Singh, Parvati, Marquianna Griffin, Camilla Hvidtfeldt, and Lars H. Andersen. Macroeconomic antecedents of involuntary psychiatric commitments in Denmark. Accepted for publication in Social Science & Medicine.
ABSTRACT
The use of non-custodial alternatives to imprisonment has grown dramatically over the past 30 years in the Nordic region. But few studies have analyzed the implications of this development. This paper focuses on the case of community service and home confinement under electronic monitoring in Denmark, programs that have been expanded 12 times since 1992. Results from population registry data analyses show that the risk of serving the equivalent of a prison sentence of up to a year in prison is currently below 50 percent because of these alternatives. Results further indicate persistent inequality in access to non-custodial alternatives along income, education, and ethnic background gradients; however, they also show that differences in recidivism rates across these gradients largely exceed differences that arise from the endogenous selection of people to alternatives within these gradients. Both in general and across the mentioned gradients, reform estimates suggest little-to-no causal impact of non-custodial alternatives on rates of criminal recidivism. Results thus portray the challenge of striking a balance between the principle of equality before the law and policy efficiency when implementing “smart sentences”.ABSTRACT
Importance: Childhood exposure to mTBI is common. Individuals with a childhood history of mTBI experience more frequent criminal justice involvement in mid to late adolescence and adulthood. No study had been conducted to examine whether the link is causal or spurious.
Objective: To determine whether mTBI in childhood causes criminal justice involvement in mid to late adolescence.
Design: Preregistered cohort study of all children born between 1995 and 2000 in Denmark, linked to all emergency room (ER) visits and hospitalizations before age 10, all criminal charges and convictions from age 15 to 20. We used sibling and twin fixed-effects models to evaluate the association after controlling for family-level confounding.
Setting: Population-based data on hospital and ER records as well as criminal justice records for the population of Denmark.
Participants: The exposure group contained all individuals born between 1995 and 2000 in Denmark and diagnosed with mTBI before age 10 without other intracranial or extracranial injuries before or at the time of diagnosis (n = 13 514). The comparison group contained all individuals born between 1995 and 2000 in Denmark who were not diagnosed with mTBI or intracranial or extracranial injuries before age 10 (n = 329 513).
Main Outcome(s) and Measure(s): We investigated the association between mTBI before age 10 and criminal charges and convictions from age 15 to 20 for the entire study population and separately by sex at birth, controlling for additional covariates. Key analyses restricted comparisons to full siblings and twins to control for unobserved family-level confounders.
Results: 49% of the total sample were female, 95% had at least one parent with Danish citizenship, and 23% of mothers held a college degree. We found a strong positive association between mTBI and criminal charges (OR: 1.258, 95% CI 1.185 to 1.336) and convictions (OR: 1.241, 95% CI 1.160 to 1.328). When controlling for family-level confounding, the associations became statistically insignificant and, in most models, greatly reduced. Results are robust across multiple model specifications.
Conclusions and Relevance: Although mTBI in childhood is predictive of adolescent criminal justice involvement, we found no evidence that mTBI causes criminal charges or convictions.
Wildeman, Christopher, and Lars H. Andersen. (2020). Solitary Confinement Placement and Post-Release Mortality Risk Among Formerly Incarcerated Individuals: A Population-Based Study. The Lancet Public Health 5:e107-e113. https://doi.org/10.1016/S2468-2667(19)30271-3