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Prevention of Suicidal Behavior in Prisons

View Article: PubMed Central - PubMed

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.

No MeSH data available.


Prevention of suicidal behavior in prisoners.
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Figure 2: Prevention of suicidal behavior in prisoners.

Mentions: An important implication of this review is that factors associated with prisoners’ suicide attempts include potentially modifiable clinical, psychosocial, and environmental factors. Strategies to reduce self-harm and suicide in prisoners should therefore include attention to these factors, and their interactions. Potential prevention initiatives are presented in Figure 2.


Prevention of Suicidal Behavior in Prisons
Prevention of suicidal behavior in prisoners.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC5120691&req=5

Figure 2: Prevention of suicidal behavior in prisoners.
Mentions: An important implication of this review is that factors associated with prisoners’ suicide attempts include potentially modifiable clinical, psychosocial, and environmental factors. Strategies to reduce self-harm and suicide in prisoners should therefore include attention to these factors, and their interactions. Potential prevention initiatives are presented in Figure 2.

View Article: PubMed Central - PubMed

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.

No MeSH data available.