disease and cancer accounted for most deaths in those aged 45
or more, while younger persons were more likely to die as a result of homicide,
suicide or drug overdose. The researchers suggest that interventions could be
targeted according to age.
The researchers also concluded that intervention aimed at decreasing the risk
of deaths could include planning for the transmission from prison to community
and providing intensive care management during the period immediately after release.
As well as reducing mortality among former inmates, such a programme of interventions
might have benefits for society in the form of increased public safety.
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