Mortality among individuals with substance use disorder-does violent criminal behavior have an impact?

IF 3.2 3区 医学 Q2 PSYCHIATRY
Frontiers in Psychiatry Pub Date : 2024-12-06 eCollection Date: 2024-01-01 DOI:10.3389/fpsyt.2024.1455343
Joakim Jakobsson, Anna Karlsson, Anders Håkansson, Björn Hofvander
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Abstract

Introduction: Understanding violent criminality and its impact on health and eventually the risk of premature mortality is important for efficient future interventions. This study aimed to explore the effect violent criminality had on premature mortality (i.e., death before the age of 65) among individuals with substance use disorders (SUDs).

Methods: The cohort was created by identifying all Swedish patients diagnosed with SUD between the first of January 2013 and 31st of December 2014. The individuals were split into three age categories.

Results: There were significant differences in standard mortality rates (SMR) in the cohort compared to the general Swedish population across the three age categories. We found differences between the SMRs for individuals convicted of violent and nonviolent crimes in the two younger age categories [age 15-29: violent crime (42.4) vs. non-violent crime (36.6), age 30-44: violent crime (28.0) vs. non-violent crime (23.0)]. A Cox regression analysis showed that each conviction of a violent crime increased the hazard ratio (HR) of premature mortality significantly [age 15-29; HR = 1.10 (95% CI: 1.04-1.17), age 30-44; HR =1.06 (95% CI: 1.03-1.09)]. After correcting for non-violent crimes, the increased risk only remained for the youngest group [HR = 1.06 (95% CI: 1.00-1.13)].

Discussion: This study suggests that criminal behavior constitutes a proxy for the risk behaviors that increase the risk of premature mortality among young individuals with SUD even after controlling for confounders. Longitudinal studies, examining time-dependent risks and protective influences, are needed to explain the different pathways and processes leading to the amplified premature mortality in the groups.

物质使用障碍患者的死亡率——暴力犯罪行为有影响吗?
前言:了解暴力犯罪及其对健康的影响以及最终导致过早死亡的风险,对于今后有效的干预措施非常重要。本研究旨在探讨暴力犯罪对物质使用障碍(SUDs)患者过早死亡(即65岁之前死亡)的影响。方法:选取2013年1月1日至2014年12月31日期间诊断为SUD的所有瑞典患者创建队列。这些人被分为三个年龄段。结果:该队列的标准死亡率(SMR)与三个年龄组的瑞典普通人群相比存在显著差异。我们发现,在两个较年轻的年龄组中,暴力犯罪和非暴力犯罪的个体的smr存在差异[15-29岁:暴力犯罪(42.4)对非暴力犯罪(36.6),30-44岁:暴力犯罪(28.0)对非暴力犯罪(23.0)]。Cox回归分析显示,每一次暴力犯罪的定罪都显著增加了过早死亡的风险比(HR)[15-29岁;HR = 1.10 (95% CI: 1.04-1.17),年龄30-44岁;Hr =1.06 (95% ci: 1.03-1.09)。在对非暴力犯罪进行校正后,只有最年轻的一组风险增加[HR = 1.06 (95% CI: 1.00-1.13)]。讨论:本研究表明,即使在控制混杂因素后,犯罪行为也构成了增加年轻SUD患者过早死亡风险的风险行为的代理。需要进行纵向研究,检查与时间有关的风险和保护性影响,以解释导致各组过早死亡率增加的不同途径和过程。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Frontiers in Psychiatry
Frontiers in Psychiatry Medicine-Psychiatry and Mental Health
CiteScore
6.20
自引率
8.50%
发文量
2813
审稿时长
14 weeks
期刊介绍: Frontiers in Psychiatry publishes rigorously peer-reviewed research across a wide spectrum of translational, basic and clinical research. Field Chief Editor Stefan Borgwardt at the University of Basel is supported by an outstanding Editorial Board of international researchers. This multidisciplinary open-access journal is at the forefront of disseminating and communicating scientific knowledge and impactful discoveries to researchers, academics, clinicians and the public worldwide. The journal''s mission is to use translational approaches to improve therapeutic options for mental illness and consequently to improve patient treatment outcomes.
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