Prevention of suicidal behaviour in prisons: an overview of initiatives based on a systematic review of research on near-lethal suicide attempts

Marzano, Lisa and Hawton, Keith and Rivlin, Adrienne and Smith, E. Naomi and Piper, Mary and Fazel, Seena (2016) Prevention of suicidal behaviour in prisons: an overview of initiatives based on a systematic review of research on near-lethal suicide attempts. Crisis - The Journal of Crisis Intervention and Suicide Prevention, 37 (5). pp. 323-334. ISSN 0227-5910

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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.

Item Type: Article
Research Areas: A. > School of Science and Technology > Psychology
Item ID: 19016
Notes on copyright: © 2016 Hogrefe Publishing. Distributed as a Hogrefe OpenMind article under the license CC BY 4.0 (http://creativecommons.org/licenses/by/4.0)
Useful Links:
Depositing User: Lisa Marzano
Date Deposited: 15 Mar 2016 10:51
Last Modified: 14 Mar 2018 08:09
URI: http://eprints.mdx.ac.uk/id/eprint/19016

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