A typology of male prisoners making near-lethal suicide attempts

Crisis
Adrienne RivlinKeith Hawton

Abstract

Prisoners are at high risk of suicide. This study aimed to develop a typology of prison suicide. We interviewed 60 male prisoners who made near-lethal suicide attempts in prison to obtain quantitative and qualitative data regarding psychiatric, psychological, social, and criminological factors. We analyzed this information to develop a typology to classify suicidal prisoners and validated it by having a prison psychiatrist independently rate each interview transcript. We developed a typology of five subgroups: attempts that (1) were due to a prisoner being unable to cope in prison, (2) were motivated by psychotic symptoms, (3) had instrumental motives, (4) were "unexpected" by the prisoners themselves, and (5) were associated with withdrawal from drugs. The interrater reliability as measured by Cohen's was good to excellent at 0.81 (p < .001), 95% CI (0.69, 0.93). With further validation in other samples, this typology may assist suicide prevention initiatives in prisons as well as other forensic institutions by informing the assessment and formulation of suicide risk.

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Citations

Feb 3, 2016·Drug and Alcohol Dependence·Georgios KourounisLampros Samartzis
Jun 10, 2016·Crisis·Lisa MarzanoSeena Fazel
Dec 13, 2012·Social Psychiatry and Psychiatric Epidemiology·Naomi HumberJenny Shaw
Jan 15, 2019·Archives of Suicide Research : Official Journal of the International Academy for Suicide Research·Jeffery MartinMarjan Ghahramanlou-Holloway
Nov 27, 2020·The South African Journal of Psychiatry : SAJP : the Journal of the Society of Psychiatrists of South Africa·Hendrik S BosmanGian Lippi
Jun 25, 2021·Archives of Suicide Research : Official Journal of the International Academy for Suicide Research·Claire DewarJason Davies

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