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National study of suicide method in violent criminal offenders

机译:暴力犯罪者自杀方法的国家研究

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Background Gaining a greater knowledge of the mechanisms and means by which violent offenders die by suicide can inform tailored preventive strategies. Methods Using interlinked national Danish registry data we constructed a nested case-control study dataset of all adult suicides during 1994-2006: N=9708 cases and N=188,134 age and gender matched living controls. Completely ascertained International Classification of Diseases 10th revision cause-specific mortality codes were examined, with all criminal charges since 1980, and covariate information on psychiatric treatment and socio-demographics. Self-poisonings were classified as 'nonviolent' suicide and all other methods as being 'violent' ones. Results Compared with the general population, risk among male and female violent offenders was strongly and significantly elevated for suicide by either a violent or a nonviolent method, although the relative risk was greater for nonviolent suicide. These patterns were also observed among nonviolent offenders, albeit with smaller effect sizes. Risk was especially raised for self-poisoning with narcotics & hallucinogens. We could only examine the full range of suicide methods in male violent offenders. In these men, hanging was the most frequently used method, although risk was markedly and significantly elevated virtually across the entire range of regularly used suicide methods. Limitations We lacked sufficient statistical power for undertaking a detailed profiling of specific suicide methods among female violent offenders. Conclusions Our findings indicate that comprehensive and broadly-based preventive approaches are needed for tackling the markedly raised risk of suicide by both violent and nonviolent means in this population. Their high relative risk for self-poisoning by illicit or illegal drugs underlines the importance of access to means and of prevailing subculture.
机译:背景知识对暴力犯罪者自杀死亡的机制和方法的更多了解可以为制定适当的预防策略提供信息。方法使用相互联系的丹麦国家注册管理机构数据,我们构建了一个嵌套的病例对照研究数据集,其中包含1994-2006年期间所有成人自杀的病例:N = 9708例,N = 188,134个年龄和性别匹配的生活对照组。全面确定的《国际疾病分类》第10版修订了针对特定原因的死亡率代码,检查了1980年以来的所有刑事指控以及有关精神病治疗和社会人口统计学的协变量信息。自我中毒被归类为“非暴力”自杀,所有其他方法被归类为“暴力”。结果与一般人群相比,暴力或非暴力方式自杀的男性和女性暴力行为的风险均显着升高,尽管非暴力自杀的相对风险更大。在非暴力罪犯中也观察到了这些模式,尽管效果较小。麻醉品和致幻剂会自行中毒的风险特别大。我们只能检查男性暴力罪犯的全部自杀方法。在这些男人中,最常使用的方法是悬吊,尽管在整个常规使用的自杀方法中,风险显着且显着升高。局限性我们缺乏足够的统计能力来对女性暴力罪犯进行具体的自杀方法详细分析。结论我们的研究结果表明,需要采取全面,广泛的预防措施,以解决该人群中通过暴力和非暴力手段明显增加的自杀风险。它们因非法或非法药物自毒的相对危险性很高,这突出了获得手段和普遍的亚文化的重要性。

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