Mental disorders and risk of suicide attempt in prisoners

Social Psychiatry and Psychiatric Epidemiology
Louis FavrilKay Wilhelm

Abstract

Mental disorders are overrepresented in prisoners, placing them at an increased risk of suicide. Advancing our understanding of how different mental disorders relate to distinct stages of the suicidal process-the transition from ideation to action-would provide valuable information for clinical risk assessment in this high-risk population. Data were drawn from a representative sample of 1212 adults (1093 men) incarcerated across 13 New Zealand prisons, accounting for 14% of the national prison population. Guided by an ideation-to-action framework, three mutually exclusive groups of participants were compared on the presence of mental disorders assessed by validated DSM-IV diagnostic criteria: prisoners without any suicidal history (controls; n = 778), prisoners who thought about suicide but never made a suicide attempt (ideators; n = 187), and prisoners who experienced suicidal ideation and acted on such thoughts (attempters; n = 247). One-third (34.6%) of participants reported a lifetime history of suicidal ideation, of whom 55.6% attempted suicide at some point (19.2% of all prisoners). Suicidal outcomes in the absence of mental disorders were rare. Whilst each disorder increased the odds of suicidal ideation (OR range 1.73-4...Continue Reading

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Citations

Nov 14, 2020·European Psychiatry : the Journal of the Association of European Psychiatrists·Louis FavrilFreya Vander Laenen
Jul 28, 2020·The Lancet. Psychiatry·Louis FavrilSeena Fazel
Mar 23, 2021·Social Psychiatry and Psychiatric Epidemiology·Paul E BebbingtonTerry Brugha
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