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The mortality of released Finnish prisoners; a 7 year follow-up study of the WATTU project
Institution:1. American Academy of Dermatology, Schaumburg, Illinois;2. Department of Dermatology and Cutaneous Surgery, University of Miami Miller School of Medicine, Miami, Florida;1. Department of Urologic Surgery, Vanderbilt University Medical Center, Nashville, TN;2. Vanderbilt University School of Medicine, Nashville, TN;3. Urology Service, Department of Surgery, Memorial Sloan-Kettering Cancer Center, New York, NY;4. Department of Urology, University of Michigan Health System, Ann Arbor, MI;5. Center for Surgical Quality and Outcomes Research, Vanderbilt University Medical Center, Nashville, TN;6. Department of Urology, University of Oklahoma College of Medicine, Oklahoma City, OK;1. College of Medicine, University of Tennessee Health Science Center, 910 Madison Avenue, Memphis, TN, 38163, USA;2. South American Program in HIV Prevention Research, UCLA Department of Medicine, Division of Infectious Diseases, 10833 Leconte Avenue, CHS 37-121, Los Angeles, CA, 90095, USA;3. UCLA Center for Behavioral and Addiction Medicine, 10880 Wilshire Blvd., Ste. 1800, Los Angeles, CA, 90024, USA;4. National Institute on Drug Abuse, Office of Science Policy and Communications, Public Information and Liaison Branch, 6001 Executive Blvd., Room 5213, MSC 9561, Bethesda, MD, 20892, USA;5. Escuela de Medicina, Universidad Peruana de Ciencias Aplicadas, Av. Alameda San Marcos s/n, Chorrillos (Lima 09), Lima, Peru;6. McGovern Medical School at UTHealth, Department of Internal Medicine, Division of Infectious Diseases, 6341 Fannin St., MSB 2.112, Houston, TX, 77030, USA;7. UCLA Center for HIV Identification, Prevention, and Treatment Services, 10880 Wilshire Blvd., Ste. 1800, Los Angeles, CA, 90024, USA;8. Friends Research Institute, 11835 Olympic Blvd., #775E, Los Angeles, CA, 90064, USA;1. King Abdulaziz University, Faculty of Economics and Administration, Jeddah 21589, Saudi Arabia;2. HEC Montreal, Marketing Department 3000 Côte Sainte-Catherine, Montreal, QC H3T 2A7, Canada;1. Danish Center for Sleep Medicine, Neurophysiology Clinic, Faculty of Health Sciences, University of Copenhagen, Rigshospitalet, Copenhagen, Denmark;2. Center for Neuropsychiatric Schizophrenia Research & Center for Clinical Intervention and Neuropsychiatric Schizophrenia Research, Mental Health Center Glostrup, Copenhagen University Hospital, Glostrup, Denmark;3. i2minds, Aarhus, Denmark;4. The Danish Centre of Applied Social Science, Copenhagen, Denmark
Abstract:Objective. The aim was to compare the mortality of released prisoners and the general population.Method. The study forms a part of the Health Survey of Finnish Prisoners (the WATTU Project). A sample (N=903), representing all Finnish male prisoners, underwent a thorough health survey in 1985. A 7 year follow-up study was performed by means of gathering register data (deaths, hospital care, diseases leading to working incapacity). A population-based age-selected control group was formed for comparison.Results. During the follow-up, 13.2% of the sample died (natural deaths 5.2%, accidental deaths 4.1%, suicides 2.0%), whereas the corresponding figure in the control group was 3.4%. Overmortality among released prisoners, when compared to the general population, was also found in different death categories.Conclusion. The high somatic and psychiatric morbidity and mortality due to prisoner suicide, when imprisoned, has been reported in many earlier studies. This is probably the first study to confirm the high mortality in different death categories of a representative sample of released prisoners compared to a control group representing the general population. It is important to try to help released prisoners to get a new grip on normal life, especially if they also have somatic or mental health problems. More effort should be made to improve the collaboration between different health care systems.
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