Document Detail


Predicting death in young offenders: a retrospective cohort study.
MedLine Citation:
PMID:  15516189     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To examine predictors of death in young offenders who have received a custodial sentence using data routinely collected by juvenile justice services. DESIGN: A retrospective cohort of 2849 (2625 male) 11-20-year-olds receiving their first custodial sentence between 1 January 1988 and 31 December 1999 was identified. MAIN OUTCOME MEASURES: Deaths, date and primary cause of death ascertained from study commencement to 1 March 2003 by data-matching with the National Death Index; measures comprising year of and age at admission, sex, offence profile, any drug offence, multiple admissions and ethnic and Indigenous status, obtained from departmental records. RESULTS: The overall mortality rate was 7.2 deaths per 1000 person-years of observation. Younger admission age (hazard ratio [HR], 1.4; 95% CI, 1.0-1.9), repeat admissions (HR, 1.8; 95% CI, 1.1-2.9) and drug offences (HR, 1.5; 95% CI, 1.0-2.1) predicted early death. The role of ethnicity/Aboriginality could only be assessed in cohort entrants from 1996 to 1999. The Asian subcohort showed higher risk of death from drug-related causes (HR, 2.5; 95% CI, 1.1-5.5), more drug offences (relative risk ratio [RRR], 13; 95% CI, 8.5-20.0) and older admission age (oldest group v youngest: RRR, 9.3; 95% CI, 1.3-68.0) than non-Indigenous Australians. Although higher mortality was not identified in Indigenous Australians, this group was more likely to be admitted younger (oldest v youngest: RRR, 0.31; 95% CI, 0.15-0.63) and experience repeat admissions (RRR, 1.6; 95% CI, 1.0-2.4). CONCLUSIONS: Young offenders have a much higher death rate than other young Victorians. Early detention, multiple detentions and drug-related offences are indicators of high mortality risk. For these offenders, targeted healthcare while in custody and further mental healthcare and social support after release appear essential if we are to reduce the mortality rate in this group.
Authors:
Carolyn Coffey; Rory Wolfe; Andrew W Lovett; Paul Moran; Eileen Cini; George C Patton
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The Medical journal of Australia     Volume:  181     ISSN:  0025-729X     ISO Abbreviation:  Med. J. Aust.     Publication Date:  2004 Nov 
Date Detail:
Created Date:  2004-11-01     Completed Date:  2004-12-17     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0400714     Medline TA:  Med J Aust     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  473-7     Citation Subset:  IM    
Affiliation:
Centre for Adolescent Health, Murdoch Children's Research Institute, 2 Gatehouse Street, Parkville, VIC 3052. carolyn.coffey@rch.org.au
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Age Distribution
Asia / ethnology
Cause of Death / trends*
Child
Cohort Studies
Death Certificates
Female
Humans
Juvenile Delinquency / trends*
Male
Needs Assessment
Oceanic Ancestry Group / statistics & numerical data
Patient Admission / trends
Population Surveillance
Predictive Value of Tests
Prisoners / statistics & numerical data*
Proportional Hazards Models
Retrospective Studies
Risk Factors
Substance-Related Disorders / mortality
Suicide / trends
Victoria / epidemiology
Wounds and Injuries / mortality
Comments/Corrections
Comment In:
Med J Aust. 2004 Nov 1;181(9):469-70   [PMID:  15516187 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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