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Incidence of all-cause mortality in prisons: research protocol for a global registry study and systematic literature review with meta-regression analyses

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dc.contributor.authorMundt, Adrian
dc.contributor.authorRozas, Enzo
dc.contributor.authorAsencio, Benjamín
dc.contributor.authorMorales, Antonio
dc.contributor.authorCifuentes, Pablo
dc.contributor.authorAlvarado, Sofia
dc.contributor.authorBaranyi, Gergő
dc.contributor.authorBorschmann, Rohan
dc.contributor.authorFaze, Seena
dc.contributor.authorKinne, Stuart
dc.date.accessioned2026-08-04T17:29:06Z
dc.date.available2026-08-04T17:29:06Z
dc.date.issued2025
dc.description.abstractIntroduction: People in prison experience disproportionate health burdens compared with community-based populations, including elevated rates of infectious and non-communicable diseases, mental illness and substance use disorders. Previous studies have consistently shown increased rates of mortality following release from incarceration, particularly from external (unnatural) causes such as suicide and violence. However, evidence on mortality incidence during imprisonment is scarce, and many deaths may be preventable through targeted health and prevention interventions. This study aims to synthesise worldwide evidence on all-cause mortality incidence in prisons. Methods and analysis: We will conduct a worldwide registry study combined with a systematic literature review and meta-regression analysis. Eligible sources will report deaths among incarcerated people between 2005 and 2025 at the national or, where more appropriate, the subnational jurisdictional level. Mortality data will be retrieved from official reports of prison administrations and direct contact with prison authorities. Also, data from international databases and the scientific literature will be reviewed. Incidence rates of all-cause mortality per 100 000 person-years will be calculated and reported for each jurisdiction, alongside standardised mortality ratios comparing imprisoned populations with general population estimates. Ethics and dissemination: Since the study relies on anonymised routine data registries available from different sources, an exemption certificate was granted by the Ethics Committee of Diego Portales University (UDP) in Santiago, Chile. Findings will be submitted for publication in a peer-reviewed academic journal.
dc.description.versionVersión Aceptada
dc.identifier.citationMundt AP, Rozas-Serri E, Asencio Rojas BI, Morales-Rojas A, Cifuentes-Gramajo PA, Alvarado S, Baranyi G, Borschmann R, Fazel S, Kinner SA. Incidence of all-cause mortality in prisons: research protocol for a global registry study and systematic literature review with meta-regression analyses. BMJ Open. 2025 Dec 17;15(12):e111125. doi: 10.1136/bmjopen-2025-111125
dc.identifier.doihttps://doi.org/10.1136/bmjopen-2025-111125
dc.identifier.urihttps://hdl.handle.net/11447/10951
dc.language.isoen
dc.subjectMortality
dc.subjectPrisons
dc.subjectREGISTRIES
dc.titleIncidence of all-cause mortality in prisons: research protocol for a global registry study and systematic literature review with meta-regression analyses
dc.typeArticle
dcterms.accessRightsAcceso Abierto
dcterms.sourceBMJ open
dspace.entity.typePublication

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