Dept of Justice, Mortality in State and Federal Prisons Statistical Prisons, 2001 - 2018
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U.S. Department of Justice Office of Justice Programs Bureau of Justice Statistics April 2021, NCJ 255970 E. Ann Carson, Ph.D., BJS Statistician I n 2018, a total of 4,135 state prisoners died in publicly or privately operated prisons, and an additional 378 federal prisoners died in facilities operated by the Federal Bureau of Prisons (BOP).1 In state prisons, the number of deaths rose 5% from 2017 (3,943) to 2018 (4,135), the highest level since the Bureau of Justice Statistics (BJS) began collecting information on mortality in state prisons in 2001 (figure 1). Between 2001 and 2018, the total number of state prisoners in custody increased 1%, while the number of deaths in state prisons rose 44%. Deaths of federal prisoners decreased almost 1% from 2017 to 2018 (from 381 to 378). 1BJS began receiving federal prison mortality data from privately operated facilities that were under a BOP contract in 2015. To preserve the time series back to 2001, the federal mortality data in this report does not include deaths in privately operated federal facilities. Nine federal prisoners died in private facilities in 2015, seven in 2016 and 2017, and five in 2018. FIGURE 1 Number of state and federal prisoner deaths, 2001–2018 Number of deaths 70,000 60,000 50,000 40,000 6,744 6,051 61,130 ■ Federal ■ State a - 53,355 30,000 20,000 597 10,000 0 Total Naturalb Type of death 6,981 Unnaturalc aExcludes deaths in private federal facilities. bIncludes deaths due to illnesses, such as heart disease, cancer, liver disease, and AIDS-related deaths. cIncludes deaths due to external factors and causes, such as suicide, homicide, and accidental deaths. Source: Bureau of Justice Statistics, Mortality in Correctional Institutions, 2001–2018; and Federal Bureau of Prisons, 2001–2018. Highlights In 2018, the number of deaths (4,135 prisoners) and the mortality rate (344 deaths per 100,000 prisoners) in state prisons were the highest since the Bureau of Justice Statistics (BJS) began collecting mortality data from state prisons in 2001. The number of state prisoners who committed suicide increased 20% from 2017 (259) to 2018 (311), marking the highest number of suicides that BJS has recorded in 18 years of collecting mortality data. State prisoners had a lower overall mortality rate (319 per 100,000) than did adult U.S. residents (419 per 100,000) in 2018 when the data were adjusted for differences in age, sex, and race or ethnicity between the two populations. State prisoners in 2018 were slightly more likely to die of cancer, liver disease, and suicide and more than twice as likely to die from homicide than the adjusted population of adult U.S. residents. Ten in 100,000 state prisoners died from homicide in 2018, the highest homicide rate in state prisons since 2001. White prisoners accounted for more than half of all deaths in state prisons in 2018 (53%), while they made up less than one-third (32%) of the state prison population. In 2018, the rate at which federal prisoners died of illness (190 deaths per 100,000 federal prisoners) was the lowest since 2012 (182 per 100,000). Bureau of Justice Statistics · Statistical Tables Mortality in State and Federal Prisons, 2001-2018 – Statistical Tables Mortality rate The mortality rate for state prisoners was 344 per 100,000 state prisoners in 2018, up from 323 per 100,000 in 2017 (figure 2). This was the highest rate recorded since 2001. While the absolute number of federal prisoners who died in BOP-operated facilities declined from 2017 to 2018, the mortality rate for federal prisoners increased by almost 2% between 2017 (246 deaths per 100,000 federal prisoners) and 2018 (250 per 100,000). The increase in the rate was due to the decrease in total number of federal prisoners during this period. Cause of death From 2001 to 2018, 87% of state prison deaths and 90% of federal prison deaths were due to illness. Suicide accounted for 6% of state prison deaths and almost 5% of federal prison deaths over the same period. The 311 suicides of state prisoners in 2018 represented a 20% increase from 2017 (259 suicides) and an 85% increase from 2001 (168 suicides). Homicide was the cause of 2% of state and nearly 3% of federal prison deaths. There were 120 homicides of state prisoners during 2018, including homicides committed by other prisoners, incidental to the use of force by staff, and resulting from injuries sustained prior to incarceration (figure 3). This marked a 6% increase from the 113 homicides in 2017. FIGURE 2 Mortality rate per 100,000 state and federal prisoners, 2001–2018 Mortality rate 350 300 Statea 250 200 b 150 Federal 100 50 0 2001 2010 2015 2018 Note: Mortality rates are based on the annual number of deaths and a 1-day custody population on December 31. See tables 4 and 6 for rates. aIncludes deaths in private state facilities. bExcludes deaths in private federal facilities. Source: Bureau of Justice Statistics, Mortality in Correctional Institutions, 2001–2018, and National Prisoner Statistics, 2001–2018; and Federal Bureau of Prisons, 2001–2018. FIGURE 3 Number of state prisoner deaths, by cause of death, 2010 and 2018 Number of deaths 3,500 3,000 ----■ 2,500 ----- ■ 2018 Prisoners deaths compared to U.S. population 2,000 State prisoners were less likely to die in 2018 (319 per 100,000 state prisoners) than were adult U.S. residents (those age 18 or older) (419 per 100,000 adult U.S. residents) when the resident population was adjusted to the age, sex, and race or ethnicity distribution of state prisoners.2 State prisoners had slightly higher mortality rates than the adjusted adult U.S. resident population in 2018 for cancer, liver disease, and suicide. The rate of death by homicide among state prisoners (10 per 100,000 state prisoners) was more than twice the rate among adult U.S. residents (4 per 100,000 adult U.S. residents) (figure 4). 1,500 2The state prison population differed significantly from the U.S. 2005 2010 1,000 500 0 Illness Suicide Drug/alcohol Accident intoxication Homicidea Note: Data may have been revised from previously published statistics. See table 1 for data. aIncludes homicides committed by other prisoners, incidental to the use of force by staff, or resulting from injuries sustained prior to incarceration. Source: Bureau of Justice Statistics, Mortality in Correctional Institutions, 2010 and 2018. resident population in terms of sex, age, and race or ethnicity. To make direct comparisons between the two populations, BJS adjusted the U.S. resident population to resemble the age, sex, and race or ethnicity distribution of state prisoners before calculating overall and cause-specific mortality rates. See Methodology. Mortality in State and Federal Prisons, 2001-2018 – Statistical Tables | April 2021 2 ■ Data sources Findings in this report are from the Mortality in Correctional Institutions (MCI) data collection (formerly the Deaths in Custody Reporting Program), developed by BJS. The MCI is the only national statistical collection that obtains comprehensive information about deaths among prisoners and jail inmates in the custody of adult correctional facilities. This report reviews deaths in state and federal prisons from 2001 to 2018. Until 2015, BJS received aggregated mortality data from the BOP. In 2015, BJS began receiving individual-level data on deaths from the BOP. Data on mortality in local jails can be found in Mortality in Local Jails, 2000-2018 – Statistical Tables (NCJ 256002, BJS, April 2021). Other key findings In 2018, a total of 22 state prisoners died from AIDS-related illnesses, a 92% decrease from 2001 (275 deaths) (table 1) (figure 5). From 2001 to 2018, a total of 1,258 state prisoners, or 2% of all deaths in state prisons, were due to homicide (table 2). Federal prisoners had a lower rate of suicide from 2001 to 2018 (11 suicides per 100,000 federal prisoners) than did state prisoners (17 per 100,000 state prisoners). Cancer and heart disease accounted for 53% of all state prison deaths from 2001 to 2018. Unnatural causes, including suicide, homicide, drug or alcohol intoxication, and accidents, accounted for 17% of deaths in state prisons in 2018 (table 3). The mortality rate for state prisoners due to cancer in 2018 (95 deaths per 100,000 state prisoners) was the highest since 2001 (table 4). State prisoners died from homicide in 2018 at a rate (10 per 100,000) 2.5 times that of the adult U.S. resident population (4 per 100,000) adjusted for sex, age, and race or ethnicity (table 5). In 2018, federal prisoners had a suicide rate of 19 per 100,000 federal prisoners, up from 16 per 100,000 in 2017 (table 6). In state prisons, the number of deaths and mortality rate of females increased by more than 37% between 2017 and 2018 (tables 7 and 9). Prisoners age 55 or older made up 34% of all state prison deaths in 2001 but nearly double that (61%) in 2018 (table 8). FIGURE 4 Adjusted mortality rate per 100,000 U.S. residents, by cause of death, 2018 Mortality rate per 100,000 40 35 a ■ Adult U.S. residents 30 I---- ■ State prisoners 25 20 15 10 5 0 Suicide Drug/alcohol intoxication Accidentb Homicidec Note: Excludes persons younger than age 18 and federal prisoners. See table 5 for crude and adjusted rates. aTo allow for direct comparisons of mortality rates, BJS adjusted the U.S. resident population to resemble the sex, race or ethnicity, and age distribution of the state prison population. bExcludes causes of death that are unlikely to occur in prisons. cIncludes homicides committed by other prisoners, incidental to the use of force by staff, or resulting from injuries sustained prior to incarceration. Source: Bureau of Justice Statistics, Mortality in Correctional Institutions, 2018, National Prisoner Statistics, 2018, Survey of Inmates in State Correctional Facilities, 2004, and Survey of Prison Inmates, 2016; and Centers for Disease Control and Prevention, National Center for Health Statistics, CDC WONDER online database, Underlying Cause of Death 2018 (released in 2020). FIGURE 5 Percent of state prisoner deaths due to illness, by type of illness, 2001, 2010, and 2018 Percent of deaths 30 ■ 2001 25 2010 ■ 2018 ---- ■ 20 15 10 5 0 Cancer Heart disease Liver Respiratory AIDS- All other disease disease relateda illnessesb Note: Data may have been revised from previously published statistics. Includes deaths in private state facilities. See table 3 for data. aIncludes persons who died of illness and were identified as HIV-positive or having AIDS at the time of death. bIncludes other specified illnesses (such as cerebrovascular disease, influenza, and other nonleading natural causes of death) and unspecified illnesses. Source: Bureau of Justice Statistics, Mortality in Correctional Institutions, 2001, 2010, and 2018. Mortality in State and Federal Prisons, 2001-2018 – Statistical Tables | April 2021 3 ■ American Indians and Alaska Natives accounted for 646 (1%) of all deaths in state prisons from 2001 to 2018 (table 10). In state prisons from 2001 to 2018, white prisoners had the highest average annual mortality rate for all causes of death other than AIDS (table 11). In 2018, more than one-third of deaths in state prisons (33.7%) occurred in the states with the largest prison systems: Texas (505 deaths), California (449), and Florida (440) (table 12). Ten states had fewer than 10 prisoner deaths in 2018, including North Dakota, which had none. The average annual mortality rate due to suicide was lowest in Alabama and Kentucky (9 deaths per 100,000 state residents), followed by Florida and North Carolina (10 per 100,000) (table 15). State prisons had a preliminary count of 3,293 deaths in 2019, based on data from 49 of the 50 state departments of corrections (table 16). List of tables Table 1. Number of state and federal prisoner deaths, by cause of death, 2001 and 2008–2018 Table 2. State and federal prisoner deaths, by cause of death, 2001–2018 Table 3. Percent of state prisoner deaths, by cause of death, 2001 and 2008–2018 Table 4. Mortality rate per 100,000 state prisoners, by cause of death, 2001 and 2008–2018 Table 5. Crude and adjusted mortality rate per 100,000 U.S. residents, by cause of death, 2018 Table 6. Mortality rate per 100,000 federal prisoners, by cause of death, 2001 and 2008–2018 Table 7. Number of state prisoner deaths, by decedent characteristics, 2001 and 2008–2018 Table 8. Percent of state prisoner deaths, by decedent characteristics, 2001 and 2008–2018 Table 9. Mortality rate per 100,000 state prisoners, by decedent characteristics, 2001 and 2008–2018 Table 10. Number of deaths in state prisons, by cause of death and decedent characteristics, 2001–2018 Table 11. Average annual mortality rate per 100,000 state prisoners within each demographic group, by cause of death and decedent characteristics, 2001–2018 Table 12. Number of prisoner deaths in state and federal facilities, by jurisdiction, 2001 and 2008–2018 Table 13. Mortality rate per 100,000 state and federal prisoners, by jurisdiction, 2001 and 2008–2018 Table 14. Number of prisoner deaths in state and federal facilities, by cause of death and jurisdiction, 2001–2018 Table 15. Average annual mortality rate per 100,000 state and federal prisoners, by cause of death and jurisdiction, 2001–2018 Table 16. Preliminary number and percent of deaths in state prisons, by selected causes of death, 2019 Continued on next page Mortality in State and Federal Prisons, 2001-2018 – Statistical Tables | April 2021 4 ■ List of figures Figure 1. Number of state and federal prisoner deaths, 2001–2018 Figure 2. Mortality rate per 100,000 state and federal prisoners, 2001–2018 Figure 3. Number of state prisoner deaths, by cause of death, 2010 and 2018 Figure 4. Adjusted mortality rate per 100,000 U.S. residents, by cause of death, 2018 Figure 5. Percent of state prisoner deaths due to illness, by type of illness, 2001, 2010, and 2018 List of appendix tables Appendix table 1. Estimated number of state and federal prisoners in custody, by prisoner characteristics, 2001 and 2008–2018 Appendix table 2. Deaths of federal prisoners in federally and privately operated prison facilities, by cause of death, 2015–2018 Appendix table 3. Illness mortality rate per 100,000 state prisoners within each demographic group, by decedent characteristics, 2006–2018 (3-year rolling averages) Appendix table 4. Cancer mortality rate per 100,000 state prisoners within each demographic group, by decedent characteristics, 2006–2018 (3-year rolling averages) Appendix table 5. Heart disease mortality rate per 100,000 state prisoners within each demographic group, by decedent characteristics, 2006–2018 (3-year rolling averages) Appendix table 6. Liver disease mortality rate per 100,000 state prisoners within each demographic group, by decedent characteristics, 2006–2018 (3-year rolling averages) Appendix table 7. Respiratory disease mortality rate per 100,000 state prisoners within each demographic group, by decedent characteristics, 2006–2018 (3-year rolling averages) Appendix table 8. Mortality rate due to all other illnesses per 100,000 state prisoners within each demographic group, by decedent characteristics, 2006–2018 (3-year rolling averages) Appendix table 9. Rate of unnatural deaths per 100,000 state prisoners within each demographic group, by decedent characteristics, 2006–2018 (3-year rolling averages) Mortality in State and Federal Prisons, 2001-2018 – Statistical Tables | April 2021 5 ■ TAblE 1 Number of state and federal prisoner deaths, by cause of death, 2001 and 2008–2018 Cause of death Total Federala Stateb Illness Heart disease Cancer Liver disease AIDS-relatedc Respiratory disease All other illnessesd Suicide Drug/alcohol intoxication Accident Homicidee Other causes Missing/unknown 2001 3,170 301 2,869 2,567 743 691 310 275 2008 3,851 399 3,452 3,036 845 907 319 99 2009 3,793 376 3,417 3,027 850 978 337 98 2010 3,620 387 3,233 2,865 830 927 288 73 2011 3,738 387 3,351 2,979 854 1,028 340 57 2012 3,707 350 3,357 2,959 804 1,024 307 74 2013 3,878 400 3,478 3,081 897 1,065 357 52 2014 3,928 444 3,484 3,032 896 1,050 318 64 2015 4,137 455 3,682 3,226 986 1,122 302 45 2016 4,117 388 3,729 3,197 1,028 1,130 263 31 2017 4,324 381 3,943 3,258 1,095 1,110 246 37 2018 4,513 378 4,135 3,272 1,052 1,137 215 22 144 250 195 212 204 220 196 233 241 220 252 287 404 168 616 197 569 202 535 215 496 185 530 205 514 192 471 249 530 219 525 255 518 259 559 311 35 22 39 0 38 58 26 40 95 0 51 32 54 17 34 41 32 70 7 3 58 38 70 12 9 33 50 85 14 11 56 34 90 18 7 50 39 83 10 21 81 39 84 20 13 104 41 96 23 13 203 45 113 27 38 249 43 120 37 103 Note: Data may have been revised from previously published statistics. Excludes executions. For execution data, see Capital Punishment, 2017: Selected Findings (NCJ 253060, BJS, July 2019). See Methodology. aExcludes deaths in private federal facilities. Until 2015, federal deaths were submitted as an aggregate count by the Federal Bureau of Prisons (BOP), with limited details regarding cause of death, and excluded deaths in private federal facilities. See appendix table 2 for deaths from 2015 to 2018 in federal prison facilities operated by the BOP or operated privately under a BOP contract. bIncludes deaths in private state facilities. cIncludes persons who died of illness and were identified as HIV-positive or having AIDS at the time of death. dIncludes other specified illnesses (such as cerebrovascular disease, influenza, and other nonleading natural causes of death) and unspecified illnesses. eIncludes homicides committed by other prisoners, incidental to the use of force by staff, or resulting from injuries sustained prior to incarceration. Source: Bureau of Justice Statistics, Mortality in Correctional Institutions, 2001 and 2008–2018; and Federal Bureau of Prisons, 2001 and 2008–2018. Mortality in State and Federal Prisons, 2001-2018 – Statistical Tables | April 2021 6 ■ TAblE 2 State and federal prisoner deaths, by cause of death, 2001–2018 State prisonersa Cause of death Number of deaths Percent of deaths All causes 61,130 100% Illness 53,355 87.3% Heart disease 15,855 25.9 Cancer 16,777 27.4 Liver disease 5,432 8.9 AIDS-relatedc 1,932 3.2 Respiratory disease 3,824 6.3 9,535 15.6 All other illnessesd Suicide 3,870 6.3% Drug/alcohol intoxication 1,235 2.0% Accidente 618 1.0% Homicidef 1,258 2.1% Other causes 415 0.7% Missing/unknown 379 0.6% Mortality rate per 100,000 269 235 70 74 24 9 Federal prisonersb Number of deaths Percent of deaths 6,744 100% 6,051 89.7% ... ... ... ... ... ... 167 2.5 Mortality rate per 100,000 232 208 ... ... ... 6 17 42 17 ... ... 313 ... ... 4.6% ... ... 11 5 3 6 2 2 ... 102 182 0 96 ... 1.5% 2.7% 0.0% 1.4% ... 4 6 0 3 Note: Data may have been revised from previously published statistics. Details may not sum to totals due to rounding. Excludes executions. For execution data, see Capital Punishment, 2017: Selected Findings (NCJ 253060, BJS, July 2019). See Methodology. Mortality rates are based on the annual number of deaths and a 1-day custody population on December 31. ...Not available. aIncludes deaths in private state facilities. bData on cause of death for federal prisoners were not available for all causes. Excludes deaths in private federal facilities. cIncludes persons who died of illness and were identified as HIV-positive or having AIDS at the time of death. dIncludes other specified illnesses (such as cerebrovascular disease, influenza, and other nonleading natural causes of death) and unspecified illnesses. eIncludes death by intoxication among federal prisoners. fIncludes homicides committed by other prisoners, incidental to the use of force by staff, or resulting from injuries sustained prior to incarceration. Source: Bureau of Justice Statistics, Mortality in Correctional Institutions, 2001–2018; and Federal Bureau of Prisons, 2001–2018. Mortality in State and Federal Prisons, 2001-2018 – Statistical Tables | April 2021 7 ■ TAblE 3 Percent of state prisoner deaths, by cause of death, 2001 and 2008–2018 Cause of death All causes Illness Heart disease Cancer Liver disease AIDS-relateda Respiratory disease All other illnessesb Suicide Drug/alcohol intoxication Accident Homicidec Other causes Missing/unknown 2001 100% 89.5% 25.9 24.1 10.8 9.6 2008 100% 87.9% 24.5 26.3 9.2 2.9 2009 100% 88.6% 24.9 28.6 9.9 2.9 2010 100% 88.6% 25.7 28.7 8.9 2.3 2011 100% 88.9% 25.5 30.7 10.1 1.7 2012 100% 88.1% 23.9 30.5 9.1 2.2 2013 100% 88.6% 25.8 30.6 10.3 1.5 2014 100% 87.0% 25.7 30.1 9.1 1.8 2015 100% 87.6% 26.8 30.5 8.2 1.2 2016 100% 85.7% 27.6 30.3 7.1 0.8 2017 100% 82.6% 27.8 28.2 6.2 0.9 2018 100% 79.1% 25.4 27.5 5.2 0.5 5.0 14.1 5.9% 7.2 17.8 5.7% 5.7 16.7 5.9% 6.6 16.5 6.7% 6.1 14.8 5.5% 6.6 15.8 6.1% 5.6 14.8 5.5% 6.7 13.5 7.1% 6.5 14.4 5.9% 5.9 14.1 6.8% 6.4 13.1 6.6% 6.9 13.5 7.5% 1.2% 0.8% 1.4% 0.0% 1.3% 1.7% 0.8% 1.2% 2.8% 0.0% 1.5% 0.9% 1.6% 0.5% 1.0% 1.3% 1.0% 2.2% 0.2% 0.1% 1.7% 1.1% 2.1% 0.4% 0.3% 1.0% 1.5% 2.5% 0.4% 0.3% 1.6% 1.0% 2.6% 0.5% 0.2% 1.4% 1.1% 2.4% 0.3% 0.6% 2.2% 1.1% 2.3% 0.5% 0.4% 2.8% 1.1% 2.6% 0.6% 0.3% 5.1% 1.1% 2.9% 0.7% 1.0% 6.0% 1.0% 2.9% 0.9% 2.5% Note: Data may have been revised from previously published statistics. Details may not sum to totals due to rounding. Excludes executions. For execution data, see Capital Punishment, 2017: Selected Findings (NCJ 253060, BJS, July 2019). See Methodology. Includes deaths in private state facilities. aIncludes persons who died of illness and were identified as HIV-positive or having AIDS at the time of death. bIncludes other specified illnesses (such as cerebrovascular disease, influenza, and other nonleading natural causes of death) and unspecified illnesses. cIncludes homicides committed by other prisoners, incidental to the use of force by staff, or resulting from injuries sustained prior to incarceration. Source: Bureau of Justice Statistics, Mortality in Correctional Institutions, 2001 and 2008–2018. TAblE 4 Mortality rate per 100,000 state prisoners, by cause of death, 2001 and 2008–2018 Cause of death All causes Illness Heart disease Cancer Liver disease AIDS-relateda Respiratory disease All other illnessesb Suicide Drug/alcohol intoxication Accident Homicidec Other causes Missing/unknown 2001 242 217 63 58 26 23 2008 261 229 64 68 24 7 2009 259 229 64 74 26 7 2010 246 218 63 71 22 6 2011 260 231 66 80 26 4 2012 265 234 63 81 24 6 2013 274 243 71 84 28 4 2014 274 239 71 83 25 5 2015 296 259 79 90 24 4 2016 303 260 84 92 21 3 2017 323 267 90 91 20 3 2018 344 273 88 95 18 2 12 34 14 19 47 15 15 43 15 16 41 16 16 38 14 17 42 16 15 40 15 18 37 20 19 43 18 18 43 21 21 42 21 24 47 26 3 2 3 0 3 4 2 3 7 0 4 2 4 1 3 3 2 5 1! 0! 4 3 5 1 1! 3 4 7 1 1 4 3 7 1 1! 4 3 7 1 2 7 3 7 2 1 8 3 8 2 1 17 4 9 2 3 21 4 10 3 9 Note: Data may have been revised from previously published statistics. Excludes executions. For execution data, see Capital Punishment, 2017: Selected Findings (NCJ 253060, BJS, July 2019). See Methodology. Includes deaths in private state facilities. Mortality rates are based on the annual number of deaths and a 1-day custody population on December 31. ! Interpret with caution. Estimate is based on 10 or fewer cases, or coefficient of variation is greater than 50%. See Methodology – Interpreting rates among small populations, p. 24. aIncludes persons who died of illness and were identified as HIV-positive or having AIDS at the time of death. bIncludes other specified illnesses (such as cerebrovascular disease, influenza, and other nonleading natural causes of death) and unspecified illnesses. cIncludes homicides committed by other prisoners, incidental to the use of force by staff, or resulting from injuries sustained prior to incarceration. Source: Bureau of Justice Statistics, Mortality in Correctional Institutions, 2001 and 2008–2018; and National Prisoner Statistics, 2001 and 2008–2018. Mortality in State and Federal Prisons, 2001-2018 – Statistical Tables | April 2021 8 ■ TAblE 5 Crude and adjusted mortality rate per 100,000 U.S. residents, by cause of death, 2018 Cause of death All causes Illness Heart disease Cancer Liver disease AIDS-relatedc Respiratory disease All other illnessesd Suicide Drug/alcohol intoxication Accidente Homicidef Crude rate per 100,000 adult U.S. residents 1,110 1,040 265 242 23 2 114 395 19 27 22 2 Adjusted rate per 100,000 adult U.S. residentsa 419 344 96 81 15 5 27 121 22 39 11 4 Prison annual mortality rate per 100,000 state prisonersb 319 261 84 91 17 2 23 45 25 20 3 10 Note: Includes deaths in private state facilities. Excludes persons younger than age 18 and federal prisoners. aPopulation adjusted to resemble the sex, race or ethnicity, and age distribution of the state prison population. bMortality rates may differ from those presented elsewhere in this report due to the removal of state prisoners younger than age 18 from both the numerator (deaths) and denominator (state prison population) and the exclusion of deaths for which cause of death was unknown or missing. These changes were made solely to table 5 to make the mortality rates comparable to those in the U.S. resident population. cIncludes persons who died of illness and were identified as HIV-positive or having AIDS at the time of death. dIncludes other specified illnesses (such as cerebrovascular disease, influenza, and other nonleading natural causes of death) and unspecified illnesses. eExcludes causes of death that are unlikely to occur in prisons, such as motor vehicle accidents, neglect and abandonment, and injury by firearms or explosives unrelated to law enforcement incidents. fIncludes homicides committed by other prisoners, incidental to the use of force by staff, or resulting from injuries sustained prior to incarceration. Source: Bureau of Justice Statistics, Mortality in Correctional Institutions, 2018, National Prisoner Statistics, 2018, Survey of Inmates in State Correctional Facilities, 2004, and Survey of Prison Inmates, 2016; and Centers for Disease Control and Prevention, National Center for Health Statistics, CDC WONDER online database, Underlying Cause of Death 2018 (released in 2020). TAblE 6 Mortality rate per 100,000 federal prisoners, by cause of death, 2001 and 2008–2018 Cause of death All causes Illness AIDS-relateda Suicide Accidentb Homicidec Other/unknown 2001 220 196 16 13 4! 6! 0 2008 241 217 8 13 4! 8 1! 2009 220 198 4! 12 3! 4! 4! 2010 224 203 4! 6 1! 10 3! 2011 220 204 2! 10 1! 5! 1! 2012 198 182 3! 11 2! 3! 1! 2013 230 213 2! 8 2! 7 1! 2014 262 238 0 14 1! 8 0 2015 283 249 1! 12 10 10 2! 2016 252 220 1! 12 9 9 2! 2017 246 208 4! 16 5! 6 11 2018 250 190 0 19 9 8 24 Note: Excludes deaths in private federal facilities. Until 2015, federal deaths were submitted as an aggregate count by the Federal Bureau of Prisons (BOP), with limited details regarding cause of death, and excluded deaths in private federal facilities. See appendix table 2 for deaths from 2015 to 2018 in federal prison facilities operated by the BOP or operated privately under a BOP contract. Excludes executions. For execution data, see Capital Punishment, 2017: Selected Findings (NCJ 253060, BJS, July 2019). See Methodology. Mortality rates are based on the annual number of deaths and a 1-day custody population on December 31. ! Interpret with caution. Estimate is based on 10 or fewer cases, or coefficient of variation is greater than 50%. See Methodology – Interpreting rates among small populations, p. 24. aIncludes persons who died of illness and were identified as HIV-positive or having AIDS at the time of death. bIncludes deaths due to drug or alcohol intoxication. cIncludes homicides committed by other prisoners, incidental to the use of force by staff, or resulting from injuries sustained prior to incarceration. Source: Bureau of Justice Statistics, National Prisoner Statistics, 2001 and 2008–2018; and Federal Bureau of Prisons, 2001 and 2008–2018. Mortality in State and Federal Prisons, 2001-2018 – Statistical Tables | April 2021 9 ■ TAblE 7 Number of state prisoner deaths, by decedent characteristics, 2001 and 2008–2018 Characteristic Total Sex Male Female Race/ethnicity Whitea Blacka Hispanic American Indian/ Alaska Nativea Asian/Native Hawaiian/ Other Pacific Islander/ two or more racesa Age 17 or younger 18–24 25–34 35–44 45–54 55 or older 2001 2,869 2008 3,452 2009 3,417 2010 3,233 2011 3,351 2012 3,357 2013 3,478 2014 3,484 2015 3,682 2016 3,729 2017 3,943 2018 4,135 2,769 100 3,289 163 3,267 150 3,116 117 3,208 143 3,244 113 3,337 141 3,330 154 3,533 149 3,586 143 3,811 131 3,954 180 1,340 1,161 322 1,822 1,157 400 1,774 1,199 372 1,680 1,121 359 1,912 1,037 329 1,789 1,113 379 1,901 1,104 402 1,921 1,108 368 2,040 1,189 367 2,063 1,201 382 2,156 1,268 437 2,198 1,352 503 25 36 31 36 36 40 37 43 52 51 47 48 16 37 27 25 25 30 33 44 33 29 27 30 2 86 256 656 893 972 3 67 222 468 1,063 1,629 0 69 210 467 1,039 1,631 3 69 217 382 956 1,606 2 50 200 397 930 1,771 0 69 190 360 876 1,862 0 69 221 334 861 1,993 2 56 221 335 821 2,049 0 68 226 342 795 2,250 1 72 246 379 721 2,298 1 60 308 405 697 2,472 0 66 328 421 776 2,543 Note: Data may have been revised from previously published statistics. Details may not sum to totals due to missing data. Excludes executions. For execution data, see Capital Punishment, 2017: Selected Findings (NCJ 253060, BJS, July 2019). See Methodology. Includes deaths in private state facilities. aExcludes persons of Hispanic origin (e.g., “white” refers to non-Hispanic whites and “black” refers to non-Hispanic blacks). Source: Bureau of Justice Statistics, Mortality in Correctional Institutions, 2001 and 2008–2018. TAblE 8 Percent of state prisoner deaths, by decedent characteristics, 2001 and 2008–2018 Characteristic Total Sex Male Female Race/ethnicity Whitea Blacka Hispanic American Indian/ Alaska Nativea Asian/Native Hawaiian/ Other Pacific Islander/ two or more racesa Age 17 or younger 18–24 25–34 35–44 45–54 55 or older 2001 100% 2008 100% 2009 100% 2010 100% 2011 100% 2012 100% 2013 100% 2014 100% 2015 100% 2016 100% 2017 100% 2018 100% 96.5% 3.5 95.3% 4.7 95.6% 4.4 96.4% 3.6 95.7% 4.3 96.6% 3.4 96.0% 4.1 95.6% 4.4 96.0% 4.1 96.2% 3.8 96.7% 3.3 95.6% 4.4 46.7% 40.5 11.2 52.8% 33.5 11.6 51.9% 35.1 10.9 52.0% 34.7 11.1 57.1% 31.0 9.8 53.3% 33.2 11.3 54.7% 31.7 11.6 55.1% 31.8 10.6 55.4% 32.3 10.0 55.3% 32.2 10.2 54.7% 32.2 11.1 53.2% 32.7 12.2 0.9 1.0 0.9 1.1 1.1 1.2 1.1 1.2 1.4 1.4 1.2 1.2 0.6 1.1 0.8 0.8 0.8 0.9 1.0 1.3 0.9 0.8 0.7 0.7 <0.1% 3.0 8.9 22.9 31.1 33.9 <0.1% 1.9 6.4 13.6 30.8 47.2 0.0% 2.0 6.2 13.7 30.4 47.7 <0.1% 2.1 6.7 11.8 29.6 49.7 <0.1% 1.5 6.0 11.9 27.8 52.9 0.0% 2.1 5.7 10.7 26.1 55.5 0.0% 2.0 6.4 9.6 24.8 57.3 <0.1% 1.6 6.3 9.6 23.6 58.8 0.0% 1.9 6.1 9.3 21.6 61.1 <0.1% 1.9 6.6 10.2 19.3 61.6 <0.1% 1.5 7.8 10.3 17.7 62.7 0.0% 1.6 7.9 10.2 18.8 61.5 Note: Data may have been revised from previously published statistics. Details may not sum to totals due to rounding and missing data. Excludes executions. For execution data, see Capital Punishment, 2017: Selected Findings (NCJ 253060, BJS, July 2019). See Methodology. Includes deaths in private state facilities. aExcludes persons of Hispanic origin (e.g., “white” refers to non-Hispanic whites and “black” refers to non-Hispanic blacks). Source: Bureau of Justice Statistics, Mortality in Correctional Institutions, 2001 and 2008–2018. Mortality in State and Federal Prisons, 2001-2018 – Statistical Tables | April 2021 10 ■ TAblE 9 Mortality rate per 100,000 state prisoners, by decedent characteristics, 2001 and 2008–2018 Characteristic Total Sex Male Female Race/ethnicity Whitea Blacka Hispanic Othera,b Age 17 or younger 18–24 25–34 35–44 45–54 55 or older 2001 242 2008 261 2009 259 2010 246 2011 260 2012 265 2013 274 2014 274 2015 296 2016 303 2017 323 2018 344 250 131 267 173 266 163 255 128 267 160 275 131 282 159 282 171 306 167 315 161 337 148 356 203 345 234 139 59 413 230 147 67 412 243 134 49 396 233 129 47 461 222 121 45 439 245 145 49 468 246 153 45 473 254 141 53 515 282 142 50 535 293 144 48 561 316 164 44 580 344 191 47 68 ! 39 64 181 584 2,032 115 ! 34 51 131 442 1,859 0 35 48 136 427 1,737 140 ! 35 50 114 389 1,580 111 ! 26 47 123 384 1,632 0 38 46 113 368 1,615 0 40 53 104 364 1,619 206 ! 35 53 104 349 1,563 0 47 55 106 347 1,618 120 ! 53 61 117 321 1,579 126 ! 48 78 124 317 1,624 0 58 85 128 363 1,606 Note: Data may have been revised from previously published statistics. Excludes executions. For execution data, see Capital Punishment, 2017: Selected Findings (NCJ 253060, BJS, July 2019). Includes deaths in private state facilities. Mortality rates are based on the annual number of deaths and a 1-day custody population on December 31. ! Interpret with caution. Estimate is based on 10 or fewer cases, or coefficient of variation is greater than 50%. See Methodology – Interpreting rates among small populations, p. 24. aExcludes persons of Hispanic origin (e.g., “white” refers to non-Hispanic whites and “black” refers to non-Hispanic blacks). bIncludes Asians, Native Hawaiians or Other Pacific Islanders, American Indians or Alaska Natives, and persons of two or more races. Due to the small number of deaths and prison populations of American Indians and Alaska Natives, Asians, and Native Hawaiians and Other Pacific Islanders, mortality rates for these populations are unstable and not shown. See Methodology. Source: Bureau of Justice Statistics, Mortality in Correctional Institutions, 2001 and 2008–2018; National Prisoner Statistics, 2001 and 2008–2018; Survey of Inmates in State Correctional Facilities, 2004; and Survey of Prison Inmates, 2016. Mortality in State and Federal Prisons, 2001-2018 – Statistical Tables | April 2021 11 ■ TAblE 10 Number of deaths in state prisons, by cause of death and decedent characteristics, 2001–2018 Characteristic Total Sex Male Female Race/ethnicity Whitee Blacke Hispanic American Indian/ Alaska Nativee Asian/Native Hawaiian/ Other Pacific Islander/ two or more racese Age 17 or younger 18–24 25–34 35–44 45–54 55 or older All causesa 61,130 Illness Heart Liver AIDS- Respiratory All other disease Cancer disease relatedb disease illnessesc 15,855 16,777 5,432 1,932 3,824 9,535 Drug/alcohol Suicide intoxication Accident Homicided 3,870 1,235 618 1,258 58,651 2,476 15,324 16,143 5,242 531 634 190 1,834 98 3,631 193 9,016 518 3,663 207 1,191 44 599 19 1,251 7 32,102 21,076 6,703 8,473 9,262 3,025 5,887 5,784 1,219 1,242 1,447 1,044 437 1,272 203 2,203 1,211 356 4,489 3,641 1,215 2,268 809 615 639 306 237 351 170 79 561 447 213 646 142 141 99 11 27 93 67 35 11 13 504 94 118 35 8 21 80 96 17 5 22 2 4 1 143 72 15 716 376 87 1,970 1,384 636 3,875 4,508 2,345 9,145 10,429 2,345 0 19 247 743 656 267 1 62 203 400 768 2,389 1 138 553 1,313 2,662 4,864 11 486 1,243 1,098 705 325 0 67 323 394 305 146 1 41 106 151 131 187 1 140 371 322 238 185 22 1,207 4,344 8,566 16,380 30,584 Note: Data may have been revised from previously published statistics. Details may not sum to totals due to missing data. Excludes executions. For execution data, see Capital Punishment, 2017: Selected Findings (NCJ 253060, BJS, July 2019). See Methodology. Includes deaths in private state facilities. There were 99 prisoners whose race or ethnicity was unknown, 27 whose age was unknown, and 3 whose sex was unknown. aIncludes other causes not specified and missing and unknown causes. bIncludes persons who died of illness and were identified as HIV-positive or having AIDS at the time of death. cIncludes other specified illnesses (such as cerebrovascular disease, influenza, and other nonleading natural causes of death) and unspecified illnesses. dIncludes homicides committed by other prisoners, incidental to the use of force by staff, or resulting from injuries sustained prior to incarceration. eExcludes persons of Hispanic origin (e.g., “white” refers to non-Hispanic whites and “black” refers to non-Hispanic blacks). Source: Bureau of Justice Statistics, Mortality in Correctional Institutions, 2001–2018. Mortality in State and Federal Prisons, 2001-2018 – Statistical Tables | April 2021 12 ■ TAblE 11 Average annual mortality rate per 100,000 state prisoners within each demographic group, by cause of death and decedent characteristics, 2001–2018 Characteristic Total Sex Male Female Race/ethnicity Whitee Blacke Hispanic Othere,f Age 17 or younger 18–24 25–34 35–44 45–54 55 or older All causesa 269 Illness Heart Liver AIDS- Respiratory All other disease Cancer disease relatedb disease illnessesc 70 74 24 9 17 42 Drug/alcohol Suicide intoxication Accident Homicided 17 5 3 6 278 156 73 33 76 40 25 12 9 6 17 12 43 33 17 13 6 3 3 1 6 0 432 252 142 53 114 70 26 11 125 69 31 12 41 15 22 6 6 15 4 1 30 14 8 2 60 43 26 8 31 10 13 8 9 4 5 2 5 2 2 1 8 5 5 2 67 ! 37 58 138 419 1,704 6! 4 10 32 99 509 12 ! 2 5 22 115 581 3! 0 1 10 60 131 0! 1 3 12 17 15 3! 2 3 6 20 133 3! 4 7 21 68 271 33 ! 15 17 18 18 18 0 2 4 6 8 8 3! 1 1 2 3 10 3! 4 5 5 6 10 Note: Data may have been revised from previously published statistics. Excludes executions. For execution data, see Capital Punishment, 2017: Selected Findings (NCJ 253060, BJS, July 2019). Includes deaths in private state facilities. Mortality rates are based on the annual number of deaths and a 1-day custody population on December 31. ! Interpret with caution. Estimate is based on 10 or fewer cases, or coefficient of variation is greater than 50%. See Methodology – Interpreting rates among small populations, p. 24. aIncludes other causes not specified and missing and unknown causes. bIncludes persons who died of illness and were identified as HIV-positive or having AIDS at the time of death. cIncludes other specified illnesses (such as cerebrovascular disease, influenza, and other nonleading natural causes of death) and unspecified illnesses. dIncludes homicides committed by other prisoners, incidental to the use of force by staff, or resulting from injuries sustained prior to incarceration. eExcludes persons of Hispanic origin (e.g., “white” refers to non-Hispanic whites and “black” refers to non-Hispanic blacks). fIncludes Asians, Native Hawaiians or Other Pacific Islanders, American Indians or Alaska Natives, and persons of two or more races. Due to the small number of deaths and prison populations of American Indians and Alaska Natives, Asians, and Native Hawaiians and Other Pacific Islanders, mortality rates for these populations are unstable and not shown. See Methodology. Source: Bureau of Justice Statistics, Mortality in Correctional Institutions, 2001–2018; National Inmate Survey, 2007–2009, 2011, and 2012; National Prisoner Statistics, 2001–2016; Survey of Inmates in State Correctional Facilities, 2004; and Survey of Prison Inmates, 2016. TAblE 12 Number of prisoner deaths in state and federal facilities, by jurisdiction, 2001 and 2008–2018 Jurisdiction Federala Stateb Alabama Alaskac Arizona Arkansas California Colorado Connecticutd Delawared Florida Georgia Hawaiid Idaho Illinois Indiana 2001 301 2,869 87 8 64 42 287 42 30 16 182 93 7 17 86 46 2008 399 3,452 75 14 77 41 371 38 32 15 291 128 14 18 71 70 2009 376 3,417 80 7 85 50 395 49 29 12 278 125 11 13 75 91 2010 387 3,233 66 13 85 54 414 48 21 23 275 112 12 13 94 69 2011 387 3,351 104 12 86 50 388 37 19 15 297 121 6 13 97 74 2012 350 3,357 86 11 87 43 368 48 24 10 324 103 12 9 85 59 2013 400 3,478 107 8 95 56 365 40 20 14 305 122 14 10 78 66 2014 444 3,484 102 12 99 57 317 35 24 18 346 121 8 23 88 70 2015 455 3,682 112 15 105 54 353 51 23 17 354 131 4 18 120 85 2016 388 3,729 118 10 126 71 334 57 17 14 356 133 9 16 90 70 2017 381 3,943 116 9 133 81 384 41 14 10 428 173 4 15 104 68 2018 378 4,135 125 11 131 76 449 55 28 16 440 163 6 22 83 67 Continued on next page Mortality in State and Federal Prisons, 2001-2018 – Statistical Tables | April 2021 13 ■ TAblE 12 (continued) Number of prisoner deaths in state and federal facilities, by jurisdiction, 2001 and 2008–2018 Jurisdiction Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Islandd South Carolina South Dakota Tennessee Texas Utah Vermontd Virginia Washington West Virginia Wisconsin Wyoming 2001 9 21 36 71 6 70 29 114 13 36 57 6 7 27 2 69 11 175 66 3 115 51 24 122 3 69 4 51 408 5 3 71 29 17 48 5 2008 21 24 68 117 2 69 29 99 17 54 87 9 6 35 5 66 29 133 117 0 101 88 31 145 6 83 6 74 469 11 3 86 35 19 44 9 2009 14 20 57 108 4 56 29 148 12 52 81 3 11 35 9 58 21 142 86 0 120 79 34 165 7 49 4 69 426 17 3 87 44 18 42 7 2010 13 22 42 100 3 40 39 93 16 52 88 2 12 41 4 56 16 124 87 1 116 60 39 141 7 70 8 74 375 13 5 93 35 20 25 2 2011 12 25 60 108 5 41 33 119 19 47 74 6 17 34 10 66 16 117 71 1 111 85 40 157 10 55 11 59 417 12 0 99 21 23 48 3 2012 20 17 55 116 2 46 42 124 14 41 71 11 11 37 5 48 14 115 79 3 126 79 26 157 6 58 9 84 462 15 2 86 33 24 46 4 2013 16 28 40 118 3 58 39 124 20 68 92 7 16 35 8 46 17 142 81 1 124 87 30 157 4 66 6 82 438 23 8 82 39 26 43 4 2014 15 21 44 118 7 43 45 121 14 50 97 19 13 44 5 50 24 123 94 0 111 107 31 145 7 66 7 83 409 23 6 90 38 24 58 12 2015 19 25 60 113 5 62 34 118 11 45 106 13 17 47 8 52 19 115 90 0 138 107 37 166 5 76 7 94 418 16 4 90 42 28 46 7 2016 29 35 42 123 5 49 34 106 18 65 99 16 9 42 9 49 16 147 127 4 133 93 47 171 2 79 5 102 403 21 7 90 28 26 66 11 2017 16 26 70 115 4 57 37 106 6 77 94 13 16 47 5 39 18 143 104 2 149 86 25 181 8 105 12 96 469 20 4 93 40 29 43 8 2018 19 33 50 114 8 57 42 135 6 76 106 5 10 29 8 33 22 138 118 0 151 113 34 166 5 100 6 121 505 17 2 106 36 34 52 6 Note: Data may have been revised from previously published statistics. Details may not sum to totals due to missing data. Excludes executions. For execution data, see Capital Punishment, 2017: Selected Findings (NCJ 253060, BJS, July 2019). See Methodology. aExcludes deaths in private federal facilities. Until 2015, federal deaths were submitted as an aggregate count by the Federal Bureau of Prisons (BOP), with limited details regarding cause of death, and excluded deaths in private federal facilities. See appendix table 2 for deaths from 2015 to 2018 in federal prison facilities operated by the BOP or operated privately under a BOP contract. bIncludes deaths in private state facilities. Includes nine prisoner deaths reported by the District of Columbia in 2001. As of December 30, 2001, sentenced felons from the District of Columbia were the responsibility of the BOP. cPrisons and jails form one integrated system. Counts include deaths only in state-operated prisons and jails and exclude deaths in 15 locally operated jails. dPrisons and jails form one integrated system. Data include the total jail and prison population. Source: Bureau of Justice Statistics, Mortality in Correctional Institutions, 2001 and 2008–2018; and Federal Bureau of Prisons, 2001 and 2008–2018. Mortality in State and Federal Prisons, 2001-2018 – Statistical Tables | April 2021 14 ■ TAblE 13 Mortality rate per 100,000 state and federal prisoners, by jurisdiction, 2001 and 2008–2018 Jurisdiction Federala Stateb Alabama Alaskac Arizona Arkansas California Colorado Connecticutd Delawared Florida Georgia Hawaiid Idaho Illinois Indiana Iowa Kansas Kentucky Louisianae Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Islandd South Carolina South Dakota Tennessee Texas Utah Vermontd Virginia Washington West Virginia 2001 220 242 352 175 ! 231 366 183 243 171 234 251 202 137 ! 323 194 234 113 ! 245 336 361 358 ! 295 284 233 203 238 199 215 ! 179 ! 274 83 ! 265 194 259 205 276 ! 256 235 219 324 89 ! 318 143 ! 292 275 121 ! 214 ! 226 190 500 2008 241 261 296 280 195 312 217 164 161 216 291 243 257 256 156 265 241 281 446 561 98 ! 298 260 203 188 302 289 309 ! 134 ! 272 175 ! 266 459 221 293 0 198 372 229 298 160 ! 350 179 ! 382 295 214 142 ! 264 204 388 2009 220 259 294 128 ! 210 375 234 216 153 182 274 233 227 181 166 340 157 231 380 543 193 ! 254 260 325 126 302 265 97 ! 245 278 309 ! 241 319 243 214 0 236 328 248 327 205 ! 207 118 ! 346 269 324 135 ! 281 255 356 2010 224 246 241 242 212 380 254 211 113 361 269 212 227 180 194 253 137 243 290 526 154 ! 175 349 211 170 316 288 64 ! 260 336 153 ! 229 240 220 215 71 ! 224 248 281 293 222 ! 304 236 ! 369 234 239 241 ! 291 206 394 2011 220 260 388 193 215 355 263 169 106 229 294 229 110 ! 174 200 270 132 268 429 573 253 ! 178 288 277 204 305 239 192 ! 365 280 413 279 239 212 179 72 ! 218 358 291 316 330 246 309 298 261 227 0 324 123 447 2012 198 265 321 174 217 306 277 236 140 149 325 187 227 117 ! 172 210 229 179 423 624 101 ! 211 377 284 149 260 228 355 233 294 195 ! 208 211 213 211 212 ! 248 324 184 313 197 ! 265 250 ! 424 298 283 98 ! 289 195 450 2013 230 274 399 157 ! 232 392 272 198 115 206 302 227 271 139 160 232 184 291 329 628 145 ! 267 367 284 213 436 292 224 ! 319 274 305 ! 207 251 266 218 63 ! 240 343 205 314 126 ! 306 166 ! 395 282 427 385 ! 273 220 456 2014 262 274 390 190 235 374 236 171 143 267 343 230 148 ! 307 182 215 170 220 363 631 318 ! 202 431 279 146 383 304 609 249 347 184 ! 234 345 235 252 0 215 404 214 295 223 ! 315 200 ! 399 265 433 303 ! 300 221 409 2015 283 296 444 286 249 342 276 256 144 264 356 252 74 ! 249 260 320 214 262 502 613 228 ! 296 358 277 115 322 328 409 331 355 301 ! 256 267 223 244 0 264 392 252 340 168 ! 372 198 ! 475 274 331 229 ! 296 244 473 2016 252 303 497 228 298 448 258 293 113 221 363 249 174 ! 222 206 278 320 363 354 817 212 ! 242 376 258 189 474 305 500 174 ! 301 346 ! 252 229 290 353 244 ! 255 353 322 354 69 ! 388 133 ! 474 266 466 403 ! 301 163 441 2017 246 323 531 206 ! 317 510 295 209 103 163 443 323 78 ! 196 253 264 177 268 583 759 170 ! 286 418 267 63 ! 568 289 409 308 349 197 ! 203 250 289 284 126 ! 289 315 171 383 298 ! 541 308 436 311 403 300 ! 312 226 490 2018 250 344 588 260 312 488 352 275 212 287 460 306 120 ! 273 208 252 201 332 381 766 336 ! 297 497 348 64 ! 572 349 130 ! 187 217 312 ! 173 332 295 336 0 299 415 231 358 194 ! 539 156 ! 619 337 327 117 ! 358 207 583 Continued on next page Mortality in State and Federal Prisons, 2001-2018 – Statistical Tables | April 2021 15 ■ TAblE 13 (continued) Mortality rate per 100,000 state and federal prisoners, by jurisdiction, 2001 and 2008–2018 Jurisdiction Wisconsin Wyoming 2001 231 336 ! 2008 197 528 ! 2009 189 402 ! 2010 113 96 ! 2011 214 139 ! 2012 205 183 ! 2013 192 175 ! 2014 257 507 2015 201 292 ! 2016 285 468 2017 183 331 ! 2018 221 245 ! Note: Data may have been revised from previously published statistics. Excludes executions. For execution data, see Capital Punishment, 2017: Selected Findings (NCJ 253060, BJS, July 2019). Mortality rates are based on the annual number of deaths and a 1-day custody population on December 31. Mortality rates are not adjusted for demographic differences among states. See Methodology. ! Interpret with caution. Estimate is based on 10 or fewer cases, or coefficient of variation is greater than 50%. See Methodology – Interpreting rates among small populations, p. 24. aExcludes deaths in private federal facilities. Until 2015, federal deaths were submitted as an aggregate count by the Federal Bureau of Prisons (BOP), with limited details regarding cause of death, and excluded deaths in private federal facilities. See appendix table 2 for deaths from 2015 to 2018 in federal prison facilities operated by the BOP or operated privately under a BOP contract. bIncludes deaths in private state facilities. Includes nine prisoner deaths reported by the District of Columbia in 2001. As of December 30, 2001, sentenced felons from the District of Columbia were the responsibility of the BOP. cPrisons and jails form one integrated system. Counts include deaths only in state-operated prisons and jails and exclude deaths in 15 locally operated jails. dPrisons and jails form one integrated system. Data include the total jail and prison population. eAnnually, Louisiana holds roughly half of its prison population in local jails. Since the calculation of mortality rates is based on the custody populations, which exclude prisoners held in local jails, the mortality rates for Louisiana prisoners will be high because the prisoners held in jails are generally healthier according to the Louisiana Department of Corrections. Source: Bureau of Justice Statistics, Mortality in Correctional Institutions, 2001 and 2008–2018, and National Prisoner Statistics, 2001 and 2008–2018; and Federal Bureau of Prisons, 2001 and 2008–2018. Mortality in State and Federal Prisons, 2001-2018 – Statistical Tables | April 2021 16 ■ TAblE 14 Number of prisoner deaths in state and federal facilities, by cause of death and jurisdiction, 2001–2018 Jurisdiction All causesa f Federal 6,744 61,130 Stateg Alabama 1,601 Alaskah 176 Arizona 1,607 Arkansas 900 California 6,628 Colorado 805 Connecticuti 472 Delawarei 274 Florida 5,260 Georgia 2,212 162 Hawaiii Idaho 265 Illinois 1,590 Indiana 1,165 Iowa 290 Kansas 436 Kentucky 887 Louisiana 1,806 Maine 74 Maryland 1,039 Massachusetts 622 Michigan 2,180 Minnesota 235 Mississippi 1,001 Missouri 1,471 Montana 161 Nebraska 195 Nevada 623 New Hampshire 119 New Jersey 986 New Mexico 318 New York 2,599 North Carolina 1,605 North Dakota 20 Ohio 2,175 Oklahoma 1,475 Oregon 603 Pennsylvania 2,730 Rhode Islandi 112 South Carolina 1,246 South Dakota 128 Tennessee 1,451 Texas 7,602 Utah 245 69 Vermonti Virginia 1,586 Washington 637 Illness Heart Liver AIDS- Respiratory All other disease Cancer disease relatedb disease illnessesc ... ... ... 167 ... 5,884 15,855 16,777 5,432 1,932 3,824 9,535 369 403 136 37 107 287 42 28 17 1 4 24 380 422 206 34 89 202 302 241 64 25 45 92 1,131 1,635 647 116 472 1,356 155 165 129 1 58 144 115 65 66 11 27 96 69 63 25 20 14 33 1,129 1,552 407 303 350 931 735 559 122 82 181 284 30 42 17 4 7 23 69 66 23 4 13 38 457 503 80 64 88 211 312 314 102 22 76 170 64 100 17 5 29 35 120 125 50 2 29 65 298 280 64 30 46 130 558 547 140 109 85 231 23 18 6 1 6 8 260 218 82 109 43 117 170 170 62 10 28 90 654 744 169 39 123 220 47 70 32 1 10 43 366 251 47 24 49 136 406 449 158 26 83 216 31 44 25 2 10 25 44 44 25 4 9 22 151 141 42 9 27 129 26 46 11 3 4 12 314 234 61 83 58 129 71 82 57 4 17 38 690 754 200 221 115 233 437 524 130 74 104 210 4 5 2 1 0 3 618 746 119 34 161 303 385 371 167 30 85 196 128 184 87 7 29 81 776 790 240 38 170 500 27 21 3 5 5 9 472 267 81 36 52 195 30 28 18 1 13 13 441 397 148 43 71 194 1,896 1,899 804 172 595 1,542 59 52 20 0 10 43 17 13 11 3 1 11 423 543 153 54 82 207 150 182 70 9 54 98 Drug/alcohol Suicide intoxication Accidentd Homicidee 313 ... 102 182 3,870 1,235 618 1,258 40 13 17 46 34 10 9 4 116 75 15 54 52 42 14 15 558 336 49 282 73 35 15 29 75 3 6 7 32 6 1 2 170 160 63 135 122 8 18 75 28 4 1 5 35 5 5 4 132 14 15 17 78 40 17 28 31 3 1 2 27 6 8 3 22 3 4 6 40 3 20 9 4 2 0 5 79 62 9 46 58 10 9 4 131 35 25 22 26 4 1 1 47 4 14 28 70 21 8 24 18 3 1 2 18 5 3 6 39 6 4 11 12 5 0 0 52 21 10 12 29 7 1 11 229 56 34 29 64 8 24 16 4 1 0 0 126 20 8 31 87 39 32 60 36 13 7 10 150 21 14 18 26 5 3 1 69 11 7 53 17 1 4 3 67 30 13 33 492 27 76 72 39 5 3 8 10 3 0 0 60 19 10 14 43 9 11 8 Continued on next page Mortality in State and Federal Prisons, 2001-2018 – Statistical Tables | April 2021 17 ■ TAblE 14 (continued) Number of prisoner deaths in state and federal facilities, by cause of death and jurisdiction, 2001–2018 Jurisdiction West Virginia Wisconsin Wyoming All causesa 366 808 104 Illness Heart Liver AIDS- Respiratory All other disease Cancer disease relatedb disease illnessesc 138 98 25 6 17 58 226 265 50 11 64 85 38 17 14 1 8 15 Drug/alcohol Suicide intoxication Accidentd Homicidee 10 3 2 6 85 9 6 1 8 2 1 0 Note: Data may have been revised from previously published statistics. Details may not sum to totals due to missing data. Excludes executions. For execution data, see Capital Punishment, 2017: Selected Findings (NCJ 253060, BJS, July 2019). See Methodology. ...Not available. aIncludes other causes not specified and missing and unknown causes. bIncludes persons who died of illness and were identified as HIV-positive or having AIDS at the time of death. cIncludes other specified illnesses (such as cerebrovascular disease, influenza, and other nonleading natural causes of death) and unspecified illnesses. Includes natural and illness-related deaths of federal prisoners for which the Federal Bureau of Prisons (BOP) could not provide details. dIncludes death by intoxication among federal prisoners. eIncludes homicides committed by other prisoners, incidental to the use of force by staff, or resulting from injuries sustained prior to incarceration. fExcludes deaths in private federal facilities. gIncludes deaths in private state facilities. Includes nine prisoner deaths reported by the District of Columbia in 2001. As of December 30, 2001, sentenced felons from the District of Columbia were the responsibility of the BOP. hPrisons and jails form one integrated system. Counts include deaths only in state-operated prisons and jails and exclude deaths in 15 locally operated jails. iPrisons and jails form one integrated system. Data include the total jail and prison population. Source: Bureau of Justice Statistics, Mortality in Correctional Institutions, 2001–2018; and Federal Bureau of Prisons, 2001–2018. Mortality in State and Federal Prisons, 2001-2018 – Statistical Tables | April 2021 18 ■ TAblE 15 Average annual mortality rate per 100,000 state and federal prisoners, by cause of death and jurisdiction, 2001–2018 Jurisdiction All causesa f Federal 232 269 Stateg Alabama 352 Alaskah 194 Arizona 237 Arkansas 363 California 244 Colorado 217 Connecticuti 151 Delawarei 230 Florida 313 Georgia 237 169 Hawaiii Idaho 215 Illinois 195 Indiana 255 Iowa 183 Kansas 264 Kentucky 373 Louisianaj 535 Maine 198 Maryland 260 Massachusetts 336 Michigan 265 Minnesota 148 Mississippi 359 Missouri 266 Montana 292 Nebraska 234 Nevada 282 New Hampshire 255 New Jersey 234 New Mexico 268 New York 250 North Carolina 242 North Dakota 79 Ohio 245 Oklahoma 336 Oregon 248 Pennsylvania 330 Rhode Islandi 192 South Carolina 315 South Dakota 209 Tennessee 408 Texas 272 Utah 273 Vermonti 205 Virginia 286 Washington 209 West Virginia 412 Illness Heart Liver AIDSAll other disease Cancer disease relatedb Respiratory illnessesc ... ... ... 6 ... 202 70 74 24 9 17 42 81 89 30 8 24 63 46 31 19 1! 4! 26 56 62 30 5 13 30 122 97 26 10 18 37 42 60 24 4 17 50 42 44 35 0! 16 39 37 21 21 4 9 31 58 53 21 17 12 28 67 92 24 18 21 55 79 60 13 9 19 30 31 44 18 4! 7! 24 56 53 19 3! 11 31 56 62 10 8 11 26 68 69 22 5 17 37 40 63 11 3! 18 22 73 76 30 1! 18 39 125 118 27 13 19 55 165 162 41 32 25 68 62 48 16 ! 3! 16 ! 21 ! 65 55 21 27 11 29 92 92 34 5 15 49 79 90 21 5 15 27 30 44 20 1! 6 27 131 90 17 9 18 49 73 81 29 5 15 39 56 80 45 4! 18 45 53 53 30 5! 11 ! 26 68 64 19 4! 12 58 56 99 24 6! 9! 26 74 55 14 20 14 31 60 69 48 3! 14 32 66 72 19 21 11 22 66 79 20 11 16 32 16 ! 20 ! 8! 4! 0 12 ! 70 84 13 4 18 34 88 85 38 7 19 45 53 76 36 3! 12 33 94 95 29 5 21 60 46 36 5! 9! 9! 15 ! 119 68 21 9 13 49 49 46 29 2! 21 21 124 112 42 12 20 55 68 68 29 6 21 55 66 58 22 0 11 48 50 39 33 9! 3! 33 76 98 28 10 15 37 49 60 23 3! 18 32 156 110 28 7! 19 65 Drug/alcohol Suicide intoxication Accidentd Homicidee 11 ... 4 6 17 5 3 6 9 3 4 10 37 11 10 ! 4! 17 11 2 8 21 17 6 6 21 12 2 10 20 9 4 8 24 1! 2! 2! 27 5! 1! 2! 10 10 4 8 13 1! 2 8 29 4! 1! 5! 28 4! 4! 3! 16 2 2 2 17 9 4 6 20 2! 1! 1! 16 4! 5! 2! 9 1! 2! 3! 12 1! 6 3! 11 ! 5! 0 13 ! 20 16 2! 12 31 5 5! 2! 16 4 3 3 16 3! 1! 1! 17 1! 5 10 13 4 1! 4 33 5! 2! 4! 22 6 4! 7! 18 3! 2! 5 26 11 ! 0 0 12 5 2 3 24 6! 1! 9 22 5 3 3 10 1! 4 2 16 ! 4! 0 0 14 2 1! 3 20 9 7 14 15 5 3! 4 18 3 2 2 45 9! 5! 2! 17 3 2! 13 28 2! 7! 5! 19 8 4 9 18 1 3 3 44 6! 3! 9! 30 9! 0 0 11 3 2 3 14 3! 4 3! 11 3! 2! 7! Continued on next page Mortality in State and Federal Prisons, 2001-2018 – Statistical Tables | April 2021 19 ■ TAblE 15 (continued) Average annual mortality rate per 100,000 state and federal prisoners, by cause of death and jurisdiction, 2001–2018 Jurisdiction Wisconsin Wyoming All causesa 200 283 Illness Heart Liver AIDSRespiratory All other disease Cancer disease relatedb disease illnessesc 56 66 12 3 16 21 103 46 38 3! 22 ! 41 Drug/alcohol Suicide intoxication Accidentd Homicidee 21 2! 1! 0! 22 ! 5! 3! 0 Note: Data may have been revised from previously published statistics. Details may not sum to totals due to missing data. Excludes executions. For execution data, see Capital Punishment, 2017: Selected Findings (NCJ 253060, BJS, July 2019). Includes deaths in private state facilities. Mortality rates are based on the annual number of deaths and a 1-day custody population on December 31. Mortality rates are not adjusted for demographic differences among states. See Methodology. ...Not available. ! Interpret with caution. Estimate is based on 10 or fewer cases, or coefficient of variation is greater than 50%. See Methodology – Interpreting rates among small populations, p. 24. aIncludes other causes not specified and missing and unknown causes. bIncludes persons who died of illness and were identified as HIV-positive or having AIDS at the time of death. cIncludes other specified illnesses (such as cerebrovascular disease, influenza, and other nonleading natural causes of death) and unspecified illnesses. Includes natural and illness-related deaths of federal prisoners for which the Federal Bureau of Prisons (BOP) could not provide details. dIncludes death by intoxication among federal prisoners. eIncludes homicides committed by other prisoners, incidental to the use of force by staff, or resulting from injuries sustained prior to incarceration. fExcludes deaths in private federal facilities. gIncludes deaths in private state facilities. Includes nine prisoner deaths reported by the District of Columbia in 2001. As of December 30, 2001, sentenced felons from the District of Columbia were the responsibility of the BOP. hPrisons and jails form one integrated system. Counts include deaths only in state-operated prisons and jails and exclude deaths in 15 locally operated jails. iPrisons and jails form one integrated system. Data include the total jail and prison population. jAnnually, Louisiana holds roughly half of its prison population in local jails. Since the calculation of mortality rates is based on the custody populations, which exclude prisoners held in local jails, the mortality rates for Louisiana prisoners will be high because the prisoners held in jails are generally healthier according to the Louisiana Department of Corrections. Source: Bureau of Justice Statistics, Mortality in Correctional Institutions, 2001–2018, and National Prisoner Statistics, 2001–2018; and Federal Bureau of Prisons, 2001–2018. TAblE 16 Preliminary number and percent of deaths in state prisons, by selected causes of death, 2019 Cause of death All causes Illnessb AIDS-relatedc Suicide Drug/alcohol intoxication Accident Homicided Other causes Missing/unknown Number 3,293 2,429 13 271 204 24 106 46 200 Percenta 100% 73.8 0.4 8.2 6.2 0.7 3.2 1.4 6.1 Note: Represents a 98% response rate. As of July 13, 2020, a total of 49 of the 50 state departments of corrections had reported at least one death to the Mortality in Correctional Institutions. Excludes executions. For execution data, see Capital Punishment, 2019: Selected Findings (BJS, Forthcoming). aBased on the total number of records reported. bExcludes AIDS-related deaths. cIncludes persons who died of illness and were identified as HIV-positive or having AIDS at the time of death. dIncludes homicides committed by other prisoners, incidental to the use of force by staff, or resulting from injuries sustained prior to incarceration. Source: Bureau of Justice Statistics, Mortality in Correctional Institutions, 2019. Mortality in State and Federal Prisons, 2001-2018 – Statistical Tables | April 2021 20 ■ Methodology Data collection coverage The Mortality in Correctional Institutions (MCI), formerly the Deaths in Custody Reporting Program (DCRP), is an annual Bureau of Justice Statistics (BJS) data collection. The MCI obtains national-, state-, and incident-level data on persons who died while in the physical custody of the 50 state departments of corrections (DOCs) or of the approximately 2,800 local jail jurisdictions with adult populations nationwide. This methodology pertains to the prison portion of the MCI collection only. See Mortality in Local Jails, 2000-2018 – Statistical Tables (NCJ 256002, BJS, April 2021) for the methodology for deaths in local jails. The DCRP began in 2000 in response to the Death in Custody Reporting Act of 2000 (DICRA; P.L. 106-297) and was the only national statistical collection providing comprehensive information about deaths in adult correctional facilities. Starting in 2001, BJS has annually collected data directly from state prison systems, maintaining a 100% response rate. BJS uses these data to track national trends in the number, cause, and manner of deaths occurring in state prisons. Until 2015, the Federal Bureau of Prisons (BOP) submitted aggregate counts of the number of male and female deaths to BJS, by cause of death. The BOP started reporting decedent-level data to BJS in 2015, including individual demographic and criminal justice characteristics. In 2017, BJS changed the name of the DCRP to MCI to more accurately describe the data collection. BJS will cease collection of mortality data in state and local correctional facilities after the 2019 reference year. The U.S. Department of Justice (DOJ) determined that it would be more appropriate for the Bureau of Justice Assistance (BJA) to administer the program and collect mortality data for DOJ starting with quarter 1 of fiscal year (FY) 2019 (October to December 2019). State DOCs and local jails will be asked to report their death information on a quarterly basis to centralized state agencies, which will compile and submit the information to BJA to comply with all applicable requirements in P.L. 113-242. Mortality data collected by the MCI include the location and type of facility where the prisoner died, decedent characteristics (sex, race or ethnicity, and age), admission date, conviction status, and admission offense. The MCI also collects data on the circumstances surrounding the death (the cause, time, and location of death), whether an autopsy was conducted, and the availability of autopsy results to the respondent. Data on executions are excluded from this report but are accessible on the BJS website.3 Statistics for 2001 to 2018 presented in this report are current as of September 14, 2020. For more information on mortality in correctional settings, see— Assessing Inmate Cause of Death: Deaths in Custody Reporting Program and National Death Index (NCJ 249568, BJS, April 2016) Federal Deaths in Custody and During Arrest, 2016-2017 – Statistical Tables (NCJ 252838, BJS, December 2020) Mortality in Local Jails, 2000-2018 – Statistical Tables (NCJ 256002, BJS April 2021) Mortality in Local Jails, 2000-2016 – Statistical Tables (NCJ 251921, BJS, February 2020) Mortality in State and Federal Prisons, 2001-2016 – Statistical Tables (NCJ 251920, BJS, February 2020) Suicide and Homicide in State Prisons and Local Jails (NCJ 210036, BJS, August 2005). The MCI instruments for collecting data from state prisons are administered annually to state DOCs. Respondents provide an aggregate count of the number of deaths (NPS-4) that occurred during the referenced calendar year and provide forms (NPS-4A) describing individual deaths. The prison data collection instruments are available on the BJS website. Respondents can submit individual records on decedents at any time during a collection cycle through a BJS web-based collection system. The BOP submits federal prison data directly to BJS. Determining eligibility for reporting to the Mortality in Correctional Institutions In the MCI, custody refers to the physical holding of a person in a facility or to the period during which a correctional authority maintains a chain of custody over a prisoner. For instance, if a prison transports an ill prisoner to a hospital for medical services and that prisoner dies while in the chain of custody of the prison, then that death is counted as a death 3See Capital Punishment, 2018 – Statistical Tables (NCJ 254786, BJS, September 2020). Mortality in State and Federal Prisons, 2001-2018 – Statistical Tables | April 2021 21 ■ in custody. A death that occurs when a prisoner is not in the custody of a correctional authority is considered beyond the scope of the MCI. Deaths were considered out of scope for prisoners who died while on escape status or under the supervision of community corrections, such as on probation, parole, or home electronic monitoring. For state prisons responding to the survey, prisoners in physical custody include those held in any private prison facility under contract to the responding states’ DOCs or in any of their state-operated facilities, such as halfway houses, prison camps or farms, training or treatment centers, and prison hospitals. BOP data submitted to the MCI exclude deaths of federal prisoners that occurred in privately operated facilities. that describe illness-related deaths into standard medical codes from the World Health Organization’s International Statistical Classification of Diseases and Related Health Problems, Tenth Revision (ICD-10). State and federal prison officials were asked to exclude deaths of prisoners serving sentences in the custody of local jails while under the jurisdiction of the state or federal DOCs. The MCI obtains information about such deaths through the jail data collections. Other BJS sources of correctional mortality data Identifying and excluding duplicate records Duplicate and out-of-scope records are excluded from analysis in this report. Duplicate death records may occur in the MCI due to overlapping correctional populations or overlapping duties within correctional facilities. For example, a state prison system may report the death of a prisoner who was transferred to a local jail while serving a prison sentence. This death would be counted by the local jail that had custody of the prisoner at the time of death. The duplicate record from the prison would be deleted. To identify duplicate records, BJS reconciles the aggregate summary counts of deaths that occurred during a calendar year with the number of individual records of death that were obtained from a reporting prison system. When discrepancies are identified, reporting prison systems are contacted for clarification. Information on cause of death MCI respondents are instructed to report on the cause of death as determined by autopsy or another official medical investigation. For this collection, deaths due to intoxication, accidents, suicides, and homicides are considered discrete causes of death. Although the manner and cause of death are distinct from one another, no such distinction is made in the MCI. When reporting a death due to illness, accident, suicide, intoxication, or homicide, BJS requests that respondents describe the events surrounding these deaths. Clinical data specialists convert text entries Homicides include all types of intentional homicide and involuntary manslaughter as determined by a medical examiner or pathologist at autopsy. Homicide counts include legal intervention homicides committed while the prisoner was trying to escape. Homicides also encompass cases that are ruled a homicide at autopsy when events that led to the death occurred prior to incarceration, such as a prisoner who was shot outside of custody and who later died from complications of the gunshot wound while in custody. BJS maintains other data collections on prisoner mortality. These other collections include— Capital Punishment, which provides data on legal executions. Additional details on executions are available on the BJS website. The National Prisoner Statistics (NPS) program, which collects counts of deaths by cause of death, including deaths due to execution; illness; AIDS and AIDS-related causes, such as HIV; suicide; accident; or homicide. Detailed counts by cause of death were discontinued in 2007. The NPS currently collects a total count of deaths as a type of release from prison. After 2006, the BOP submitted counts of deaths by cause of death to the MCI but discontinued submitting counts to the NPS. Additional details on the NPS are available on the BJS website. Reported statistics Mortality data in this report include the number of deaths and mortality rates by year in state and federal prisons, the cause of death, selected decedent characteristics, and the state where the death occurred. Mortality rates are calculated per 100,000 prisoners, with the denominators providing estimates of the number of person-years of exposure in custody in institutional corrections (person-years combines time in jail with the number of inmates to measure actual exposure to a jail setting). The mortality rate for state or federal prisoners is calculated as the number of deaths per year divided by the December 31 population of state or federal prisoners in custody, with the resulting quotient multiplied by 100,000. The population of state prisoners used in rate calculations Mortality in State and Federal Prisons, 2001-2018 – Statistical Tables | April 2021 22 ■ includes prisoners held in privately operated facilities, while the population in federal prisons does not. To improve comparability between years, this report includes mortality rates of state prisons that were reestimated for prior years using updated year-end custody populations, including privately operated facilities. Data on the source of the denominator allow annual mortality rates to be calculated separately by group or characteristic. The National Center for Health Statistics (NCHS) calculates crude mortality rates as the number of events for a period (such as 1 year), divided by the population estimate at the midpoint of the period. For statistics on mortality in the general population, the NCHS uses the midyear population as an approximation of the average population that is exposed to risk of death during any given year.4 The crude mortality rates that are reported in the MCI annual statistical tables use a year-end, rather than midyear, population for the denominator. The composition of the general population (sex, race or ethnicity, and age) differs from the population in state and federal prisons, which in turn differs from the population in local jails. For 2018, BJS adjusted the general population in table 5 of this report to reflect the age, sex, and race or ethnicity distribution of state prisons to permit direct comparisons. For details on this adjustment, see Comparison of state prison mortality rates to the U.S. resident population in this Methodology. Estimating population characteristics of prisoners to calculate mortality rates by demographic subgroups Age and sex distributions of the state prison population are estimated using the NPS and National Corrections Reporting Program (NCRP) data collections. Rates for race or ethnicity are also derived from these collections. They have been updated from previous years and will not match previously reported rates. Race or ethnicity reported in the NPS and NCRP come from administrative records of prisoners and may not reflect self-reporting by prisoners. In this report, distributions of race or ethnicity were adjusted based on self-reported data collected from interviews with prisoners through BJS’s national prisoner surveys. Previously, distributions of race or ethnicity were derived from BJS’s 2004 Survey of Inmates in State and Federal Correctional Facilities. In 2017, BJS 4See Siegel, J. S., & Swanson, D. A. (Eds.). (2004). The methods and materials of demography (2nd ed., p. 269). Elsevier Academic Press. updated estimates of prisoners’ race or ethnicity using new data from the 2016 Survey of Prison Inmates (formerly the Survey of Inmates in State and Federal Correctional Facilities). Annual distributions of race or ethnicity were weighted by the number of years from the most recent prisoner survey (2004 or 2016). For complete details on the methodology used to estimate distributions of race or ethnicity, see Prisoners in 2016 (NCJ 251149, BJS, January 2018). Comparison of state prison mortality rates to the U.S. resident population The state prison population differs substantially from the U.S. resident population in terms of age, race or ethnicity, and sex distributions. These differences preclude direct comparisons of mortality rates between state prisoners and the U.S. resident population. To control for these differences and allow for direct comparisons, BJS standardized the U.S. resident population’s mortality rates to the age-sex-race/ ethnicity (ASR) distribution of state prisoners in 2018. Data for the U.S. resident population were obtained from the WONDER (Wide-ranging Online Data for Epidemiological Research) Underlying Cause of Death database (https://wonder.cdc.gov/ucd-icd10. html), created by the Centers for Disease Control and Prevention. Since the state prison population holds fewer than 800 persons age 17 or younger, BJS limited the WONDER death data to those residents who had a known age at death and were age 18 or older in 2018. In addition, BJS excluded causes of death that are unlikely to occur in prisons, such as motor vehicle accidents, neglect and abandonment, and injury by firearms or explosives unrelated to law enforcement incidents. For each cause of death, BJS parsed the WONDER death data to match ASR categories from the MCI and calculated the crude mortality rates for the adult U.S. resident population for each ASR category. Next, the total state prison population was divided into the same ASR categories based on data from the NPS and NCRP, then weighted to the race or ethnicity distribution from BJS’s self-reported prisoner surveys as described above. The crude mortality rates for the adult U.S. resident population were then multiplied by the total state prison population by weighted ASR category. This approach allowed BJS to generate a cause-specific expected count of deaths that, when summed, gave the total number of expected deaths in the U.S. resident population due to that cause for 2018, if the demographic distribution of the U.S. population Mortality in State and Federal Prisons, 2001-2018 – Statistical Tables | April 2021 23 ■ resembled that of the state prison population. To obtain the adjusted mortality rate per 100,000 shown in table 5, BJS divided these cause-specific mortality rates by the total state prison population and multiplied by 100,000. Rolling averages Rolling averages were computed to examine trends for certain causes of death in prisons while smoothing short-term fluctuations. Data were divided into 10 overlapping 3-year periods spanning 12 years. The rolling averages in this report describe some changes in cause-specific mortality rates over time, such as whether the overall rise in the mortality rate for cancer was steady or the increase in unnatural deaths was recent. Rolling averages were not computed for all causes of death in custody due to small cell sizes. Interpreting rates among small populations MCI data on deaths in state prisons are not subject to sampling error because the data represent a full enumeration of deaths. However, according to Brillinger and NCHS, mortality data from a complete enumeration may be subject to random error because “the number of deaths that actually occurred may be considered as one of a large series of possible results that could have arisen under the same set of circumstances.”5,6 The random variation can be large when the number of deaths is small. Therefore, caution is warranted when interpreting statistics that are based on small numbers of deaths. Continuing to use the NCHS and Brillinger methods, BJS quantified random variation by assuming that the appropriate underlying probability distribution for the number of deaths was a Poisson distribution. This provided a simple and reasonable approach for estimating variances in mortality statistics when the probability of dying is low. Variances were calculated based on the assumption of a Poisson process. From these variances, estimates of relative random error were calculated. These estimates are comparable to the relative standard error because the relative random error is the ratio of random error derived from the Poisson variance to the number of deaths. Following NCHS practice, when the relative random error exceeded 30%, estimated mortality rates were flagged with an “!” symbol to show the instability of the rate. (Interpret with caution. Estimate is based on 10 or fewer cases, or coefficient of variation is greater than 50%.) 5See Brillinger, D. R. (1986). The natural variability of vital rates and associated statistics. Biometrics, 42(4), 693-734. 6See Xu, J., Kochanek, K. D., Murphy, S. L., & Tejada-Vera, B. (2010). Deaths: Final data for 2007 (National Vital Statistics Reports, Vol. 58, No. 19). National Center for Health Statistics. https://www.cdc.gov/nchs/data/nvsr/nvsr58/nvsr58_19.pdf Mortality in State and Federal Prisons, 2001-2018 – Statistical Tables | April 2021 24 ■ APPEndIx TAblE 1 Estimated number of state and federal prisoners in custody, by prisoner characteristics, 2001–2018 Custody population, Characteristic 2001–2018 2001 2008 2009 2010 Total 25,595,000 1,322,600 1,489,800 1,490,600 1,487,500 Federala 2,906,100 137,100 165,300 171,000 173,100 22,688,900 1,185,500 1,324,500 1,319,600 1,314,400 Stateb Sex Male 21,102,600 1,109,400 1,230,600 1,227,500 1,222,900 Female 1,586,300 76,100 93,900 92,100 91,500 Race/ ethnicity Whitec 7,433,600 387,900 441,100 430,400 424,700 8,379,200 495,400 502,800 493,200 481,800 Blackc Hispanic 4,709,300 232,200 272,400 277,400 278,600 Otherc,d 2,166,800 70,000 108,300 118,600 129,300 Age 17 or younger 33,000 2,900 2,600 2,500 2,100 18–24 3,268,600 218,000 197,900 198,700 196,000 25–34 7,494,300 401,700 439,200 437,300 434,800 35–44 6,189,100 362,000 356,600 343,700 334,200 45–54 3,908,900 153,000 240,600 243,500 245,600 55 or older 1,795,000 47,800 87,600 93,900 101,700 2011 2012 2013 2014 2015 2016 2017 2018 1,466,400 1,443,500 1,444,100 1,439,200 1,405,800 1,382,900 1,374,000 1,351,900 176,200 176,500 173,800 169,500 160,700 154,200 154,600 151,500 1,290,200 1,267,000 1,270,300 1,269,700 1,245,100 1,228,700 1,219,400 1,200,400 1,201,100 1,180,600 1,181,500 1,179,400 1,156,000 1,139,900 1,130,800 1,111,900 89,100 86,400 88,800 90,300 89,100 88,800 88,700 88,500 414,600 467,900 270,900 136,800 407,800 454,600 260,900 143,700 406,100 448,200 262,100 153,900 406,300 437,000 261,800 164,700 396,100 421,000 258,300 169,600 385,400 409,600 266,100 167,600 384,000 401,800 266,600 167,000 379,000 393,200 263,300 164,900 1,800 189,100 424,400 324,100 242,300 108,500 1,400 180,400 413,800 318,200 238,000 115,300 1,100 173,700 415,300 320,500 236,500 123,100 1,000 161,300 417,700 323,700 235,000 131,100 900 145,500 407,700 322,500 229,400 139,100 800 134,800 400,000 322,600 224,900 145,600 800 124,800 395,700 326,100 219,700 152,300 600 113,700 385,700 328,200 213,900 158,300 Note: Data are rounded to the nearest 100. Data may have been revised from previously published statistics. Details may not sum to totals due to missing data. All populations are based on a custody count as of December 31. aExcludes prisoners in private federal facilities. bIncludes prisoners in private state facilities. cExcludes persons of Hispanic origin (e.g., “white” refers to non-Hispanic whites and “black” refers to non-Hispanic blacks). dIncludes Asians, Native Hawaiians or Other Pacific Islanders, American Indians or Alaska Natives, and persons of two or more races. Source: Bureau of Justice Statistics, National Corrections Reporting Program, 2001–2018; National Prisoner Statistics, 2001–2018; Survey of Inmates in State and Federal Correctional Facilities, 2004; and Survey of Prison Inmates, 2016. Mortality in State and Federal Prisons, 2001-2018 – Statistical Tables | April 2021 25 ■ APPEndIx TAblE 2 Deaths of federal prisoners in federally and privately operated prison facilities, by cause of death, 2015–2018 Number of deaths Illnessa AIDS-relatedb Suicide Accidentc Homicided Other/unknown Mortality rate per 100,000 federal prisoners Illnessa AIDS-relatedb Suicide Accidentc Homicided Other/unknown 2015 464 407 1 21 16 16 3 2016 395 343 1 19 14 15 3 2017 388 323 6 24 8 10 17 2018 383 292 0 29 14 12 36 237 209 1! 11 8 8 2! 210 183 1! 10 7 8 2! 213 181 3! 13 4! 5 9 214 163 0 16 8 7 20 Note: Includes deaths in federal prison facilities operated by the Federal Bureau of Prisons (BOP) or operated privately under a BOP contract. Until 2015, federal deaths were submitted as an aggregate count by the BOP, with limited details regarding cause of death, and excluded deaths in private federal facilities. Excludes executions. For execution data, see Capital Punishment, 2017: Selected Findings (NCJ 253060, BJS, July 2019). See Methodology. Mortality rates are based on the annual number of deaths and a 1-day BOP custody population on December 31. ! Interpret with caution. Estimate is based on 10 or fewer cases, or coefficient of variation is greater than 50%. See Methodology – Interpreting rates among small populations, p. 24. aExcludes AIDS-related deaths. bIncludes persons who died of illness and were identified as HIV-positive or having AIDS at the time of death. cIncludes deaths due to drug or alcohol intoxication. dIncludes homicides committed by other prisoners, incidental to the use of force by staff, or resulting from injuries sustained prior to incarceration. Source: Bureau of Justice Statistics, National Prisoner Statistics, 2015–2018; and Federal Bureau of Prisons, 2015–2018. Mortality in State and Federal Prisons, 2001-2018 – Statistical Tables | April 2021 26 ■ APPEndIx TAblE 3 Illness mortality rate per 100,000 state prisoners within each demographic group, by decedent characteristics, 2006–2018 (3-year rolling averages) Characteristic Total Sex Male Female Race/ethnicity Whitea Blacka Hispanic Othera,b Age 17 or younger 18–24 25–34 35–44 45–54 55 or older 2008 225 2009 228 2010 226 2011 226 2012 227 2013 236 2014 238 2015 247 2016 253 2017 262 2018 267 231 136 235 144 232 137 233 132 235 122 243 132 246 133 255 143 261 142 272 138 276 145 337 213 122 49 353 218 119 46 356 216 115 42 372 215 107 35 381 213 110 36 403 217 116 36 404 225 120 39 425 236 120 39 439 248 115 38 460 259 119 35 466 266 126 32 27 ! 14 29 110 416 1,777 13 ! 15 26 106 397 1,765 41 ! 15 25 98 382 1,658 47 ! 14 25 94 364 1,598 56 ! 14 24 85 346 1,558 23 ! 15 24 81 338 1,567 29 ! 15 23 75 324 1,538 33 ! 16 24 71 315 1,544 73 ! 14 24 70 298 1,530 79 ! 13 27 69 281 1,540 89 ! 10 27 68 271 1,517 Note: Based on 3-year rolling averages. Labels show the most recent year only (for example, 2006–2008 is shown as 2008). Includes deaths in private state facilities. Mortality rates are per 100,000 inmates held in the custody of state prisons. Mortality rates are based on the annual number of deaths and a 1-day custody population on December 31. ! Interpret with caution. Estimate is based on 10 or fewer cases, or coefficient of variation is greater than 50%. See Methodology – Interpreting rates among small populations, p. 24. aExcludes persons of Hispanic origin (e.g., “white” refers to non-Hispanic whites and “black” refers to non-Hispanic blacks). bIncludes Asians, Native Hawaiians or Other Pacific Islanders, American Indians or Alaska Natives, and persons of two or more races. Due to the small number of deaths and prison populations of American Indians and Alaska Natives, Asians, and Native Hawaiians and Other Pacific Islanders, mortality rates for these populations are unstable and not shown. See Methodology. Source: Bureau of Justice Statistics, Mortality in Correctional Institutions, 2006–2018; National Prisoner Statistics, 2006–2018; Survey of Inmates in State Correctional Facilities, 2004; and Survey of Prison Inmates, 2016. Mortality in State and Federal Prisons, 2001-2018 – Statistical Tables | April 2021 27 ■ APPEndIx TAblE 4 Cancer mortality rate per 100,000 state prisoners within each demographic group, by decedent characteristics, 2006–2018 (3-year rolling averages) Characteristic Total Sex Male Female Race/ethnicity Whitea Blacka Hispanic Othera,b Age 17 or younger 18–24 25–34 35–44 45–54 55 or older 2008 63 2009 67 2010 71 2011 75 2012 77 2013 81 2014 82 2015 86 2016 88 2017 91 2018 93 65 33 70 35 73 40 77 48 79 44 84 45 85 43 88 51 91 53 94 49 96 49 103 58 24 15 114 62 23 13 119 66 28 15 130 68 30 11 134 71 31 12 145 75 32 11 144 79 34 11 149 84 36 11 154 89 38 11 162 89 40 10 166 91 41 9 14 ! 1! 4 22 113 577 13 ! 2 4 20 115 592 14 ! 3 4 22 117 584 16 ! 4 5 21 118 584 19 ! 4 5 21 113 573 23 ! 3 6 22 116 572 0 2 5 22 114 553 0 2 6 21 113 550 37 ! 2! 6 19 104 558 79 ! 2! 6 17 99 558 89 ! 2! 5 16 95 554 Note: Based on 3-year rolling averages. Labels show the most recent year only (for example, 2006–2008 is shown as 2008). Includes deaths in private state facilities. Mortality rates are per 100,000 inmates held in the custody of state prisons. Mortality rates are based on the annual number of deaths and a 1-day custody population on December 31. ! Interpret with caution. Estimate is based on 10 or fewer cases, or coefficient of variation is greater than 50%. See Methodology – Interpreting rates among small populations, p. 24. aExcludes persons of Hispanic origin (e.g., “white” refers to non-Hispanic whites and “black” refers to non-Hispanic blacks). bIncludes Asians, Native Hawaiians or Other Pacific Islanders, American Indians or Alaska Natives, and persons of two or more races. Due to the small number of deaths and prison populations of American Indians and Alaska Natives, Asians, and Native Hawaiians and Other Pacific Islanders, mortality rates for these populations are unstable and not shown. See Methodology. Source: Bureau of Justice Statistics, Mortality in Correctional Institutions, 2006–2018; National Prisoner Statistics, 2006–2018; Survey of Inmates in State Correctional Facilities, 2004; and Survey of Prison Inmates, 2016. Mortality in State and Federal Prisons, 2001-2018 – Statistical Tables | April 2021 28 ■ APPEndIx TAblE 5 Heart disease mortality rate per 100,000 state prisoners within each demographic group, by decedent characteristics, 2006–2018 (3-year rolling averages) Characteristic Total Sex Male Female Race/ethnicity Whitea Blacka Hispanic Othera,b Age 17 or younger 18–24 25–34 35–44 45–54 55 or older 2008 64 2009 64 2010 64 2011 65 2012 64 2013 67 2014 68 2015 73 2016 78 2017 84 2018 87 67 33 66 37 66 30 67 30 67 27 69 31 71 31 76 35 81 37 88 39 91 37 99 62 30 12 99 63 29 12 101 64 28 10 107 65 25 8 107 66 23 9 114 67 24 11 117 69 24 13 127 76 26 12 136 82 25 11 147 92 27 9 151 95 31 10 0 4 8 31 106 550 0 4 8 31 98 526 14 ! 4 8 32 94 488 16 ! 4 8 33 90 468 19 ! 3 7 30 86 448 0 5 7 28 82 455 29 ! 5 8 25 80 450 33 ! 7 9 24 81 467 37 ! 5 10 24 83 472 0 4 10 26 85 490 0 5 11 26 85 484 Note: Based on 3-year rolling averages. Labels show the most recent year only (for example, 2006–2008 is shown as 2008). Includes deaths in private state facilities. Mortality rates are per 100,000 inmates held in the custody of state prisons. Mortality rates are based on the annual number of deaths and a 1-day custody population on December 31. ! Interpret with caution. Estimate is based on 10 or fewer cases, or coefficient of variation is greater than 50%. See Methodology – Interpreting rates among small populations, p. 24. aExcludes persons of Hispanic origin (e.g., “white” refers to non-Hispanic whites and “black” refers to non-Hispanic blacks). bIncludes Asians, Native Hawaiians or Other Pacific Islanders, American Indians or Alaska Natives, and persons of two or more races. Due to the small number of deaths and prison populations of American Indians and Alaska Natives, Asians, and Native Hawaiians and Other Pacific Islanders, mortality rates for these populations are unstable and not shown. See Methodology. Source: Bureau of Justice Statistics, Mortality in Correctional Institutions, 2006–2018; National Prisoner Statistics, 2006–2018; Survey of Inmates in State Correctional Facilities, 2004; and Survey of Prison Inmates, 2016. Mortality in State and Federal Prisons, 2001-2018 – Statistical Tables | April 2021 29 ■ APPEndIx TAblE 6 Liver disease mortality rate per 100,000 state prisoners within each demographic group, by decedent characteristics, 2006–2018 (3-year rolling averages) Characteristic Total Sex Male Female Race/ethnicity Whitea Blacka Hispanic Othera,b Age 17 or younger 18–24 25–34 35–44 45–54 55 or older 2008 24 2009 25 2010 24 2011 25 2012 24 2013 26 2014 26 2015 26 2016 24 2017 22 2018 20 25 10 26 10 25 10 26 9 25 9 27 13 27 14 27 16 24 13 23 11 21 11 37 14 25 8 40 15 24 8 42 14 21 5 44 16 19 5 44 14 20 5 47 16 23 6 46 15 25 5 46 15 25 5 45 14 20 5 41 14 16 5 38 12 15 4 0 1! 1 11 69 136 0 1! 1 11 67 137 14 ! 1! 1 9 63 130 16 ! 1! 1 10 59 138 19 ! 0! 1 7 54 140 0 0! 1! 7 54 157 0 1! 1 5 50 152 0 1! 1 5 47 147 0 1! 1 5 41 127 0 1! 1! 5 33 119 0 1! 1! 5 26 107 Note: Based on 3-year rolling averages. Labels show the most recent year only (for example, 2006–2008 is shown as 2008). Includes deaths in private state facilities. Mortality rates are per 100,000 inmates held in the custody of state prisons. Mortality rates are based on the annual number of deaths and a 1-day custody population on December 31. ! Interpret with caution. Estimate is based on 10 or fewer cases, or coefficient of variation is greater than 50%. See Methodology – Interpreting rates among small populations, p. 24. aExcludes persons of Hispanic origin (e.g., “white” refers to non-Hispanic whites and “black” refers to non-Hispanic blacks). bIncludes Asians, Native Hawaiians or Other Pacific Islanders, American Indians or Alaska Natives, and persons of two or more races. Due to the small number of deaths and prison populations of American Indians and Alaska Natives, Asians, and Native Hawaiians and Other Pacific Islanders, mortality rates for these populations are unstable and not shown. See Methodology. Source: Bureau of Justice Statistics, Mortality in Correctional Institutions, 2006–2018; National Prisoner Statistics, 2006–2018; Survey of Inmates in State Correctional Facilities, 2004; and Survey of Prison Inmates, 2016. Mortality in State and Federal Prisons, 2001-2018 – Statistical Tables | April 2021 30 ■ APPEndIx TAblE 7 Respiratory disease mortality rate per 100,000 state prisoners within each demographic group, by decedent characteristics, 2006–2018 (3-year rolling averages) Characteristic Total Sex Male Female Race/ethnicity Whitea Blacka Hispanic Othera,b Age 17 or younger 18–24 25–34 35–44 45–54 55 or older 2008 17 2009 16 2010 17 2011 16 2012 16 2013 16 2014 17 2015 18 2016 19 2017 19 2018 21 17 16 17 14 17 12 16 10 17 7 17 10 18 9 18 10 19 11 20 12 21 16 28 14 8 1! 28 14 8 1! 28 14 9 1! 29 12 7 1! 31 13 7 2! 32 12 7 3 32 14 8 3 34 15 7 3 35 16 8 3 37 16 9 2 40 18 10 2! 0 1! 2 6 20 121 0 2! 3 5 19 127 0 2 3 4 17 119 0 2! 3 4 16 123 0 2! 2 4 15 124 0 1! 2 4 16 124 0 1! 1 5 14 127 14 ! 3 3 8 23 143 0 2 3 8 21 139 0 2 3 7 20 136 0 0 2 6 15 129 Note: Based on 3-year rolling averages. Labels show the most recent year only (for example, 2006–2008 is shown as 2008). Includes deaths in private state facilities. Mortality rates are per 100,000 inmates held in the custody of state prisons. Mortality rates are based on the annual number of deaths and a 1-day custody population on December 31. ! Interpret with caution. Estimate is based on 10 or fewer cases, or coefficient of variation is greater than 50%. See Methodology – Interpreting rates among small populations, p. 24. aExcludes persons of Hispanic origin (e.g., “white” refers to non-Hispanic whites and “black” refers to non-Hispanic blacks). bIncludes Asians, Native Hawaiians or Other Pacific Islanders, American Indians or Alaska Natives, and persons of two or more races. Due to the small number of deaths and prison populations of American Indians and Alaska Natives, Asians, and Native Hawaiians and Other Pacific Islanders, mortality rates for these populations are unstable and not shown. See Methodology. Source: Bureau of Justice Statistics, Mortality in Correctional Institutions, 2006–2018; National Prisoner Statistics, 2006–2018; Survey of Inmates in State Correctional Facilities, 2004; and Survey of Prison Inmates, 2016. Mortality in State and Federal Prisons, 2001-2018 – Statistical Tables | April 2021 31 ■ APPEndIx TAblE 8 Mortality rate due to all other illnesses per 100,000 state prisoners within each demographic group, by decedent characteristics, 2006–2018 (3-year rolling averages) Characteristic Total Sex Male Female Race/ethnicity Whitea Blacka Hispanic Othera,b Age 17 or younger 18–24 25–34 35–44 45–54 55 or older 2008 48 2009 48 2010 43 2011 41 2012 40 2013 40 2014 40 2015 40 2016 41 2017 43 2018 44 49 36 49 39 44 39 41 32 41 31 41 30 40 32 41 29 42 26 44 25 45 30 65 48 32 12 66 50 30 11 61 45 27 10 59 43 23 9 60 41 26 7 61 39 27 6 61 40 28 6 64 39 25 6 66 41 24 8 69 43 25 8 68 46 28 8 0 4 9 28 84 350 0 5 9 27 78 351 0 4 7 21 72 302 0 4 7 18 65 273 0 5 6 17 64 255 0 4 6 16 58 250 0 4 5 14 55 244 0 4 5 14 50 244 0 4 5 14 47 238 0 3 7 14 45 236 0 3 7 14 46 233 Note: Excludes cancer; heart, liver, and respiratory diseases; and AIDS-related illnesses. Based on 3-year rolling averages. Labels show the most recent year only (for example, 2006–2008 is shown as 2008). Includes deaths in private state facilities. Mortality rates are per 100,000 inmates held in the custody of state prisons. Mortality rates are based on the annual number of deaths and a 1-day custody population on December 31. aExcludes persons of Hispanic origin (e.g., “white” refers to non-Hispanic whites and “black” refers to non-Hispanic blacks). bIncludes Asians, Native Hawaiians or Other Pacific Islanders, American Indians or Alaska Natives, and persons of two or more races. Due to the small number of deaths and prison populations of American Indians and Alaska Natives, Asians, and Native Hawaiians and Other Pacific Islanders, mortality rates for these populations are unstable and not shown. See Methodology. Source: Bureau of Justice Statistics, Mortality in Correctional Institutions, 2006–2018; National Prisoner Statistics, 2006–2018; Survey of Inmates in State Correctional Facilities, 2004; and Survey of Prison Inmates, 2016. Mortality in State and Federal Prisons, 2001-2018 – Statistical Tables | April 2021 32 ■ APPEndIx TAblE 9 Rate of unnatural deaths per 100,000 state prisoners within each demographic group, by decedent characteristics, 2006–2018 (3-year rolling averages) Characteristic Total Sex Male Female Race/ethnicity Whitea Blacka Hispanic Othera,b Age 17 or younger 18–24 25–34 35–44 45–54 55 or older 2008 26 2009 25 2010 26 2011 27 2012 28 2013 29 2014 31 2015 32 2016 36 2017 42 2018 50 27 15 26 15 26 16 27 18 29 18 29 17 31 20 33 22 37 23 43 19 53 22 43 15 21 13 44 15 19 10 44 16 20 11 47 16 20 11 49 18 21 11 50 18 23 10 53 20 25 10 57 22 25 11 63 26 26 12 70 34 30 12 82 44 38 13 41 ! 18 23 27 30 40 40 ! 19 22 26 30 36 41 ! 19 23 27 30 38 31 ! 18 23 29 32 39 38 ! 19 23 30 33 46 23 ! 19 24 31 32 46 29 ! 22 26 30 35 51 33 ! 24 29 33 36 46 37 ! 30 30 38 39 48 0 36 35 45 43 55 0 41 44 51 56 65 Note: Unnatural deaths include deaths caused by suicide, accident, homicide, or drug or alcohol intoxication. Based on 3-year rolling averages. Labels show the most recent year only (for example, 2006–2008 is shown as 2008). Includes deaths in private state facilities. Mortality rates are per 100,000 inmates held in the custody of state prisons. Mortality rates are based on the annual number of deaths and a 1-day custody population on December 31. ! Interpret with caution. Estimate is based on 10 or fewer cases, or coefficient of variation is greater than 50%. See Methodology – Interpreting rates among small populations, p. 24. aExcludes persons of Hispanic origin (e.g., “white” refers to non-Hispanic whites and “black” refers to non-Hispanic blacks). bIncludes Asians, Native Hawaiians or Other Pacific Islanders, American Indians or Alaska Natives, and persons of two or more races. Due to the small number of deaths and prison populations of American Indians and Alaska Natives, Asians, and Native Hawaiians and Other Pacific Islanders, mortality rates for these populations are unstable and not shown. See Methodology. Source: Bureau of Justice Statistics, Mortality in Correctional Institutions, 2006–2018; National Prisoner Statistics, 2006–2018; Survey of Inmates in State Correctional Facilities, 2004; and Survey of Prison Inmates, 2016. Mortality in State and Federal Prisons, 2001-2018 – Statistical Tables | April 2021 33 ■ The Bureau of Justice Statistics of the U.S. Department of Justice is the principal federal agency responsible for measuring crime, criminal victimization, criminal offenders, victims of crime, correlates of crime, and the operation of criminal and civil justice systems at the federal, state, tribal, and local levels. BJS collects, analyzes, and disseminates reliable statistics on crime and justice systems in the United States, supports improvements to state and local criminal justice information systems, and participates with national and international organizations to develop and recommend national standards for justice statistics. Doris J. James is the acting director. This report was written by E. Ann Carson. Stephanie Mueller and Zhen Zeng verified the report. Edrienne Su edited the report. Carrie Epps-Carey produced the report. April 2021, NCJ 255970 1111111111111111111111 IIII Ill II Ill NCJ 255970 Office of Justice Programs Building Solutions • Supporting Communities • Advancing Justice www.ojp.gov