664
views
1
recommends
+1 Recommend
3 collections
    27
    shares
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      Prevention of Suicidal Behavior in Prisons : An Overview of Initiatives Based on a Systematic Review of Research on Near-Lethal Suicide Attempts

      research-article

      Read this article at

      ScienceOpenPublisherPMC
      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Background

          Worldwide, prisoners are at high risk of suicide. Research on near-lethal suicide attempts can provide important insights into risk and protective factors, and inform suicide prevention initiatives in prison.

          Aims

          To synthesize findings of research on near-lethal attempts in prisons, and consider their implications for suicide prevention policies and practice, in the context of other research in custody and other settings.

          Method

          We searched two bibliographic indexes for studies in any language on near-lethal and severe self-harm in prisoners, supplemented by targeted searches over the period 2000–2014. We extracted information on risk factors descriptively. Data were not meta-analyzed owing to heterogeneity of samples and methods.

          Results

          We identified eight studies reporting associations between prisoner near-lethal attempts and specific factors. The latter included historical, prison-related, and clinical factors, including psychiatric morbidity and comorbidity, trauma, social isolation, and bullying. These factors were also identified as important in prisoners’ own accounts of what may have contributed to their attempts (presented in four studies).

          Conclusion

          Factors associated with prisoners’ severe suicide attempts include a range of potentially modifiable clinical, psychosocial, and environmental factors. We make recommendations to address these factors in order to improve detection, management, and prevention of suicide risk in prisoners.

          Related collections

          Most cited references83

          • Record: found
          • Abstract: found
          • Article: not found

          The health and health care of US prisoners: results of a nationwide survey.

          We analyzed the prevalence of chronic illnesses, including mental illness, and access to health care among US inmates. We used the 2002 Survey of Inmates in Local Jails and the 2004 Survey of Inmates in State and Federal Correctional Facilities to analyze disease prevalence and clinical measures of access to health care for inmates. Among inmates in federal prisons, state prisons, and local jails, 38.5% (SE = 2.2%), 42.8% (SE = 1.1%), and 38.7% (SE = 0.7%), respectively, suffered a chronic medical condition. Among inmates with a mental condition ever treated with a psychiatric medication, only 25.5% (SE = 7.5%) of federal, 29.6% (SE = 2.8%) of state, and 38.5% (SE = 1.5%) of local jail inmates were taking a psychiatric medication at the time of arrest, whereas 69.1% (SE = 4.8%), 68.6% (SE = 1.9%), and 45.5% (SE = 1.6%) were on a psychiatric medication after admission. Many inmates with a serious chronic physical illness fail to receive care while incarcerated. Among inmates with mental illness, most were off their treatments at the time of arrest. Improvements are needed both in correctional health care and in community mental health services that might prevent crime and incarceration.
            Bookmark
            • Record: found
            • Abstract: found
            • Article: not found

            All-cause and external mortality in released prisoners: systematic review and meta-analysis.

            We systematically reviewed studies of mortality following release from prison and examined possible demographic and methodological factors associated with variation in mortality rates.
              Bookmark
              • Record: found
              • Abstract: found
              • Article: not found

              Prison suicide in 12 countries: an ecological study of 861 suicides during 2003-2007.

              Although suicide rates among prisoners are high and vary between countries, it is uncertain whether this reflects the importation of risk from the general population or is associated with incarceration rates.
                Bookmark

                Author and article information

                Journal
                8218602
                3203
                Crisis
                Crisis
                Crisis
                0227-5910
                2151-2396
                13 June 2016
                9 June 2016
                September 2016
                23 November 2016
                : 37
                : 5
                : 323-334
                Affiliations
                [1 ]Department of Psychology, Middlesex University, London, UK
                [2 ]Centre for Suicide Research, University of Oxford, UK
                [3 ]Health and Justice, Health and Wellbeing Directorate, Public Health England, London, UK
                Author notes
                Seena Fazel, University Department of Psychiatry, Warneford Hospital, Oxford, OX3 7JX, UK, Tel. +44 (0)1865 223-9041, Fax +44 (0)1865 79-3101, seena.fazel@ 123456psych.ox.ac.uk
                Article
                EMS68819
                10.1027/0227-5910/a000394
                5120691
                27278569
                ed036f87-a784-484b-ba89-41a650f40a8a

                Distributed as a Hogrefe OpenMind article under the license CC BY 4.0 ( http://creativecommons.org/licenses/by/4.0/)

                History
                Categories
                Article

                Clinical Psychology & Psychiatry
                suicide,prison,prevention,jail,self-harm
                Clinical Psychology & Psychiatry
                suicide, prison, prevention, jail, self-harm

                Comments

                Comment on this article