title: The relationship between prior suicidal behavior and mortality among individuals in community corrections.
abstract: BACKGROUND
  Individuals under community corrections have multiple risk factors for mortality including exposure to a criminal environment, drug use, social stress, and a lack of medical care that predispose them to accidents, homicides, medical morbidities, and suicide. The literature suggests that prior suicidal behavior may be a particularly potent risk factor for mortality among individuals in the criminal justice system.
  
  
  OBJECTIVE
  This study looked to extend the link between history of a suicide attempt and future mortality in a community corrections population.
  
  
  METHODS
  Using an archival dataset (N = 18,260) collected from 2002 to 2007 of individuals being monitored under community corrections supervision for an average of 217 days (SD = 268), we examined the association between past history of a suicide attempt and mortality.
  
  
  RESULTS
  A Cox Proportional Hazard Model controlling for age, race, gender, and substance dependence indicated that past history of a suicide attempt was independently associated with time to mortality, and demonstrated the second greatest effect after gender.
  
  
  CONCLUSIONS
  These data suggest the need for a greater focus on screening and preventive services, particularly for individuals with a history of suicidal behavior, so as to reduce the risk of mortality in community corrections populations.
authors.affiliation: <location>Department of Psychiatry and Behavioral Neurobiology, Substance Abuse Center, University of Alabama at Birmingham, AL, USA</location>
authors.forename: C Brendan
authors.initials: CB
authors.lastname: Clark
authors.forename: Matthew C
authors.initials: MC
authors.lastname: Waesche
authors.forename: Peter S
authors.initials: PS
authors.lastname: Hendricks
authors.forename: Cheryl B
authors.initials: CB
authors.lastname: McCullumsmith
authors.forename: Nicole
authors.initials: N
authors.lastname: Redmond
authors.forename: Nandan
authors.initials: N
authors.lastname: Katiyar
authors.forename: Robert Marsh
authors.initials: RM
authors.lastname: Lawler
authors.forename: Karen L
authors.initials: KL
authors.lastname: Cropsey
mesh_terms: D000328:Adult; D000367:Age Factors; D000407:Alabama / Q000453:epidemiology; D002423:Cause of Death; D003416:Criminal Law / Q000706:statistics & numerical data; D057237:Criminals / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009026:Mortality; D015999:Multivariate Analysis; D016016:Proportional Hazards Models; D012737:Sex Factors; D019966:Substance-Related Disorders / Q000453:epidemiology; D013406:Suicide, Attempted / Q000706:statistics & numerical data*; D013997:Time Factors; D055815:Young Adult
keywords: community corrections; criminal justice; death; mortality; suicide