Mortality among homicide offenders: a retrospective population-based long-term follow-up.
BACKGROUND
Empirical data on homicide and homicide offenders are needed in the ongoing discussion on violence and crime prevention. One issue, insufficiently investigated, is the post-trial life course of homicide offenders.


OBJECTIVE
To examine whether the mortality rate, as well as cause and manner of death, of homicide offenders is different from the general population.


METHODS
An incidence cohort of Swedish homicide offenders from 1970 to 1980 (n = 153) was re-examined by computerized record linkage with the National Cause-of-Death Register for the period between trial and 1 October 2002, i.e. 22-32 years after the offence. Death certificates were analysed, and standard procedures for calculating Standard Mortality Rate (SMR) and survival analysis were employed.


RESULTS
Half of the study subjects had died by 2002. The overall mortality rate was about three times higher than that of the general population. In particular, the risk of suicide was salient.


CONCLUSIONS
It can be argued that offenders' self-neglect and self-contempt merge with public and professional views, predisposing to an increased risk of premature death.
Lindqvist
Per
P
Division of Forensic Psychiatry, Department of Clinical Neuroscience, Karolinska Institute, Stckholm, Sweden. per.lindqvist@ki.se
Leifman
Anders
A
Eriksson
Anders
A
D002423:Cause of Death; D005260:Female; D005500:Follow-Up Studies; D006708:Homicide / Q000523:psychology / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D009026:Mortality; D013405:Suicide / Q000706:statistics & numerical data; D013548:Sweden / Q000453:epidemiology