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Prevalence and risk factors for suicide attempts in prison

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Abstract
Suicidal behaviour represents a substantial burden of morbidity and mortality in prisons worldwide. We aimed to synthesise the evidence on prevalence and risk factors for suicide attempts during incarceration. In this sys-tematic review and meta-analysis, we searched four bibliographic databases for studies (published up to May 31, 2022) reporting on adults sampled from the general prison population who attempted suicide while incarcerated and an unselected comparison group. A total of 20 studies comprising 19,882 individuals (6.5% women) in 20 countries were eligible for inclusion. The pooled prevalence of suicide attempts during incarceration was 8.6% (95% CI 6.1-11.2) in men and 12.2% (95% CI 7.1-17.2) in women. Across all 36 risk factors studied, the strongest associations were found for suicidal ideation, previous self-harm, and markers of psychiatric morbidity. Prison-related risk factors included solitary confinement, victimisation, and poor social support while incar-cerated. Sensitivity analyses indicate that risk factors for near-lethal suicide attempts are similar to those for suicide attempts more generally. In addition to providing a synthesis of previous work, our systematic review highlights several key limitations of the extant literature, which provide directions for future research.
Keywords
Self-harm, Suicidal intent, Meta-analysis, Systematic review, NONSUICIDAL SELF-INJURY, PSYCHIATRIC-DISORDERS, MENTAL-HEALTH, BEHAVIOR, HARM, METAANALYSIS, POPULATION, IDEATION, OUTCOMES, JAILS

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MLA
Favril, Louis, et al. “Prevalence and Risk Factors for Suicide Attempts in Prison.” CLINICAL PSYCHOLOGY REVIEW, vol. 97, 2022, doi:10.1016/j.cpr.2022.102190.
APA
Favril, L., Shaw, J., & Fazel, S. (2022). Prevalence and risk factors for suicide attempts in prison. CLINICAL PSYCHOLOGY REVIEW, 97. https://doi.org/10.1016/j.cpr.2022.102190
Chicago author-date
Favril, Louis, Jenny Shaw, and Seena Fazel. 2022. “Prevalence and Risk Factors for Suicide Attempts in Prison.” CLINICAL PSYCHOLOGY REVIEW 97. https://doi.org/10.1016/j.cpr.2022.102190.
Chicago author-date (all authors)
Favril, Louis, Jenny Shaw, and Seena Fazel. 2022. “Prevalence and Risk Factors for Suicide Attempts in Prison.” CLINICAL PSYCHOLOGY REVIEW 97. doi:10.1016/j.cpr.2022.102190.
Vancouver
1.
Favril L, Shaw J, Fazel S. Prevalence and risk factors for suicide attempts in prison. CLINICAL PSYCHOLOGY REVIEW. 2022;97.
IEEE
[1]
L. Favril, J. Shaw, and S. Fazel, “Prevalence and risk factors for suicide attempts in prison,” CLINICAL PSYCHOLOGY REVIEW, vol. 97, 2022.
@article{8764360,
  abstract     = {{Suicidal behaviour represents a substantial burden of morbidity and mortality in prisons worldwide. We aimed to synthesise the evidence on prevalence and risk factors for suicide attempts during incarceration. In this sys-tematic review and meta-analysis, we searched four bibliographic databases for studies (published up to May 31, 2022) reporting on adults sampled from the general prison population who attempted suicide while incarcerated and an unselected comparison group. A total of 20 studies comprising 19,882 individuals (6.5% women) in 20 countries were eligible for inclusion. The pooled prevalence of suicide attempts during incarceration was 8.6% (95% CI 6.1-11.2) in men and 12.2% (95% CI 7.1-17.2) in women. Across all 36 risk factors studied, the strongest associations were found for suicidal ideation, previous self-harm, and markers of psychiatric morbidity. Prison-related risk factors included solitary confinement, victimisation, and poor social support while incar-cerated. Sensitivity analyses indicate that risk factors for near-lethal suicide attempts are similar to those for suicide attempts more generally. In addition to providing a synthesis of previous work, our systematic review highlights several key limitations of the extant literature, which provide directions for future research.}},
  articleno    = {{102190}},
  author       = {{Favril, Louis and Shaw, Jenny and Fazel, Seena}},
  issn         = {{0272-7358}},
  journal      = {{CLINICAL PSYCHOLOGY REVIEW}},
  keywords     = {{Self-harm,Suicidal intent,Meta-analysis,Systematic review,NONSUICIDAL SELF-INJURY,PSYCHIATRIC-DISORDERS,MENTAL-HEALTH,BEHAVIOR,HARM,METAANALYSIS,POPULATION,IDEATION,OUTCOMES,JAILS}},
  language     = {{eng}},
  pages        = {{10}},
  title        = {{Prevalence and risk factors for suicide attempts in prison}},
  url          = {{http://dx.doi.org/10.1016/j.cpr.2022.102190}},
  volume       = {{97}},
  year         = {{2022}},
}

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