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Suicide in custody

机译:羁押中的自杀

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Background Few risk factors and indicators of vulnerability for suicide in custody are known so far. Aims A casea€“control study was conducted to investigate the relevance of criminal history, psychiatric morbidity and social integration to suicide in prison. Method For every suicide that occurred in an Austrian correctional institution between 1975 and 1999, two controls matched for correctional institution, gender, nationality, age, custodial status and time of admission were selected. Psychiatric characteristics, previous suicidal behaviour, criminal history and indicators of social integration were compared. Results Of 250 recorded suicides, 220 personal files were available and matched to 440 controls. The most important predictors for suicide in custody were a history of suicidality (status following attempted suicide and suicide threat), psychiatric diagnosis, psychotropic medication, a highly violent index offence and single- cell accommodation. Conclusions A significant finding is the importance of suicidal behaviour as an indicator of risk of suicide in correctional institutions, which until now has been a matter of debate. This study demonstrates the need for staff to take suicidal behaviour as seriously in custodial settings as in any other circumstances.
机译:背景技术迄今为止,鲜为人知的危险因素和易受自杀影响的指标。目的进行了一项案例对照研究,以调查犯罪史,精神病发病率和社会融合与监狱自杀的相关性。方法对于1975年至1999年在奥地利惩教所中发生的每一次自杀,都选择了两个与惩教所相匹配的对照,即性别,国籍,年龄,监护状态和入院时间。比较了精神病学特征,以前的自杀行为,犯罪史和社会融合指标。结果在250例自杀记录中,有220份个人档案可供使用,并与440例对照相匹配。羁押中自杀的最重要预测因素是自杀史(自杀未遂和自杀威胁后的状态),精神病学诊断,精神药物,高度暴力的指数犯罪和单细胞适应。结论一项重要发现是自杀行为作为惩教机构自杀风险指标的重要性,迄今为止,这一直是一个争论的问题。这项研究表明,工作人员在羁押场所必须像在其他情况下一样认真对待自杀行为。

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