Mortality After Prison Release: Opioid Overdose and Other Causes of Death, Risk Factors, and Time Trends From 1999 to 2009
Publication: Annals of Internal Medicine
Volume 159, Number 9
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Abstract
Background:
Among former prisoners, a high rate of death has been documented in the early postrelease period, particularly from drug-related causes. Little is known about risk factors and trends in postrelease mortality in the past decade, especially given general population increases in overdose deaths from pharmaceutical opioids.
Objective:
To determine postrelease mortality between 1999 and 2009; cause-specific mortality rates; and whether sex, calendar year, and custody factors were risk factors for all-cause, overdose, and opioid-related deaths.
Design:
Cohort study.
Setting:
Prison system of the Washington State Department of Corrections.
Participants:
76 208 persons released from prison.
Measurements:
Identities were linked probabilistically to the National Death Index to identify deaths and causes of death, and mortality rates were calculated. Cox proportional hazards regression estimated the effect of age, sex, race or ethnicity, whether the incarceration resulted from a violation of terms of the person's community supervision, length of incarceration, release type, and calendar year on the hazard ratio (HR) for death.
Results:
The all-cause mortality rate was 737 per 100 000 person-years (95% CI, 708 to 766) (n = 2462 deaths). Opioids were involved in 14.8% of all deaths. Overdose was the leading cause of death (167 per 100 000 person-years [CI, 153 to 181]), and overdose deaths in former prisoners accounted for 8.3% of the overdose deaths among persons aged 15 to 84 years in Washington from 2000 to 2009. Women were at increased risk for overdose (HR, 1.38 [CI, 1.12 to 1.69]) and opioid-related deaths (HR, 1.39 [CI, 1.09 to 1.79]).
Limitation:
The study was done in only 1 state.
Conclusion:
Innovation is needed to reduce the risk for overdose among former prisoners.
Primary Funding Source:
National Institute on Drug Abuse and the Robert Wood Johnson Foundation.
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References
1.
Kariminia A, Butler T, Corben S, Levy M, Grant L, Kaldor J, et al. Extreme cause-specific mortality in a cohort of adult prisoners—1988 to 2002: a data-linkage study. Int J Epidemiol. 2007;36:310-6. [PMID: 17158524]
2.
Bird SM and Hutchinson SJ. Male drugs-related deaths in the fortnight after release from prison: Scotland, 1996-99. Addiction. 2003;98:185-90. [PMID: 12534423]
3.
Seaman SR, Brettle RP, and Gore SM. Mortality from overdose among injecting drug users recently released from prison: database linkage study. BMJ. 1998;316:426-8. [PMID: 9492665]
4.
Krinsky CS, Lathrop SL, Brown P, and Nolte KB. Drugs, detention, and death: a study of the mortality of recently released prisoners. Am J Forensic Med Pathol. 2009;30:6-9. [PMID: 19237844]
5.
Pratt D, Piper M, Appleby L, Webb R, and Shaw J. Suicide in recently released prisoners: a population-based cohort study. Lancet. 2006;368:119-23. [PMID: 16829295]
6.
Rosen DL, Schoenbach VJ, and Wohl DA. All-cause and cause-specific mortality among men released from state prison, 1980-2005. Am J Public Health. 2008;98:2278-84. [PMID: 18923131]
7.
Stewart LM, Henderson CJ, Hobbs MS, Ridout SC, and Knuiman MW. Risk of death in prisoners after release from jail. Aust N Z J Public Health. 2004;28:32-6. [PMID: 15108744]
8.
Lim S, Seligson AL, Parvez FM, Luther CW, Mavinkurve MP, Binswanger IA, et al. Risks of drug-related death, suicide, and homicide during the immediate post-release period among people released from New York City jails, 2001-2005. Am J Epidemiol. 2012;175:519-26. [PMID: 22331462]
9.
Zlodre J and Fazel S. All-cause and external mortality in released prisoners: systematic review and meta-analysis. Am J Public Health. 2012;102:67-75. [PMID: 23078476]
10.
Merrall EL, Kariminia A, Binswanger IA, Hobbs MS, Farrell M, Marsden J, et al. Meta-analysis of drug-related deaths soon after release from prison. Addiction. 2010;105:1545-54. [PMID: 20579009]
11.
Binswanger IA, Stern MF, Deyo RA, Heagerty PJ, Cheadle A, Elmore JG, et al. Release from prison—a high risk of death for former inmates. N Engl J Med. 2007;356:157-65. [PMID: 17215533]
12.
Spaulding AC, Seals RM, McCallum VA, Perez SD, Brzozowski AK, and Steenland NK. Prisoner survival inside and outside of the institution: implications for health-care planning. Am J Epidemiol. 2011;173:479-87. [PMID: 21239522]
13.
Chandler RK, Fletcher BW, and Volkow ND. Treating drug abuse and addiction in the criminal justice system: improving public health and safety. JAMA. 2009;301:183-90. [PMID: 19141766]
14.
Nunn A, Zaller N, Dickman S, Nijhawan A, and Rich JD. Improving access to opiate addiction treatment for prisoners [Letter]. Addiction. 2010;105:1312-3. [PMID: 20642515]
15.
Campbell CI, Weisner C, Leresche L, Ray GT, Saunders K, Sullivan MD, et al. Age and gender trends in long-term opioid analgesic use for noncancer pain. Am J Public Health. 2010;100:2541-7. [PMID: 20724688]
16.
Substance Abuse and Mental Health Services Administration and Center for Behavioral Health Statistics and Quality. The NSDUH Report: State Estimates of Nonmedical Use of Prescription Pain Relievers. Rockville, MD: Center for Behaviorial Health Statistics and Quality; 8 January 2013. Accessed at www.samhsa.gov/data/2k12/NSDUH115/sr115-nonmedical-use-pain-relievers.htm on 30 August 2013.
17.
Jones CM, Mack KA, and Paulozzi LJ. Pharmaceutical overdose deaths, United States, 2010. JAMA. 2013;309:657-9. [PMID: 23423407]
18.
Calcaterra S, Glanz J, and Binswanger IA. National trends in pharmaceutical opioid related overdose deaths compared to other substance related overdose deaths: 1999-2009. Drug Alcohol Depend. 2013;131:263-70. [PMID: 23294765]
19.
Centers for Disease Control and Prevention (CDC). Vital signs: overdoses of prescription opioid pain relievers—-United States, 1999—2008. MMWR Morb Mortal Wkly Rep. 2011;60:1487-92. [PMID: 22048730]
20.
Warner M, Chen LH, Makuc DM, Anderson RN, Miniño AM. Drug poisoning deaths in the United States, 1980–2008. Hyattsville, MD: National Center for Health Statistics; December 2011. Accessed at www.cdc.gov/nchs/data/databriefs/db81.htm on 30 August 2013.
21.
Carson EA, Sabol WJ; Bureau of Justice Statistics. Prisoners in 2011. Washington, DC: U.S. Department of Justice; December 2012. Accessed at www.bjs.gov/content/pub/pdf/p11.pdf on 30 August 2013.
22.
Binswanger IA, Merrill JO, Krueger PM, White MC, Booth RE, and Elmore JG. Gender differences in chronic medical, psychiatric, and substance-dependence disorders among jail inmates. Am J Public Health. 2010;100:476-82. [PMID: 19696388]
23.
Kariminia A, Law MG, Butler TG, Corben SP, Levy MH, Kaldor JM, et al. Factors associated with mortality in a cohort of Australian prisoners. Eur J Epidemiol. 2007;22:417-28. [PMID: 17668280]
24.
Binswanger IA, Blatchford PJ, Lindsay RG, and Stern MF. Risk factors for all-cause, overdose and early deaths after release from prison in Washington state. Drug Alcohol Depend. 2011;117:1-6. [PMID: 21295414]
25.
Binswanger IA, Nowels C, Corsi KF, Glanz J, Long J, Booth RE, et al. Return to drug use and overdose after release from prison: a qualitative study of risk and protective factors. Addict Sci Clin Pract. 2012;7:3. [PMID: 22966409]
26.
Guerino PM, Harrison PM, Sabol WJ; Bureau of Justice Statistics. Prisoners in 2010. Washington, DC: U.S. Department of Justice; December 2011. Accessed at www.bjs.gov/content/pub/pdf/p10.pdf on 30 August 2013.
27.
Bureau of Justice Statistics. What is the difference between jails and prisons? Washington, DC: U.S. Department of Justice; 2010. Accessed at www.bjs.gov/index.cfm?ty=qa&iid=322 on 30 August 2013.
28.
Bilgrad R; National Death Index. NDIPlus: coded causes of death: supplement to the NDI user's manual. Hyattsville, MD National Center for Health Statistics 1999.
29.
Centers for Disease Control and Prevention. Wide-ranging online data for epidemiologic research (WONDER). Atlanta, GA; Centers for Disease Control and Prevention; 1 March 2012.
30.
Lin D, Wei LJ, and Ying Z. Checking the Cox model with cumulative sums of martingale-based residuals. Biometrika. 1993;80:557-72.
31.
Lin DY and Wei LJ. The robust inference for the proportional hazards model. JASA. 1989;84:1074-8.
32.
Cornish R, Macleod J, Strang J, Vickerman P, and Hickman M. Risk of death during and after opiate substitution treatment in primary care: prospective observational study in UK General Practice Research Database. BMJ. 2010;341:c5475. [PMID: 20978062]
33.
Merrall EL, Bird SM, and Hutchinson SJ. A record-linkage study of drug-related death and suicide after hospital discharge among drug-treatment clients in Scotland, 1996-2006. Addiction. 2013;108:377-84. [PMID: 22925008]
34.
Strang J, McCambridge J, Best D, Beswick T, Bearn J, Rees S, et al. Loss of tolerance and overdose mortality after inpatient opiate detoxification: follow up study. BMJ. 2003;326:959-60. [PMID: 12727768]
35.
McAuley A, Best D, Taylor A, Hunter C, and Robertson R. From evidence to policy: The Scottish national naloxone programme. Drugs (Abingdon Engl). 2012;19:309-19.
36.
World Health Organization. Prevention of acute drug-related mortality in prison populations during the immediate post-release period. Geneva World Health Organization 2010 33.
Information & Authors
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Published In
Annals of Internal Medicine
Volume 159 • Number 9 • 5 November 2013
Pages: 592 - 600
History
Published online: 5 November 2013
Published in issue: 5 November 2013
Keywords
Copyright
© 2013 American College of Physicians.
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Mortality After Prison Release: Opioid Overdose and Other Causes of Death, Risk Factors, and Time Trends From 1999 to 2009. Ann Intern Med.2013;159:592-600. [Epub 5 November 2013]. doi:10.7326/0003-4819-159-9-201311050-00005
Mortality After Prison Release: Opioid Overdose and Other Causes of Death, Risk Factors, and Time Trends From 1999 to 2009. Ann Intern Med.2013;159:592-600. [Epub 5 November 2013]. doi:10.7326/0003-4819-159-9-201311050-00005
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