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首页> 外文期刊>International Journal of Population Data Science >Deaths in young people after contact with the youth justice system: a retrospective data linkage study
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Deaths in young people after contact with the youth justice system: a retrospective data linkage study

机译：与青年司法系统接触后的年轻人死亡：回顾性数据链接研究

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IntroductionYoung people who have contact with the youth justice system are distinguished by a high prevalence of complex, co-occurring health problems, including known risk factors for preventable mortality. However, almost nothing is known about health outcomes for these young people after separation from the youth justice system. Objectives and ApproachWe aimed to examine the incidence, timing, causes and risk factors for death in justice-involved young people. We linked youth justice records in Queensland, Australia 1993-2016 (N=48,963) with adult correctional records and the National Death Index. We split the cohort into three subgroups: those who had ever been in detention (n=7,643), those supervised in the community but never detained (n=12,953), and those charged with an offence but never convicted (n=28,367). We calculated all-cause and cause-specific crude mortality rates (CMRs), and indirectly standardised mortality ratios (SMRs). We used Cox regression to identify static and time-varying risk factors for death. ResultsDuring a median of 13.6 years of follow-up there were 1,452 deaths (3.0%). The all-cause CMR was 2.2 (95%CI 2.1-2.3) per 1000 person-years, and the all-cause SMR was 3.1 (95%CI 3.0-3.3). The leading external causes of death were suicide (32% of all deaths), transport accidents (16%), accidental drug-related causes (13%), and violence (3%). In adjusted analyses, independent risk factors for all-cause mortality included being male (HR=1.4, 95%CI 1.2-1.6) and older (=15 vs. vs. charge only; HR=1.6, 95%CI 1.2-2.0) and subsequent incarceration as an adult (HR=1.8, 95%CI 1.4-2.4). Conclusion/ImplicationsYoung people who have contact with the youth justice system are at markedly increased risk of preventable death, after separation from that system. Efforts to improve long-term health outcomes for justice-involved youth have the potential to reduce preventable deaths in these highly vulnerable young people.
机译：引言与青年司法系统接触的年轻人的特征是，普遍存在着复杂的，同时发生的健康问题，包括已知的可预防死亡率的危险因素。但是，从青年司法系统中分离出来后，这些年轻人的健康结果几乎一无所知。目的和方法我们旨在检查司法公正的年轻人的死亡发生率，时间，成因和危险因素。我们将1993-2016年澳大利亚昆士兰州的青少年司法记录（N = 48,963）与成人教养记录和国家死亡指数相关联。我们将队列分为三个子组：曾经被拘留过的人（n = 7,643），在社区中受到监督但从未被拘留过的人（n = 12,953）以及被指控犯有罪行但从未被定罪的人（n = 28,367）。我们计算了所有原因和特定原因的粗死亡率（CMR），以及间接标准化的死亡率（SMR）。我们使用Cox回归来确定死亡的静态和时变风险因素。结果在平均13.6年的随访期间，有1,452例死亡（3.0％）。每1000人年的全因CMR为2.2（95％CI 2.1-2.3），而全因SMR为3.1（95％CI 3.0-3.3）。导致死亡的主要外部原因是自杀（占所有死亡的32％），交通事故（占16％），与毒品有关的偶然原因（占13％）和暴力（占3％）。在调整后的分析中，全因死亡率的独立危险因素包括男性（HR = 1.4，95％CI 1.2-1.6）和年龄较大（> = 15 vs. vs.只收费; HR = 1.6，95％CI 1.2-2.0 ）和随后的成年监禁（HR = 1.8，95％CI 1.4-2.4）。结论/启示与青年司法系统接触的年轻人在与青少年司法系统分离后，可预防的死亡风险显着增加。努力改善涉及司法的年轻人的长期健康状况，有可能减少这些高度脆弱的年轻人的可预防死亡。

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