Lokdam, Nicoline T., Marianne Riksheim Stavseth, Louis Favril, Morgan Scarth, Torill Tverborgvik, Lars H. Andersen, and Anne Bukten. Mental health disorders and risk of solitary confinement among incarcerated individuals: a nationwide longitudinal cohort study from Norway. Accepted for publication in BMJ Mental Health.
Background: Solitary confinement is extensively used in prisons, but its associations with mental health disorders remain unclear.
Objective: To investigate the risk of solitary confinement among people with pre-existing mental health disorders.
Methods: We included 35 210 individuals with 51 502 incarcerations in Norway from 2015 to 2022 in the Norwegian Prison Release study (nPRIS), linking national prison, health, mortality and demographic registries. Mental health disorders diagnosed within five years before incarceration were identified. The primary outcome was solitary confinement and four subtypes: court decided, disciplinary, self-requested and security cell. We estimated adjusted odds ratios and incidence rate ratios using logistic and negative binomial regression.
Findings: People placed in solitary confinement had a 25.1% higher prevalence of mental health disorders (x%) than those without solitary confinement (x%). Mental health disorders were associated with higher odds of any solitary confinement (adjusted OR (aOR) 1.77, 95% CI 1.68-1.85) and security cell (aOR 4.28, 3.57-5.13), and more days of self-requested (adjusted incidence rate ratio (aIRR) 2.46, 95% CI 1.91-3.18) and disciplinary (aIRR 3.84, 3.41-4.33) solitary confinement. Substance use disorders, severe mental illness and multimorbidity were associated with more days in solitary confinement, while mental health disorders were inversely associated with court-decided solitary confinement (aOR 0.52, 95% CI 0.47-0.57; aIRR 0.48, 95% CI 0.41-0.57).
Conclusion: People with mental health disorders disproportionately experience solitary confinement in prison, risking further deterioration of health.
Clinical implications: Health authorities and correctional services should reduce solitary confinement and develop alternative, health-protective segregation strategies for people with mental health disorders.
Light, Michael T., Lars H. Andersen, and Noa Hendel. Deportation’s Fallout: Evidence from Denmark. Accepted for publication in American Journal of Sociology.
Understanding the collateral consequences of deportation for families has become a paramount sociological concern. However, previous research has been hampered by sample attrition, selection, and the inability to separate deportation from criminal justice contact. Merging individual-level data on all deportations from 2000-2021 with full population registry data in Denmark, we address each of these issues. We find that deportation induces substantial collateral mobility – 13% of spouses of deportees left Denmark within 18 months after a deportation order. For spouses that stay, dynamic difference-in-differences models show that employment declines but then recovers within a year. Earnings also decline but recover less. Total income drops considerably and never recovers. Supplemental analyses suggest these economic consequences are not due to attrition bias from migration. Even with the removal of the most disadvantaged immigrants, our results suggest deportation may become an increasingly important driver of income inequality between immigrants and citizens.
Andersen, Lars H., Camilla Hvidtfeldt, Thomas Woergaard, Marc T. Bærentzen, and Lars N. Mikkelsen. Measuring the Trend in Police Tasks Concerning People with Mental Health Challenges in Denmark, 2008-2022. Scientific Reports 15: 44949. https://doi.org/10.1038/s41598-025-29238-1
Singh, Parvati, Marquianna Griffin, Camilla Hvidtfeldt, and Lars H. Andersen. Macroeconomic antecedents of involuntary psychiatric commitments in Denmark. Social Science & Medicine 377: 118133. https://doi.org/10.1016/j.socscimed.2025.118133
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