Suicide and Homicide in State Prisons and Local Jails, DOJ BJS, 2004
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U.S. Department of Justice Office of Justice Programs Bureau of Justice Statistics Special Report August 2005, NCJ 210036 Suicide and Homicide in State Prisons and Local Jails By Christopher J. Mumola BJS Policy Analyst Data from new Bureau of Justice Statistics (BJS) data collections offer the first opportunity to analyze the personal characteristics, current offenses, and environmental factors surrounding inmate deaths in local jails and State prisons nationwide. To implement the Death in Custody Reporting Act of 2000 (PL 106-297), BJS began collecting inmate death records from all local jails in 2000 and expanded reporting to include State prisons in 2001. In this first report from the Deaths in Custody Reporting Program, data from 2000 to 2002 highlight inmate and facility characteristics related to high risks of suicide and homicide. Highlights Cause 2000 Local jail inmate deaths 2000-02 2001 2002 percent All causes 912 953 978 100 % 2,878 2,946 100% Illness AIDS Suicide Homicide Accident Intoxication Other/unknown 462 60 289 17 25 37 22 432 59 315 22 35 58 32 459 50 314 20 35 54 46 47.6 % 5.9 32.3 2.1 3.3 5.2 3.6 2,304 270 169 39 23 35 38 2,379 245 168 48 31 37 38 80.4 % 8.8 5.8 1.5 0.9 1.2 1.3 State prison, local jail suicide rates have fallen sharply since the 1980’s w In 2002 the suicide rate in local jails (47 per 100,000 inmates) was over 3 times the rate in State prisons (14 per 100,000 inmates). Suicides per 100,000 inmates 140 120 w The suicide rate in the Nation’s 50 largest jail systems (29 per 100,000 inmates) was half that of other jails (57 per 100,000). 100 80 Jails 60 40 Jail suicide rates declined steadily from 129 per 100,000 inmates in 1983 to 47 per 100,000 in 2002. In 1983 suicide accounted for the majority of jail deaths (56%), but by 2002, the most common cause of jail deaths was natural causes (including AIDS) (52%), well ahead of suicides (32%). Suicide rates in State prison fell from 34 per 100,000 in 1980 to 16 per 100,000 in 1990, and have since stabilized. State prison homicide rates dipped sharply from 1980 (54 per 100,000) to 1990 (8 per 100,000). By 2002 prison homicide rates had declined further, down to 4 per 100,000. Homicide rates in local jails were more stable, declining slightly from 5 per 100,000 in 1983 to 3 per 100,000 in 2002. State prison inmate deaths 2001-02 2001 2002 percent Prisons 20 0 1980 1985 1990 1995 2000 y Violent offenders in both local jails (92 per 100,000) and State prisons (19 per 100,000) had suicide rates over twice as high as those of nonviolent offenders (31 and 9 per 100,000 respectively). Homicide rates in State prisons dropped 93% from 1980 to 2002 Homicides per 100,000 inmates y Homicide rates were similar in local jails (3 per 100,000) and State 60 prisons (4 per 100,000). 50 y 67% of homicide victims in State prisons had served at least 2 years; 37% had served 5 years. 40 30 Prisons 20 10 0 1980 Jails 1985 1990 1995 2000 y Violent offenders were the victims of most State prison homicides (61%), and their jail homicide rate (5 per 100,000) was over twice that of nonviolent offenders (2 per 100,000). The Death in Custody Reporting Act of 2000 The passage of the Death in Custody Reporting Act of 2000 (DICRA, PL 106-297) dramatically altered programs collecting data on inmate deaths. Prior to the act, BJS conducted annual counts of State prisoner deaths. Counts of jail inmate deaths were collected in the Census of Jails, which is conducted every 5 or 6 years. For both populations, death counts were obtained by gender and by general cause categories, such as illness/natural causes, AIDS, suicide, and homicide. These aggregate counts of deaths did not allow for analysis of individual death cases. DICRA was attached as a grant requirement of the Violent Offender Incarceration and Truth-in-Sentencing (VOI/TIS) incentive grant program. Beginning in 1996, these grants provided over $2.5 billion to all 50 States and U.S. Territories for expanding prison capacity to house violent offenders for longer periods. Each State receiving VOI/TIS funds was required under DICRA to report: "on a quarterly basis, information regarding the death of any person who is in the process of arrest, is en route to be incarcerated, or is incarcerated at a municipal or county jail, State prison, or other local or State correctional facility (including any juvenile facility) that, at a minimum, includes — (A) the name, gender, race, ethnicity, and age of the deceased; (B) the date, time, and location of death; and (C) a brief description of the circumstances surrounding the death." BJS developed a new series of collections to meet the mandates of the act. Aggregate counts of deaths were replaced by detailed, individual inmate death records, collected every 3 months from over 3,000 jail jurisdictions, 50 State prison systems, juvenile correctional authorities in all 50 States, and roughly 18,000 State and local law enforcement agencies nationwide. These new data collections were phased in over 4 years, with local jails reporting in 2000, followed by State prisons in 2001 and State juvenile authorities in 2002. A network of statewide law enforcement reporters began submitting arrest-related death records to BJS in 2003. With these new collections, BJS has enhanced both the frequency and scope of its data on inmate mortality. Among other improvements, BJS now collects information on specific medical causes of death, as determined by a coroner or medical examiner. BJS replaced a general category of "illness/natural causes," with specific categories of medical conditions related to mortality, such as cancer, heart disease, and hepatitis C. A detailed analysis of these fatal medical conditions will be the focus of the next report from this data collection series. Long term trends show steep declines in rates of State prisoner homicide and local jail inmate suicide Over the past two decades, State prison and local jail Local jail inmate mortality rate, per 100,000 inmates All Illness/ inmate mortality rates have displayed some dynamic AIDS Suicide Homicide Year causes natural cause changes. Suicide was the leading cause of death among 2002 147 69 8 47 3 jail inmates in 1983 (129 per 100,000 inmates); by 1993 2001 151 68 9 50 3 that rate had been cut by more than half (54 per 100,000 2000 147 74 10 47 3 inmates), and illness/natural cause (67 per 100,000) had 1999 154 64 13 54 5 1993 149 67 15 54 4 become the most common cause of jail deaths. By 2002 1988 199 82 20 85 3 the jail suicide rate (47 per 100,000) had fallen to nearly a 1983 232 88 -129 5 third of the 1983 rate. Rates of death from AIDS-related Note: Mortality rates are based on average daily population for each causes in jails also declined; the 2002 rate (8 per 100,000) year. Data on deaths for 1983-99 are from the Census of Jails; data from 2000-02 are from the Deaths in Custody data series. was less than half of the 1988 rate (20 per 100,000). As a -- Not available. result of these reductions, the overall mortality rate in local jails dropped 37% between 1983 and 2002. State prison inmate mortality rate, per 100,000 inmates State prison suicide rates have historically been much lower than those of jails, but these also dropped sharply from 34 per 100,000 in 1980 to 14 per 100,000 inmates in 2002. Even more dramatic was the decline in homicide deaths, from 54 per 100,000 inmates in 1980 to 8 per 100,000 inmates in 1990, and to 4 per 100,000 inmates in 2002. With the introduction of new therapies during the 1990’s, AIDS-related mortality rates in State prison fell rapidly from 100 per 100,000 inmates in 1995 to 15 per 100,000 inmates 5 years later. Overall State prisoner mortality rates have grown slightly (6%) since 1980, mostly due to illness/natural causes (up 40% since 1980). 2 Suicide and Homicide in State Prisons and Local Jails Year 2002 2001 2000 1995 1990 1985 1980 All Illness/ causes* natural cause AIDS 246 242 238 308 228 239 233 198 194 190 165 187 163 141 20 23 15 100 ---- Suicide Homicide 14 14 16 16 16 26 34 4 3 5 9 8 24 54 Note: Mortality rates for 1980-2000 are based on death counts of sentenced prisoners and the December 31 jurisdiction population as collected in the National Prisoner Statistics (NPS) program. Rates for 2001-02 are based on counts from the Deaths in Custody Reporting Program and the NPS June 30 custody population count. *Excludes executions. -- Not available. Table 1. State prison jurisdictions: Number of prisoner deaths, suicides, and homicides, and mortality rates, per 100,000 prisoners in custody, 2001-02 Region and jurisdiction U.S. total* Number of prisoner deaths, 2001-02 All causes Suicide Homicide Average annual mortality rate (2001-02) per 100,000 prisoners held at midyear All causes Suicide Homicide 5,815 337 87 244 14 4 887 60 13 49 11 129 360 248 11 6 46 9 1 3 0 3 21 6 2 1 5 0 0 0 0 0 3 2 0 0 257 162 370 239 224 225 264 327 155 217 13 24 28 15 0 5 15 8 28 36 1 0 0 0 0 0 2 3 0 0 Midwest Illinois Indiana Iowa Kansas Michigan Minnesota Missouri Nebraska North Dakota Ohio South Dakota Wisconsin 1,057 158 97 20 43 227 28 122 15 4 229 15 99 77 20 6 3 4 11 2 6 0 0 8 4 13 11 2 3 0 0 1 0 1 0 0 2 2 0 221 178 246 123 248 231 215 210 190 192 254 262 245 16 22 15 18 23 11 15 11 0 0 9 71 32 2 2 8 0 0 1 0 2 0 0 2 34 0 South Alabama Arkansas Delaware Florida Georgia Kentucky Louisiana Maryland Mississippi North Carolina Oklahoma South Carolina Tennessee Texas Virginia West Virginia 2,717 172 73 31 365 199 77 150 141 69 128 115 116 112 804 140 25 121 2 8 4 11 10 1 2 13 2 8 2 2 2 49 4 1 40 1 2 0 3 4 1 0 6 0 2 4 3 3 10 1 0 267 342 322 222 251 217 325 381 293 228 197 260 267 317 273 227 357 12 4 36 28 8 11 4 5 27 7 12 5 5 6 17 6 14 4 2 9 0 2 4 4 0 12 0 3 9 7 8 3 2 0 West Alaska Arizona California Colorado Hawaii Idaho Montana Nevada New Mexico Oregon Utah Washington Wyoming 1,154 22 139 625 94 20 26 11 52 26 57 14 60 8 93 3 6 52 5 2 3 1 3 4 5 4 4 1 31 0 1 21 2 0 0 0 2 2 0 1 2 0 213 263 247 196 268 195 243 199 260 221 259 170 192 260 17 36 11 16 14 19 28 19 15 34 23 49 13 33 6 0 2 7 6 0 0 0 10 17 0 12 6 0 Northeast Connecticut Maine Massachusetts New Hampshire New Jersey New York Pennsylvania Rhode Island Vermont Note: All mortality rates are calculated based on custody populations for June 30. *Excludes 9 total prisoner deaths reported by the District of Columbia in 2001. None of the 9 deaths was a suicide or homicide. The District of Columbia transferred all prisoner custody operations to the Federal Bureau of Prisons during 2001. Nationwide, 337 State prisoners committed suicide during 2001-02 Suicide and homicide accounted for a combined 7% of all State prisoner deaths during 2001-02 (table 1). The average annual suicide rate of State prisoners (14 suicides per 100,000 prisoners) was a third of that of local jail inmates (48). Prison suicide rates showed wide variation at the State level. New Hampshire, Nebraska, and North Dakota all reported no suicide deaths during the 2-year period. Another six States had suicide rates of 5 per 100,000 prisoners or lower. Thirteen States had suicide rates of at least 25 per 100,000 prisoners, led by South Dakota (71), Utah (49), Vermont, Alaska, and Arkansas (each with 36). In most State prison systems, suicides were rare events. Only 9 States reported as many as 10 prisoner suicides during this period, with 42% of all suicides taking place in four States. California (52), Texas (49), New York (21), and Illinois (20) reported 142 of the Nation's 337 State prisoner suicides. About half of all States (24) recorded 3 or fewer suicides. 87 State prisoners became victims of homicide over 2 years Most States did not have any prisoner homicides in the course of a year. During 2001, 31 States reported no prison homicides; 29 States did not report a homicide during 2002. Three States reported 43% of all homicides — California (21), Texas (10), and Maryland (6). No other State reported more than 5 homicides during 2001-02. Homicide rates were low in most States, and 5 had a rate of at least 10 homicides per 100,000 prisoners, led by South Dakota (34) and New Mexico (17). However, even in these 5 States, a combined total of 13 homicides were reported over 2 years. Suicide and Homicide in State Prisons and Local Jails 3 Table 2. The 50 largest jail jurisdictions: Number of inmate deaths and suicides and mortality rates per 100,000 inmates, 2000-02 Jurisdiction Total Number of inmate deaths, 2000-02 All causes Suicide Average annual mortality rate, 2000-02 Per 100,000 Per 100,000 inmates — average daily population inmates — at riska All causes Suicide All causes Suicide 1,037 180 167 29 11 2 Los Angeles, CA New York City, NY Cook County, IL Maricopa County, AZ Philadelphia City, PA 105 99 48 31 41 12 9 3 10 6 180 224 157 141 198 21 20 10 45 29 19 27 15 8 33 2 3 1 3 5 Dade County, FL Harris County, TX Dallas County, TX Orleans Parish, LA Broward County, FL 46 52 29 14 29 3 7 7 2 3 231 243 145 77 200 16 32 34 10 21 14 15 9 6 13 1 2 2 1 1 San Bernardino County, CA San Diego County, CA Shelby County, TN Orange County, CA Santa Clara County, CA 14 23 22 6 14 5 6 0 1 5 92 153 140 42 115 33 39 0 7 40 5 8 11 3 8 2 2 0 1 3 Alameda County, CA Orange County, FL Bexar County, TX Baltimore City, MD Hillsborough County, FL 29 15 26 39 16 4 1 2 9 4 242 124 245 381 156 34 8 20 88 39 17 8 12 27 8 2 1 1 6 2 Sacramento County, CA Riverside County, CA Tarrant County, TX Milwaukee County, WI Jacksonville City, FL 20 8 10 7 30 8 4 2 0 3 206 92 92 70 341 81 46 18 0 35 11 5 6 3 20 4 3 1 0 2 Pinellas County, FL Davidson County, TN Clark County, NV Fulton County, GA King County, WAb 14 24 21 9 3 2 2 8 3 0 174 291 279 105 55 26 25 107 35 0 10 21 8 9 3 1 2 3 3 0 Wayne County, MI DeKalb County, GA Palm Beach County, FL Kern County, CA Travis County, TXc 17 7 13 8 11 8 0 0 4 2 208 78 176 103 141 97 0 0 51 26 13 6 7 7 7 6 0 0 3 1 Franklin County, OH Allegheny County, PA Marion County, IN Essex County, NJ Suffolk County, MAd 10 16 16 12 2 4 6 2 1 0 142 208 218 180 29 55 80 27 14 0 7 17 14 16 4 3 6 2 1 0 El Paso County, TX Fresno County, CA Oklahoma County, OK Cobb County, GA Cuyahoga County, OH 10 14 7 5 7 2 3 3 3 1 154 205 119 77 116 33 44 51 47 17 9 11 5 4 7 2 2 2 3 1 Hamilton County, OH Hudson County, NJ San Francisco City/Co., CA York County, PA Mecklenburg County, NC 11 11 9 4 3 5 1 4 0 0 182 200 154 73 52 83 17 73 0 0 8 23 6 10 2 4 2 3 0 0 Note: A specified cause of death was not provided for 6 deaths reported in 2000 (5 from New York City and 1 from Marion County), 11 deaths in 2001 (2 each from Bexar County and Jacksonville City, 1 each from Orleans Parish, Broward, San Diego, Hillborough, Tarrant, Clark, and Suffolk counties), and 10 deaths in 2002 (2 from Alameda County, and 1 each from Dade, Broward, Bexar, Hillsborough, Milwaukee, King, Franklin, and Hamilton counties). a The at-risk jail population combines the January 1 count with the number of annual admissions. b King County data include only the years 2001-02. c Travis County data for 2002 exclude the Travis County Substance Abuse Treatment Facility. d Suffolk County data for 2000 exclude the Suffolk County House of Corrections. 4 Suicide and Homicide in State Prisons and Local Jails Suicide rate in the Nation's 50 largest jail jurisdictions half that of all other jails There are over 3,300 local jails operated by county and municipal jurisdictions nationwide. Jails typically hold unsentenced offenders, those sentenced to less than a year, and offenders sentenced to longer terms who are awaiting transfer to State prison. As a result, almost every State prisoner has been through a period of jail confinement. Over a 3-year period (2000-02), the Nation's 50 largest jail jurisdictions reported a total of 1,037 deaths from all causes (table 2). This death count represented a higher overall mortality rate (167 per 100,000 inmates in the average daily population) than other jails (140 per 100,000). Mortality rates varied widely among the top 50 jurisdictions. Twelve of these 50 jurisdictions had overall mortality rates of fewer than 100 deaths per 100,000 inmates, led by Suffolk County, Massachusetts (29), Orange County, California (42), and Mecklenburg County, North Carolina (52). Another 16 of the top 50 jurisdictions had rates of 200 or more deaths per 100,000 inmates, led by Baltimore City, Maryland (381), Jacksonville City, Florida (341), and Davidson County, Tennessee (291). The 50 largest jail jurisdictions collectively had a comparatively low prevalence of suicide. Inmate suicides accounted for 17% of all deaths in these 50 largest jurisdictions but were the cause of 41% of the deaths in all other jails. The suicide rate of the 50 largest jurisdictions (29 per 100,000) was half that of all other jails (57). Eight of the top 50 jurisdictions reported no suicides during 2000-02, and another 4 jurisdictions had a suicide rate of 10 per 100,000 or less. Ten of these jurisdictions also had suicide rates of at least 50 per 100,000 inmates, led by Clark County, Nevada (107), Wayne County, Michigan (97), and Baltimore City, Maryland (88). During 2002 the Nation's smallest jails had a suicide rate 5 times that of the largest jails On an average day in 2002, over 40% of the nation's jails housed fewer than 50 inmates, while 2% of all jails held at least 1,500 inmates. Rates of inmate suicide were closely related to jail size, with the smallest facilities recording the highest suicide rates. Number of inmates in jail Total Fewer than 50 50-99 100-149 150-249 250-499 500-999 1,000-1,499 1,500-1,999 2,000 or more Local jail mortality rate, per 100,000 inmates, 2002 All causes Suicide 147 47 313 159 120 107 124 102 133 150 173 177 77 50 48 53 33 43 32 32 Note: Mortality rates are based on average daily population (ADP) during the calendar year; table excludes 47 jail facilities, which did not report valid ADP data. The Nation's largest jail facilities recorded the lowest suicide rates (32 per 100,000 inmates). The suicide rate rose steadily as jail size decreased and was over 5 times higher (177 per 100,000) in jails holding fewer than 50 inmates. However, given their small populations, these jails accounted for 14% of all jail suicides. While the 50 jurisdictions had an average daily population of 207,471 over the 3-year period, these same jails had an average of 2,827,133 admissions each year. As a result, the at-risk mortality rates of these jurisdictions are far lower. The ADP rate of overall mortality in the top 50 jurisdictions (167 per 100,000) was 15 times the at-risk rate (11). The ADP-based suicide rate for these 50 jurisdictions (29 per 100,000) was 14 times the at-risk suicide rate for these facilities (2 per 100,000). The most common cause of death among jail inmates was illness (48% of all jail deaths during 2000-02). As a result, the overall mortality rates of jail inmates steadily rose with age. Among jail inmates age 18-24, the mortality rate was 60 per 100,000; this rate was 3 times higher for inmates age 35-44 (179), and over 11 times higher for inmates age 55 or older (694). The only exception to this pattern was the death rate of jail inmates under age 18 (138 per 100,000), who made up less than 2% of all jail deaths. Males and white inmates had the highest rates of suicide in jails Jail suicide rates also increased with inmate age. Inmates age 18-24 were the least likely to commit suicide (38 suicides per 100,000 inmates); this rate increased 24% for inmates age 25-34 (47), and 39% for inmates age 35-44 (53). The oldest inmates, age 55 or older, had the highest rate of suicide (58 per 100,000) among adult inmates. Among local jail inmates, mortality rates varied across demographic subgroups (table 3). In terms of deaths from all causes, male inmates had a higher death rate (150 per 100,000 inmates) than females (130). Gender was a stronger factor in suicide rates: males (50 per 100,000) were 56% more likely to commit suicide than female jail inmates (32). The homicide rate of male jail inmates was low (3 per 100,000) and female inmates did not experience a single homicide during 2000-02. Table 3. Local jail and State prison inmate mortality rates, per 100,000 inmates, by selected characteristics Jail suicide rates drop by over 90% when based on "at-risk" population Characteristic BJS has usually based jail mortality rates on the average daily population of inmates (an ADP of under 700,000). A more sensitive measure of jail mortality would reflect the far larger number of persons admitted into these facilities over the entire year (nearly 13 million). All of these persons admitted are at risk of dying while held in jail. Past attempts to collect admission data for a whole year were unsuccessful, because many jail information systems do not keep cumulative counts of admissions. As part of the new Deaths in Custody records, BJS collected annual admission data, which can be used to calculate an at-risk measure of mortality for the Nation's largest jails. The youngest jail inmates were the exception to this pattern; jail inmates under 18 had the highest suicide rate in local jails (101 per 100,000). Given their relatively small numbers, inmates under the age of 18 committed 35 of the 918 jail suicides recorded nationwide over 3 years. Average annual mortality rate, per 100,000 inmates Local jail inmates, 2000-02 State prison inmates, 2001-02 All causes Suicide Homicide All causes Suicide Homicide 148 48 3 244 14 4 Gender Male Female 150 130 50 32 3 0 251 140 14 10 4 0 Age Under 18 18-24 25-34 35-44 45-54 55 or older 138 60 99 179 349 694 101 38 47 53 52 58 0 3 2 4 7 0 52 34 63 182 571 2,019 52 14 14 14 13 13 0 3 3 4 3 4 Race/Hispanic origin White, non-Hispanic Black, non-Hispanic Hispanic 219 118 98 96 16 30 3 3 3 327 207 243 22 8 18 5 2 7 All inmates Note: Jail inmate mortality rates are per 100,000 inmates held, based on average daily population (ADP). Inmate populations of various demographic subgroups are estimates based on the Annual Survey of Jails and the 2002 Survey of Inmates in Local Jails. State prison rates are per 100,000 inmates held in custody on June 30. Prisoner demographic subgroups are estimates based on the June 30 National Prisoner Statistics custody counts and demographic data from the National Corrections Reporting Program. Suicide and Homicide in State Prisons and Local Jails 5 Inmate age did not have any clear relationship to jail homicide rates, which were no higher than 7 per 100,000 inmates for all age groups. Both the youngest (under 18) and oldest (55 or older) inmates had no homicide deaths during 2000-02. In contrast, male and female suicide rates in State prisons were similar (14 suicides per 100,000 males, compared to 10 per 100,000 females). In local jails men were over 50% more likely than women to commit suicide. The increase in mortality rates seen in older jail inmates was also evident among older State prisoners. The overall death rate was lowest for State prisoners age 18-24 (34 per 100,000). The death rate was over 5 times higher for State prisoners age 35-44 (182) and Mortality rates displayed substantial differences by race and ethnicity. Death nearly 17 times higher for prisoners age 45-54 (571). The mortality rate of rates from all causes for both the oldest prisoners, age 55 or older, black (118 per 100,000 inmates) and Hispanic (98) jail inmates were at least was highest (2,019 – or 59 times higher than the rate for prisoners age 20% below the overall jail inmate mortality rate (148). But the death rate 18-24). of white jail inmates (219 per 100,000) Deaths attributed to "illness/natural was 86% higher than that of black cause" made up 80% of all State inmates and over twice as high as the prison deaths reported during 2001-02. rate for Hispanic inmates. Two-thirds of all State prison deaths involved inmates age 45 or older, Differences across racial/ethnic though such inmates represented 17% categories were more pronounced in of all State prisoners held during jail inmate suicide rates. The suicide 2001-02. rate of white jail inmates (96 per 100,000 inmates) was more than triple Number of inmate deaths that of Hispanic inmates (30) and Local jails, State prisons, was 6 times the suicide rate for black Inmate age 2000-02 2001-02 inmates (16). White inmates accounted All inmates* 2,834 5,818 for nearly three-quarters of all jail Under 18 48 3 inmate suicides during 2000-02. White jail inmates 6 times more likely to commit suicide than black inmates and 3 times more likely than Hispanic inmates Unlike the overall mortality and suicide rates, homicide rates were not related to race/ethnicity. White, black and Hispanic jail inmates were all equally likely to be victims of a homicide (3 deaths per 100,000 inmates). 18-24 25-34 35-44 45-54 55 or older 323 609 896 667 291 149 507 1,323 1,809 2,027 *Excludes 9 jail inmates and 6 State prisoners whose ages were not reported. Despite the close relationship between age and the overall mortality rates in State prisoners age 45 or older State prison, inmate age was not made up 17% of inmates but 66% related to suicide rates. State prisoner of deaths suicide rates ranged from 13 to 14 suicides per 100,000 prisoners for Just as in local jails, male State prisonevery age group over 18. The suicide ers had higher overall mortality rates rate of State prisoners under 18 was 4 than female prisoners. While this differtimes higher (52 per 100,000), but this ence was modest in local jails (the age group accounted for less than male death rate was 15% higher), 0.3% of State prisoners and had 3 males (251 deaths per 100,000 prisonsuicides nationwide over 2 years. By ers) were 79% more likely than comparison, 116 prisoners age 25-34 females (140) to die in State prison committed suicide during 2001-02. during 2001-02. 6 Suicide and Homicide in State Prisons and Local Jails Age also showed no relationship to State prison homicide rates, with all age groups over age 18 recording a homicide rate of either 3 or 4 per 100,000 inmates. No reported homicides involved State prisoners under age 18 during 2001-02. Black inmates had the lowest suicide and homicide rates in State prisons As in local jails, white inmates had the highest overall mortality rate (327 deaths per 100,000 prisoners). While the mortality rate of white jail inmates was 86% higher than that of blacks and 123% higher than that of Hispanics, the differences in State prison were smaller. White State prisoners were 35% more likely than Hispanic inmates (243 per 100,000) and 58% more likely than black prisoners (207) to die during 2001-02. White inmates had the highest suicide rate of all State prisoners (22 suicides per 100,000 inmates). This rate was 22% higher than the Hispanic suicide rate (18 per 100,000). By comparison, white inmates in local jails were 3 times more likely than Hispanics to commit suicide. Black inmates had the lowest suicide rate of all State prisoners (8 per 100,000). Blacks were about a third as likely as whites to commit suicide in State prison and less than half as likely as Hispanics. Homicide rates were less than 10 per 100,000 State prisoners for all racial/ethnic groups during 2001-02. Hispanic inmates were the most likely to be killed in State prisons (7 homicides per 100,000 inmates), which was over 3 times the homicide rate of black inmates (2 per 100,000). The homicide rate for white inmates (5) almost matched the rate for all State prisoners (4). Violent offenders committed suicide at nearly triple the rate of nonviolent offenders in jails The death rate of violent offenders in local jails (212 per 100,000) was 75% higher than that of nonviolent offenders (121), but this difference was larger in cases of suicide (table 4). The suicide rate of violent jail inmates (92 per 100,000) was nearly triple that of nonviolent offenders (31). Kidnaping offenders had the highest suicide rate (275), followed by those inmates held for rape (252) or homicide (182). Current offense Average annual mortality rate, per 100,000 local jail inmates, 2000-02 All causes Suicide Homicide Violent Nonviolent* 212 121 92 31 5 2 *Excludes offenders with “other/unspecified” current offenses. Among all nonviolent offenders, only probation/parole violators had a suicide rate of at least 100 per 100,000 (118). Drug offenders were found to have the lowest rates of mortality, particularly suicide. Drug offenders were the only group that had fewer than 100 deaths Table 4. Average annual jail inmate mortality rates, by most serious current offense, 2000-02 Current offense Number of local jail inmate deaths, 2000-02 All causes Suicide Homicide Average annual mortality rate, per 100,000 local jail inmates, 2000-02 All causes Suicide Homicide All offenses 2,843 918 59 148 48 3 Violent offenses Homicidea Kidnaping Rape Other sexual assault Robbery Assault 1,026 162 54 56 122 130 377 447 87 37 29 51 48 144 24 3 2 1 0 3 14 212 338 401 489 227 121 168 92 182 275 252 95 44 64 5 6 15 9 0 3 6 Property offenses Burglary Larceny/theft Arson Fraud 530 139 148 12 91 164 58 36 4 28 16 4 4 0 3 113 108 110 208 97 35 45 27 70 30 3 3 3 0 3 Drug offenses Possession Trafficking 434 197 184 85 43 34 7 3 4 92 95 79 18 21 15 1 1 2 Public-order offenses Weapons Obstruction of justice Traffic Driving while intoxicatedb Drunkenness/moralsc Violation of parole/ probationd 765 35 144 86 113 92 200 13 40 23 22 23 12 1 4 1 1 1 160 91 192 121 92 282 42 34 54 32 18 71 3 3 5 1 1 3 249 66 4 448 118 7 from all causes per 100,000 jail inmates (92). The suicide rate of drug offenders (18 per 100,000) was the lowest among offender groups. Violent offenders (92) were 5 times more likely to commit suicide than drug offenders, and public-order offenders were more than twice as likely to commit suicide (42). Local jails had an average of fewer than 20 inmate homicides each year Over 3 years (2000-02), there were 59 jail inmate homicides reported nationwide, resulting in a rate of 3 jail inmate homicide deaths per 100,000 inmates. Violent offenders were the most likely to be killed in local jail (5 homicides per 100,000 inmates), followed by property and public-order offenders (3 for both). Drug offenders (1 per 100,000) had the lowest homicide victimization rate of all offenders. Kidnaping offenders had the highest rate of jail inmate homicide (15 per 100,000 inmates — 5 times the rate for all inmates), followed by inmates held for rape (9) and violation of parole/ probation (7). But even among these offenders with the highest homicide rates, a combined total of eight homicides took place nationwide over this 3-year period. c Includes drunkenness, vagrancy, disorderly Note: All mortality rates were calculated using average daily population counts from the Annual conduct, unlawful assembly, morals, and commercialized vice. Survey of Jails and offense distribution d Includes parole or probation violations, estimates from the Survey of Inmates in Local escape, AWOL, and flight to avoid prosecution. Jails, 2002. a Includes murder and manslaughter. b Includes driving while intoxicated and driving under the influence of drugs or alcohol. Suicide and Homicide in State Prisons and Local Jails 7 Drug offenders had the lowest suicide and homicide rates of all State prisoners State prison mortality rates showed similar patterns by offense type (table 5). Violent offenders not only had the highest overall mortality rate (312 deaths per 100,000 prisoners), they were the only State prisoners with a death rate of at least 200 per 100,000 prisoners held. Property and publicorder offenders each had a rate of 184 deaths per 100,000, followed by drug offenders (166). Kidnapers had the highest suicide rate (36 per 100,000 prisoners), followed by offenders held for homicide (29), sexual assault (23), and assault (20). Among nonviolent offenders, probation/parole violators had the highest suicide rates (18 per 100,000), followed by offenders held for arson (16), burglary (14), and obstruction of justice (14). Drug offenders recorded the lowest suicide rates of all State prisoners (6 per 100,000 inmates). The rate of homicide in State prison was 4 per 100,000 prisoners, and varied little across offense types. Three types of offenders had as many Compared to violent offenders in local jails (92 suicides per 100,000 inmates), as 10 homicides per 100,000 prisoners — arsonists (16), kidnapers (15), the suicide rate of violent offenders in and probation/parole violators (12). State prison (19 per 100,000) was Among these three categories with the much lower. But among State prisonhighest homicide rates, the number of ers, violent offenders were more than homicides was small, with a total of twice as likely to commit suicide as nine prisoners killed over 2 years. nonviolent offenders (9 per 100,000). Table 5. Average annual State prison inmate mortality rates, by most serious current offense, 2001-02 Current offense Number of State prison inmate deaths, 2001-02 All causes Suicide Homicide Average annual mortality rate, per 100,000 State prison inmates, 2001-02 All causes Suicide Homicide 5,824 337 87 244 14 4 3,691 1,295 151 344 803 552 485 229 89 5 14 36 28 44 53 16 5 1 8 11 11 312 417 454 299 523 171 217 19 29 36 12 23 9 20 4 5 15 1 5 3 5 Property offenses Burglary Larceny/theft Arson Fraud 904 447 199 35 128 58 36 10 2 6 18 9 4 2 0 184 177 209 277 209 12 14 10 16 10 4 4 4 16 0 Drug offenses Possession Trafficking 853 278 485 33 10 21 11 5 6 166 224 188 6 8 8 2 4 2 Public-order offenses Weapons Obstruction of justice Driving while intoxicatedb Violation of parole/ probationc 319 36 53 13 2 2 4 1 1 184 67 381 7 4 14 2 2 7 123 2 0 263 4 0 32 3 2 194 18 12 All offenses Violent offenses Homicidea Kidnaping Rape Other sexual assault Robbery Assault Note: All mortality rates were calculated using June 30 custody prisoner counts from the National Prisoner Statistics program and 2002 offense distribution estimates from the National Corrections Reporting Program. a Includes murder and manslaughter. b Includes driving while intoxicated and driving under the influence of drugs or alcohol. c Includes parole or probation violations, escape, AWOL, and flight to avoid prosecution. 8 Suicide and Homicide in State Prisons and Local Jails State prisoners convicted of fraud and driving while intoxicated had the lowest rate of homicide, with zero homicides reported for 2001-02. Nearly half of jail suicides occurred in the first week of custody Jail inmate suicides were heavily concentrated in the first week spent in custody. Forty-eight percent of all jail suicides during 2000-02 took place during the inmate's first week following admission. In particular, almost a quarter of all jail suicides took place either on the date of admission to jail (14%) or the following day (9%). Time served after admission Same day Next day 2-7 days 8-14 days 15-30 days 31-60 days 61-180 days 181 days or more Percent of jail inmate suicides, 2000-02 13.7% 9.0 24.9 9.6 7.7 10.6 14.0 10.4 The frequency of jail suicides slowed after the initial week, with the second week of custody accounting for 10% of jail suicides. The next 2 weeks in custody (days 15 to 30) accounted for even fewer suicides (8%). Despite this early concentration of suicides, more suicides took place after the 60th day in jail (24%) than during the first 2 days (23%). The median time served in jail prior to committing suicide was just over 1 week (9 days), but this period of time varied across demographic and criminal offense categories (table 6). Females spent less than half as much time as males in jail prior to committing suicide (median time served: 4 days for females and 10 days for males). The median length of time served by Hispanic inmates prior to suicide (23 days) was over twice as long as the time for white inmates (9 days) and nearly 4 times longer than that for black inmates (6 days). 7% of State prison suicides took place during the first month The median time served in State prison prior to a suicide (30 months) was over 100 times longer than in local jails (9 days). Male (30 months) and female (29 months) State prisoners spent almost identical amounts of time in prison before committing suicide. However, race was related to the length of time served prior to suicide. Half of all suicides by white inmates occurred in the first 21 months of custody, while the corresponding figures for black (40 months) and Hispanic inmates (49 months) were twice as long. In State prison, suicides were less concentrated around admission. Sixtyfive percent of jail suicides occurred in the first 30 days, but 7% of prison suicides took place during the first month. Most State prison suicides (65%) took place after the inmate's first year of confinement, and 33% took place after the inmate had served at least 5 years in prison. Violent State prisoners spent more time in custody prior to suicide than other offenders (median time served was 45 months). Drug offenders were the only other offender group who served a median of at least a year in State prison prior to their suicides (18 months), followed by property (10 months) and public-order offenders (9 months). Time served since admission At least 80% of suicides in prison and jail occurred in the inmate's cell; time of day not a factor Of all offender groups, public-order offenders spent the shortest time in custody prior to committing suicide; half of their suicides took place in the first 3 days of custody. Property and drug offenders each had a median time served of about a week (7 and 8 days, respectively) prior to suicide. Violent offenders spent the longest time in custody prior to suicide; half of their suicides took place after spending 3 weeks in jail (20 days). Percent of State prisoner suicides, 2001-02 Less than 1 month 1-5 months 6-11 months 12-23 months 24-59 months 60-119 months 120 months or more 7.4% 14.9 12.5 11.0 21.4 18.5 14.3 The vast majority of both local jail (80%) and State prison (87%) inmate suicides took place within the inmate's cell or room (table 7). Temporary Table 6. Time served since admission by jail inmates and State prisoners committing suicide, by selected characteristics Characteristic All inmates Median time served since admission* Local jail inmate State prisoner suicides, 2000-02 suicides, 2001-02 9 days 30 months Gender Male Female 10 days 4 30 months 29 Race/Hispanic origin White, non-Hispanic Black, non-Hispanic Hispanic 9 days 6 23 21 months 40 49 Current offense Violent Property Drug Public-order 20 days 7 8 3 45 months 10 18 9 *The median time served is that length of time at which half of the inmates spent less time in custody, and the other half spent more. holding areas (lockups) were the next most common location of suicide events (10% in jails, 4% in prisons). Common areas such as cafeterias, libraries, and recreational areas were the scene of very few suicides (6% in jails, 3% in State prisons), as were areas outside of the correctional facility (2% of jail suicides, 3% percent of prison suicides). Suicide events in both local jails and State prisons showed little relationship to the time of day. Aside from morning hours (20% of jail suicides), the frequency of suicides in other parts of the day varied from 24% (during afternoon hours) to 28% (evening and overnight hours). Similar data were reported for suicides in State prisons. Twenty percent of State prisoner suicides took place in the morning, with all other times of day varying from 25% (evening and overnight hours) to 30% (afternoon hours). In both local jails (94%) and State prisons (89%), the majority of suicide events were followed up by the performance of an autopsy or postmortem examination by a medical examiner or county coroner. Table 7. Time of day and location of suicide events in local jails and State prisons Percent of inmate suicides Local jail inmates, State prisoners, 2000-02 2001-02 Time of day Overnight (midnight-6 a.m.) Morning (6 a.m.-noon) Afternoon (noon-6 p.m.) Evening (6 p.m.-midnight) 28.0% 19.5 24.1 28.4 24.7% 19.9 30.4 25.0 Location of suicide event Inmate’s cell/room Temporary holding area Common areaa Outside of the facilityb Elsewhere 80.8% 9.6 6.1 2.3 1.1 86.6% 4.0 3.0 3.0 3.4 918 337 Number of suicidesc a Includes cafeteria, exercise yard, library, day room, recreational area, and workshops. b Includes inmates on work details or work release, under community supervision by the jail/prison, or in transit to/from the facility. c Time of day was not reported for 12 jail and 41 prison suicides; location was not reported for 6 jail and 39 prison suicides. Suicide and Homicide in State Prisons and Local Jails 9 Most jail homicides occurred at least 2 weeks after admission During 2000-02 the number of homicides in the more than 3,000 jail jurisdictions nationwide had an average of fewer than 20 each year. In State prisons, which held nearly 1.2 million inmates nationwide, there were fewer than 50 homicides each year during 2001-02. These homicide counts resulted in a rate of less than 5 homicides per 100,000 inmates in both State prison (4 per 100,000) and local jail (3 per 100,000 inmates, based on ADP). In the 50 largest jails nationwide, the at-risk rate of homicide averaged 0.4 per 100,000 inmates held during the year. Time served after admission Same day Next day 2-7 days 8-14 days 15-30 days 31-60 days 61-180 days 181 days or more Percent of jail inmate homicides, 2000-02 Two-thirds of homicide victims in State prison had served at least 2 years in prison; nearly 40% had served 5 years or more The initial months following admission to prison accounted for a small percentage of State prisoner homicides (table 8). One percent of prison homicides took place during the victim's first month in prison, and less than a tenth of homicide victims had served fewer than 6 months (8%). A fifth of homicides involved State prisoners who had served less than a year. Among the 5,824 total prisoner deaths reported nationwide during 2001-02, fewer than 20 were homicides of a firstyear inmate. Sixty-seven percent of State prison homicide victims had spent at least 2 years in prison, while 37% had served at least 5 years. 5.3% 7.0 17.5 15.8 10.5 14.0 14.0 15.8 as much time as white (46 months) or black (55 months) prisoners. Public-order offenders were the most likely to be killed early in their prison terms, with a median time served of just under 2 years (23 months). The median term served by both drug (40 months) and property (45 months) offenders was about twice as high. Violent offenders had the longest amount of time served in prison prior to being killed, with a median term of almost 5 years (55 months). Characteristic All inmates Race/Hispanic origin White, non-Hispanic Black, non-Hispanic Hispanic Current offense Violent Property Drug Public-order Median time served after admission: State prisoner homicides, 2001-02 44 months 46 months 55 22 55 months 45 The median time served in State prison 40 by homicide victims was 44 months. 23 Hispanic homicide victims (with a median time served of 22 months) Prison suicides took place almost were killed after serving less than half exclusively inside the deceased's cell or room (87%); no other location accounted for even 5% of suicide Table 8. Time served, time of day, Unlike suicides, homicides in local jails events. However, over a quarter of all and location of homicide events in were not concentrated in the first few State prisons, 2001-02 prison homicides (29%) took place in days following admission. Twelve common areas within prisons, such as Percent of percent occurred in the first 2 days in State prison cafeterias, libraries, workshops, and homicides, custody, but 54% took place after the recreational yards. A small percentage 2001-02 inmate had served at least 2 weeks in of homicide events took place in either Time served after admission jail. The median length of time served a temporary holding area or a location Less than 1 month 1.1% prior to a homicide death (29 days) was outside of the prison facility (3% for 1-5 months 6.9 triple that of suicide deaths in local jails 6-11 months 11.5 each). Prisoners' cells or rooms (61%) 12-23 months 13.8 (9 days). were the most likely scene of a 24-59 months 29.9 homicide in State prison. 60-119 months 24.1 120 months or more 12.6 Time of day Overnight (midnight-6 a.m.) Morning (6 a.m.-noon) Afternoon (noon-6 p.m.) Evening (6 p.m.-midnight) 11.4% 38.6 28.6 21.4 Location of homicide event Inmate’s cell/room Temporary holding area Common areaa Outside of the facilityb Elsewhere 60.5% 2.6 28.9 2.6 5.3 a Includes cafeteria, exercise yard, library, day room, recreational area, and workshops. b Includes inmates on work details or at work release sites, under community supervision by the prison, or in transit. 10 Suicide and Homicide in State Prisons and Local Jails State prison homicides were over 3 times more likely to occur during the morning (39% of homicides) than between midnight and 6 a.m. (11%). Nearly all State prison homicides (92%) resulted in an autopsy or post-mortem exam of the deceased. All but 8 of 87 prisoner homicides during the 2-year period were committed by other inmates (91%). Of those "other homicide" events, most involved escape attempts or cases in which assailant identity was not established. Homicide rate of U.S. residents, when standardized, 10 times the rate of jail inmates in 2002 According to rates compiled by the Centers for Disease Control and Prevention (CDC), the U.S. resident population experienced 6 homicides and 11 suicides per 100,000 residents (table 9). The homicide rates for both State prisoners (4) and jail inmates (3) were lower than that for the U.S. population. Suicide rates for both State prisoners (14) and jail inmates (47) were higher than the rate for the resident population. However, reliable comparisons of such rates require closer analysis. The demographic compositions of inmate populations do not reflect those of the U.S. resident population. In 2002 the U.S. population was 51% female, 81% white, and 22% age 55 or older; by comparison, the State prison population was 6% female, 50% white, and 4% age 55 or older. The suicide and homicide rates of these demographic subgroups vary substantially. For example, the homicide rate of black males age 18-24 in the resident population (108 per 100,000) was over 8 times that for white males of the same age (13). As a result, the differing rates of death seen in the general population and correctional facilities reflect differences in demographic makeup as much as differences in the relative safety of these environments. To improve the comparison of mortality risks, the resident population rates can be standardized by age, race, and gender to match the proportions seen in prisons and jails. The resulting rates estimate what the resident population mortality rates would be if the U.S. resident population had the same demographic composition as prisons and jails. Standardized to match the State prison population, the resident population had a homicide rate (35 per 100,000) nearly 9 times the rate of homicide in Table 9. Mortality rates of U.S. resident population and State prison and local jail inmate populations, per 100,000 residents, 2002 Cause of death Deaths per 100,000 residents, 2002 State prisons Local jails Local jail U.S. resident Standardized State Standardized population rate U.S. resident rate prisoner ratea U.S. resident rate inmate rateb Suicide Homicide 11 6 18 35 14 4 17 32 47 3 Note: U.S. resident population mortality rates are taken from the Centers for Disease Control and Prevention’s injury mortality reports <http://webappa.cdc.gov/sasweb/ncipc/mortrate.html>. BJS standardized those rates by age, race, and gender to match the characteristics of the State prison and local jail inmate populations. a State prisoner rates of suicide and homicide are based on June 30 custody population. b Local jail inmate rates of suicide and homicide are based on average daily population (ADP). State prisons (4). Standardizing to match local jail demographics yields a greater difference the resident rate (32 per 100,000) being nearly 11 times higher than the rate in jails (3). State prisoners had a higher rate of suicide (14 per 100,000) than the overall resident population (11). Once standardized to match the State prisoner population, the U.S. resident rate of suicide (18) exceeded that of State prisoners in 2002. The standardized resident suicide rate (17 per 100,000) was less than half of the jail suicide rate based on ADP (47). However, an at-risk rate of jail suicide would be a more appropriate comparison, but not all jails reported the needed admission data. Based on the at-risk measure of suicide for the top 50 jail jurisdictions, an at-risk jail suicide rate for all jails would likely be less than a tenth of the ADP measure. (See page 5.) complete an annual summary of death reports and population counts (to allow for calculation of death rates). Jail response rates for all 3 years were over 99%. In 2000, 3,063 jurisdictions responded, and 9 refused, for a response rate of 99.7%. Data for 2001 was submitted by 3,049 jurisdictions, with 2 refusals, for a response rate of 99.9%. In 2002, data were submitted by 3,030 jurisdictions and refused by 6, for a response rate of 99.8%. Quarterly collection of State prison inmate death records began in 2001. These records were collected from State departments of corrections, rather than from each prison facility. For all years, BJS has had 100% participation from all 50 State prison systems. Data were also collected from the District of Columbia for 2001 in which it still operated a prison system, prior to transferring sentenced felons to the custody of the Federal Bureau of Prisons. Methodology BJS phased in data collection activity under the Death in Custody Reporting Act of 2000 (PL 106-297), with the first collection of death records covering only local jail facilities. The 2000 jail collection covered the entire calendar year (the act became law in October of 2000), while subsequent collections were done on the quarterly basis required by the act. BJS requires a quarterly report from all jails which had an inmate death during the period. All jails were instructed to Copies of all questionnaires collected under the Deaths in Custody series can be found on the BJS website at <http://www.ojp.usdoj.gov/bjs/quest. htm>. Standardized U.S. resident death rates Homicide and suicide rates for specific age, race, and gender groups within the U.S. population can be queried from the Centers for Disease Control and Prevention's online injury mortality reports <http://webappa.cdc.gov/ sasweb/ncipc/mortrate.html>. Suicide and Homicide in State Prisons and Local Jails 11 For example, the 2002 suicide rate for white females, age 35-44, was 7.8 per 100,000. These rates were then standardized to match the characteristics of State prison and local jail populations by weighting the rates by the proportion of all inmates represented by that subgroup. The sum of all of the weighted subgroup rates provides the standardized rate for the resident population. Population proportions for these gender, race and age subgroups of inmates were derived from the National Corrections Reporting Program (for State prisoners) and the 2002 Survey of Inmates in Local Jails (for jail inmates). Population bases for mortality rates Annual mortality rates were based on different population counts: 1. For prisons the custody population on June 30 of each year The Bureau of Justice Statistics is the statistical agency of the U.S. Department of Justice. Lawrence A. Greenfeld is director. Christopher J. Mumola wrote this report, under the supervision of Allen J. Beck. Doris J. James, Lauren E. Glaze, and Rebecca L. Medway verified the report, and Tom Hester edited it. Data collection and processing of State prison death records were carried out by Lara Reynolds. Data collection and processing of local jail death records were carried out by Pamela Butler, Margaret Ferguson, Patricia Torreyson, and Pearl Chase, under the supervision of Charlene Sebold, Governments Division, Census Bureau, U.S. Department of Commerce. Christopher J. Mumola, under the supervision of Allen J. Beck, designed August 2005 NCJ 210036 the survey, developed the questionOffice of Justice Programs naires, and monitored data collection Partnerships for Safer Communities and data processing. http://www.ojp.usdoj.gov 2. For local jails the average daily population in each calendar year. Estimates of the population at risk for the largest jail jurisdictions combined the population on January 1 and admissions during the year. 12 Suicide and Homicide in State Prisons and Local Jails Obtain the most recent counts of inmate deaths from Key Facts at a Glance on the BJS Internet site: http://www.ojp.usdoj.gov/bjs/ glance/shipj.htm