Any amount of time spent in solitary confinement increases the risk of death after release from prison, including deaths by suicide, homicide, and opioid overdose.

by Andrea Fenster, October 13, 2020

A recently published study of people released from North Carolina prisons confirms what many have long suspected: solitary confinement


increases the risk of premature death, even after release. Personal stories, like those of Kalief Browder’s isolation and subsequent suicide, are canaries in the coal mine. Underneath seemingly isolated events, researchers now find that solitary confinement is linked to more deaths after release from prison. These preventable deaths aren’t outliers; in the U.S., where the use of solitary confinement is widespread, an estimated 80,000 people are held in some form of isolation on any given day, and in a single year, over 10,000 people were released to the community directly from solitary.

graph show mortality risk with solitary confinementPremature deaths – by suicide, homicide, or opioid overdose – after release from prison are more likely for those that spent any amount of time (even one day) in solitary confinement than those who have never experienced solitary confinement.

The new study shows that the effects of solitary confinement go well beyond the immediate psychological consequences identified by previous research, like anxiety, depression, and hallucinations. The authors, from the University of North Carolina, Emory University, and the North Carolina Departments of Public Safety and Public Health, find that any amount of time spent in solitary confinement increases the risk of death in the first year after individuals return to the community, including deaths by suicide, homicide, and opioid overdose.

Reentry is tumultuous and challenging to begin with, and the first two weeks after release are among the most difficult. Previous research has shown that, within those first two weeks, the risk of death from drug overdosecardiovascular disease, homicide, and suicide is elevated. A 2007 study found that the risk of death in these first two weeks can be up to 12 times higher than that of the general population. Building on that study’s findings, this new North Carolina study finds that the experience of any solitary confinement more than doubles the risk of death for people recently released from prison.

The study identifies two additional factors correlated with a heightened risk of death after release: race and the amount (length and frequency) of solitary confinement. All incarcerated people of color are more likely to die within a year of release, and the experience of solitary confinement only amplifies this racial disparity. A previous study found that, compared to their share of the total prison population, Black men and women are overrepresented in solitary confinement, exposing them disproportionately to its harms. And unsurprisingly, more frequent placements in solitary confinement—as well as longer stays are associated with worse outcomes across both white and nonwhite populations.


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