Emergency Department Visits by Incarcerated Adults for Nonfatal Injuries - United States, 2010-2019

MMWR Morb Mortal Wkly Rep. 2023 Mar 17;72(11):278-282. doi: 10.15585/mmwr.mm7211a2.

Abstract

During 2010-2019, U.S. correctional authorities held 1.4-1.6 million persons in state and federal prisons annually, and 10.3-12.9 million persons were admitted to local jails each year (1,2). Incarcerated persons experience a disproportionate burden of negative health outcomes, including unintentional and violence-related injuries (3,4). No national studies on injury-related emergency department (ED) visits by incarcerated persons have been conducted, but a previous study demonstrated a high rate of such visits among a Seattle, Washington jail population (5). To examine nonfatal injury-related ED visits among incarcerated adults, CDC analyzed 2010-2019 National Electronic Injury Surveillance System-All Injury Program (NEISS-AIP) data. During 2010-2019, an estimated 733,547 ED visits by incarcerated adults occurred in the United States. The proportion of ED visits resulting from assault* and self-harm among incarcerated adults was five times as high as those among nonincarcerated adults. Among incarcerated adults, men and adult persons aged <65 years had the highest proportion of assault-related ED visits. Falls accounted for the most ED visits among incarcerated adults aged ≥65 years. A higher proportion of ED visits by incarcerated women than incarcerated men were for overdose or poisoning. These findings suggest that injuries among incarcerated adults differ from those among nonincarcerated adults and might require development and implementation of age- and sex-specific prevention strategies for this population.

MeSH terms

  • Adult
  • Emergency Service, Hospital
  • Female
  • Humans
  • Male
  • Prisoners*
  • Self-Injurious Behavior* / epidemiology
  • United States / epidemiology
  • Violence
  • Washington / epidemiology
  • Wounds and Injuries* / epidemiology
  • Wounds and Injuries* / therapy