Race-Specific Risk Factors for All-Cause, Natural, and Unnatural Deaths Among Individuals Released from State Prison

By Susan McNeeley, Valerie Clark and Grant Duwe

Individuals released from prison have an elevated risk of premature death, especially during the first few weeks after release. Furthermore, these consequences of incarceration may be exacerbated by racial and ethnic disparities. This study examined three types of post-release mortality – all-cause mortality, natural deaths, and unnatural deaths which include accidents, suicides, and homicides – among individuals released from Minnesota state prisons in order to identify characteristics and experiences that place individuals at risk. In addition, we conducted race-specific models examining these types of mortality among White, Black, and Native American releasees. The results of Cox regression models showed, first, that several personal characteristics were related to risk of death. Black, Asian, and Latino people had lower risk of mortality than White people, while Native American people had higher risk. Those affiliated with security threat groups (STG) had higher risk of death, as did those with more mental and physical health diagnoses and those with higher body mass index (BMI). Second, several aspects of criminal history and incarceration were related to post-release mortality. Sex offenders had lower risk of death, while those incarcerated for driving while intoxicated (DWI) had higher risk. Prison visitation reduced the risk of mortality. Risk of death was higher among those with more prior prison admissions, those incarcerated for supervised release revocations, and those with more discipline convictions – but was lower when individuals were incarcerated for longer periods of time. Third, the circumstances of release were related to risk of death. Individuals released to the Twin Cities Metropolitan area had higher risk of mortality, while those released to community programs had lower risk. Finally, the results also showed that, while many risk or protective factors appeared to be universal, some race-specific risk factors do exist.

St. Paul, Minnesota Department of Corrections, 2023. 43p.