Drug- and Alcohol-Associated Deaths in US Jails

被引:17
|
作者
Fiscella, Kevin [1 ]
Noonan, Margaret [2 ]
Leonard, Susan H. [3 ]
Farah, Subrina [1 ,3 ]
Sanders, Mechelle [1 ]
Wakeman, Sarah E. [4 ,5 ]
Savolainen, Jukka [6 ]
机构
[1] Univ Rochester, Med Ctr, Rochester, NY 14642 USA
[2] US Equal Employment Opportun Commiss, Washington, DC USA
[3] Univ Michigan, Interuniv Consortium Polit & Social Res ICPSR, Ann Arbor, MI 48109 USA
[4] Massachusetts Gen Hosp, Charlestown, MA USA
[5] Harvard Med Sch, Boston, MA 02115 USA
[6] Univ Michigan, Ann Arbor, MI 48109 USA
关键词
incarceration; drug overdoses; alcohol intoxication; withdrawal; mortality; BUPRENORPHINE; INTOXICATION; EXPERIENCES; DIVERSION; SUICIDE; SUDDEN; RISK;
D O I
10.1177/1078345820917356
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Drugs and alcohol are the third leading cause of death in U.S. jails. We analyzed 2000 to 2013 national jail mortality data by coding text data. We identified 1,442 deaths associated with drugs and alcohol. Drug-associated deaths were more than double alcohol-associated deaths during 2009 to 2013 when drug type was available for drug-associated mortality. Only 18% of deaths within 7 days of arrest for alcohol intoxication were officially coded as involving drugs/alcohol intoxication. Among the 103 deaths associated with substance withdrawal, 66 involved alcohol, 21 involved drugs (primarily opioids), and 16 could not be determined. Drugs and alcohol likely contribute to more deaths in jails than has been recognized due to how deaths are coded. Alcohol and opioid withdrawal represent a small but underappreciated contributor to jail deaths.
引用
收藏
页码:183 / 193
页数:11
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