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Inmate-to-inmate violence as a marker of suicide attempt risk during imprisonment
Ist Teil von
Journal of forensic and legal medicine, 2014-02, Vol.22, p.20-25
Ort / Verlag
England: Elsevier Ltd
Erscheinungsjahr
2014
Quelle
MEDLINE
Beschreibungen/Notizen
Abstract Objectives To estimate the incidence of suicide attempts during imprisonment in a French prison and to determine factors associated with them. Methods All male inmates of a prison for prisoners awaiting trial or serving a short sentence (Bordeaux, France) were eligible for this cross-sectional study. They were face-to-face interviewed by an experienced psychologist ( n = 369; mean age = 36 years). Socio-demographic data, imprisonment conditions, health status, healthcare utilization, mental health, impulsiveness, inmate-to-inmate violence (victim and perpetrator status) and suicidal behaviours were documented. Results The incidence of suicidal attempts during imprisonment was 13.4 per 100 person-years. Having made at least one suicide attempt during imprisonment was associated with: being a victim of physical or sexual violence without perpetrating it (adjusted OR = 5.4; 95%CI [2.4–12]), suffering from depressive and anxious symptoms (adjusted OR = 3.3; 95%CI [1.5–7.7]), having children (adjusted OR = 3.0; 95%CI [1.2–7.7]) and having a poor perceived health status (OR = 2.5; 95%CI [1.1–5.4]). A history of suicide attempt before imprisonment was not associated with the risk of suicide attempts while imprisoned. Conclusion Our results suggest that violence plays a major role in the suicidal process in prison. The inclusion of inmate-to-inmate violence in the screening checklists of inmate suicide risk should be explored.