Drugs and alcohol are the third leading cause of death in U.S. jails. We analyzed 2000 to 2013 national jail mortality data by coding text data. We identified 1,442 deaths associated with drugs and alcohol. Drug-associated deaths were more than double alcohol-associated deaths during 2009 to 2013 when drug type was available for drug-associated mortality. Only 18% of deaths within 7 days of arrest for alcohol intoxication were officially coded as involving drugs/alcohol intoxication. Among the 103 deaths associated with substance withdrawal, 66 involved alcohol, 21 involved drugs (primarily opioids), and 16 could not be determined. Drugs and alcohol likely contribute to more deaths in jails than has been recognized due to how deaths are coded. Alcohol and opioid withdrawal represent a small but underappreciated contributor to jail deaths.
AcarG., TurkerY. (2016). Delirium tremens is associated with increased mortality in acute coronary syndrome. Cardiology, 133(2), 122–123. https://doi.org/10.1159/000440609
2.
AllenB., HarocoposA. (2016). Non-prescribed buprenorphine in New York City: Motivations for use, practices of diversion, and experiences of stigma. Journal of Substance Abuse Treatment, 70, 81–86. https://doi.org/10.1016/j.jsat.2016.08.002
3.
BronsonJ., StroopJ., ZimmerS., BerzofskyM. (2017). Drug use, dependence, and abuse among state prisoners and jail inmates, 2007-2009 (NCJ 250546). Bureau of Justice Statistics. https://www.bjs.gov/content/pub/pdf/dudaspji0709.pdf
4.
CarrollJ. J., RichJ. D., GreenT. C. (2018). The more things change: Buprenorphine/naloxone diversion continues while treatment remains inaccessible. Journal of Addiction Medicine, 12, 459–465. https://doi.org/10.1097/ADM.0000000000000436
5.
DarkeS., LarneyS., FarrellM. (2017). Yes, people can die from opiate withdrawal. Addiction, 112(2), 199–200. https://doi.org/10.1111/add.13512
GlasheenC., PembertonM. R., LipariR., CopelloE. A., MattsonM. E. (2015). Binge drinking and the risk of suicidal thoughts, plans, and attempts. Addictive Behaviors, 43, 42–49. https://doi.org/10.1016/j.addbeh.2014.12.005
8.
GordonM. S., KinlockT. W., SchwartzR. P., FitzgeraldT. T., O’GradyK. E., VocciF. J. (2014). A randomized controlled trial of prison-initiated buprenorphine: Prison outcomes and community treatment entry. Drug and Alcohol Dependence, 142, 33–40. https://doi.org/10.1016/j.drugalcdep.2014.05.011
9.
GreenT. C., ClarkeJ., Brinkley-RubinsteinL., MarshallB. D. L., Alexander-ScottN., BossR., RichJ. D. (2018). Postincarceration fatal overdoses after implementing medications for addiction treatment in a statewide correctional system. JAMA Psychiatry, 75, 405–407. https://doi.org/10.1001/jamapsychiatry.2017.4614
10.
GreensponA. J., SchaalS. F. (1983). The “holiday heart”: Electrophysiologic studies of alcohol effects in alcoholics. Annals of Internal Medicine, 98(2), 135–139. https://doi.org/10.7326/0003-4819-98-2-135
11.
GreensponA. J., StangJ. M., LewisR. P., SchaalS. F. (1979). Provocation of ventricular tachycardia after consumption of alcohol. New England Journal of Medicine, 301, 1049–1050. https://doi.org/10.1056/NEJM197911083011906
12.
KaplanM. S., HuguetN., McFarlandB. H., CaetanoR., ConnerK. R., GiesbrechtN., NolteK. B. (2014). Use of alcohol before suicide in the United States. Annals of Epidemiology, 24, 588–592. e5922. https://doi.org/10.1016/j.annepidem.2014.05.008
13.
KaplanM. S., McFarlandB. H., HuguetN., ConnerK., CaetanoR., GiesbrechtN., NolteK. B. (2013). Acute alcohol intoxication and suicide: A gender-stratified analysis of the National Violent Death Reporting System. Injury Prevention, 19(1), 38–43. https://doi.org/10.1136/injuryprev-2012-040317
LiR., HuL., HuL., ZhangX., PhippsR., FowlerD. R., ChenF., LiL. (2017). Evaluation of acute alcohol intoxication as the primary cause of death: A diagnostic challenge for forensic pathologists. Journal of Forensic Sciences, 62, 1213–1219. https://doi.org/10.1111/1556-4029.13412
LofwallM. R., WalshS. L. (2014). A review of buprenorphine diversion and misuse: The current evidence base and experiences from around the world. Journal of Addiction Medicine, 8(5), 315–326. https://doi.org/10.1097/adm.0000000000000045
MonteR., RabuñalR., CasariegoE., López-AgredaH., MateosA., PértegaS. (2010). Analysis of the factors determining survival of alcoholic withdrawal syndrome patients in a general hospital. Alcohol and Alcoholism, 45(2), 151–158. https://doi.org/10.1093/alcalc/agp087
NoonanM., RholoffH., GinderS. (2015). Mortality in local jails and state prisons, 2000-2013: Statistical tables (NCJ 248756). Bureau of Justice Statistics. https://www.bjs.gov/content/pub/pdf/mljsp0013st.pdf
23.
PaoneD., TuazonE., StajicM., SampsonB., AllenB., ManthaS., KuninsH. (2015). Buprenorphine infrequently found in fatal overdose in New York City. Drug and Alcohol Dependence, 155, 298–301. https://doi.org/10.1016/j.drugalcdep.2015.08.007
24.
PenttiläA. (1980). Sudden and unexpected natural deaths of adult males. An analysis of 799 forensic autopsies in 1976. Forensic Science International, 16(3), 249–259.
25.
RaoA. K., WaltersM., HallJ., GuymonC., GardenR., SturdyP., ThurstonD., SmithL., DimondM., VitekD., BogdanowL., HillM., LinN. H., LuquezC., GriffinP. M. (2017). Outbreak of botulism due to illicit prison-brewed alcohol: Public health response to a serious and recurrent problem. Clinical Infectious Diseases, 66(Suppl 1), S85–S91. https://doi.org/10.1093/cid/cix936
26.
RoereckeM., RehmJ. (2014). Cause-specific mortality risk in alcohol use disorder treatment patients: A systematic review and meta-analysis. International Journal of Epidemiology, 43, 906–919. https://doi.org/10.1093/ije/dyu018
27.
SchuckitM. A. (2014). Recognition and management of withdrawal delirium (delirium tremens). New England Journal of Medicine, 371, 2109–2113. https://doi.org/10.1056/NEJMra1407298
28.
SordoL., BarrioG., BravoM. J., IndaveB. I., DegenhardtL., WiessingL., FerriM., Pastor-BarriusoR. (2017). Mortality risk during and after opioid substitution treatment: Systematic review and meta-analysis of cohort studies. British Medical Journal, 357, j1550. https://doi.org/10.1136/bmj.j1550
29.
WuS. I., TsaiS.-Y., HuangM.-C., StewartR., KuoC.-J., ChenC.-C. (2015). Risk factors for sudden cardiac death among patients with alcohol dependence: A nested case-control study. Alcoholism, Clinical and Experimental Research, 39, 1797–1804. https://doi.org/10.1111/acer.12820
30.
ZengZ., NoonanM., CarsonE. A., BinswangerI, BlatchfordP., Smiley-McDonaldH., EllisC. (2016). Assessing inmate cause of death: Deaths in Custody Reporting Program and National Death Index (NCJ 249568). Bureau of Justice Statistics. https://www.bjs.gov/content/pub/pdf/aicddcrpndi.pdf
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