OBJECTIVE Studies show incarcerated youth are at increased risk for suicidal behavior, yet little is known about factors associated with suicide for this population. Using a nationally representative sample, this study examined characteristics and precipitating circumstances of suicide in incarcerated youth decedents compared with youth suicide decedents in the general population. METHOD Data were analyzed for suicide decedents 10- to 24-years-old (N = 10,126) in the United States from 2003 through 2012 from the National Violent Death Reporting System. Logistic regression compared precipitating circumstances of suicide for incarcerated youth decedents and those not in custody. Details on suicide deaths in detained youth were captured from coroner/medical examiner and law enforcement reports associated with each incident. RESULTS Most youth suicide decedents were older, white, and male regardless of incarceration status. Incarcerated youth suicide decedents were more likely to die by hanging, strangulation, or suffocation and less likely to disclose suicide intent, leave a suicide note, or exhibit depressive symptoms compared with those not in custody. Additional risk factors for suicide were not significantly different between youth decedents in custody and those not in custody, suggesting that unique aspects of the incarceration environment could be associated with an increased risk of suicide. CONCLUSION Study findings highlight the need for early suicide risk detection and developmentally relevant interventions tailored for youth in correctional settings. Future efforts should include evaluation studies to support suicide prevention programs designed for incarcerated youth and research that examines distinctive factors associated with suicidal behavior in youth in custody.

中文翻译：

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被监禁青少年自杀的特征和诱因。


目的 研究表明，被监禁的青少年自杀行为的风险增加，但人们对与该人群自杀相关的因素知之甚少。这项研究使用具有全国代表性的样本，研究了被监禁的青少年死者与普通人群中自杀的青少年死者的特征和诱发因素。方法 对 2003 年至 2012 年美国国家暴力死亡报告系统中 10 至 24 岁自杀者 (N = 10,126) 的数据进行了分析。逻辑回归比较了被监禁的青少年死者和未被拘留的青少年死者的自杀诱因。被拘留青少年自杀死亡的详细信息来自验尸官/法医以及与每起事件相关的执法报告。结果 无论监禁状况如何，大多数青少年自杀死者都是老年人、白人和男性。与未在押的青少年自杀死者相比，被监禁的青少年自杀死者更有可能死于上吊、勒死或窒息，并且不太可能透露自杀意图、留下遗书或表现出抑郁症状。被拘留和未被拘留的青少年死者之间的其他自杀风险因素没有显着差异，这表明监禁环境的独特方面可能与自杀风险增加有关。结论 研究结果强调了早期自杀风险检测和针对惩教环境中的青少年量身定制的与发展相关的干预措施的必要性。 未来的努力应包括评估研究，以支持为被监禁青少年设计的自杀预防计划，以及研究与被监禁青少年自杀行为相关的独特因素。