This article examines the functions of self-injurious behavior (SIB) in forensic populations. The cases of four individual offenders who have engaged in SIB are presented. These cases depict the four main functions of self-harm behaviors including (a) suicidal intent, (b) manipulation of the environment, (c) emotion regulation, and (d) a response to psychotic delusions or hallucinations. Assessment and treatment implications are discussed.
Backett, S. A. (1987). Suicide in Scottish prisons. British Journal of Psychiatry, 151, 218-221.
2.
Beck, A. T., Steer, R. A., Beck, J. S., & Newman, C. F. (1993). Hopelessness, depression, suicidal ideation, and clinical diagnosis of depression. Suicide and Life-Threatening Behavior, 23(2), 139-145.
3.
Brain, K. L., Haines, J.,& Williams, C. L. (1998). The psychophysiology of self-mutilation: Evidence of tension reduction. Archives of Suicide Research, 4, 227-242.
4.
Brooker, C., Repper, J., Beverley, C., Ferriter, M., & Brewer, N. (2002). Mental health services and prisoners: A review. Sheffield, UK: Mental Health Task Force.
5.
Brown, G. K., Beck, A. T., Steer, R. A.,& Grisham, J. R. (2000). Risk factors for suicide in psychiatric outpatients: A 20-year prospective study. Journal of Consulting & Clinical Psychology, 68(3), 371-377.
6.
Brown, M., Comtois, K., & Linehan, M. (2002). Reasons for suicide attempts and nonsuicidal selfinjury in women with borderline personality disorder. Journal of Abnormal Psychology, 111, 198-202.
7.
Caldwell, C. B., & Gottesman, I. I. (1992). Schizophrenia—A high-risk factor for suicides: Clues to risk reduction. Suicide and Life-Threatening Behavior, 22(4), 479-493.
8.
Cannon, M., Buckley, P.,& Larkin, C. (1991). Suicides in schizophrenia. Irish Journal of Psychological Medicine, 8(1), 19-21.
9.
Cheng, K. K., Leung, C. M., Lo, W. H.,& Lam, T. H. (1990). Risk factors among schizophrenics. Acta Psychiatrica Scandinavica, 81(3), 220-224.
10.
Dear, G. E. (1999). Preventing self-harm in prison: Do we need different strategies of indigenous and non-indigenous prisoners?Paper presented at theBest Practice Interventions in Corrections for Indigenous People Conference, Adelaide, Australia.
11.
Dear, G. E., Thomson, D. M., Hall, G. J.,& Howells, K. (1998). Self-inflicted injury and coping behaviors in prison. In R. J. Kosky, H. S. Eshkevari, R. Hassan,& R. Goldney (Eds.), Suicide prevention: The global context(pp. 189-199). New York: Plenum.
12.
Dear, G. E., Thomson, D. M., & Hills, A. M. (2000). Self-harm in prisons: Manipulators can also be suicide attempters. Criminal Justice and Behavior, 27(2), 160-175.
13.
Dooley, E. (1990). Prison suicide in England andWales, 1972-87. British Journal of Psychiatry, 157, 40-45.
14.
Eyestone, L. L., & Howell, R. J. (1994). An epidemiological study of attention-deficit hyperactivity disorder and major depression in a male prison population. Bulletin of the American Academy of Psychiatry and the Law, 22, 181-193.
15.
Franklin, R. K. (1988). Deliberate self-harm: Self-injurious behavior within a correctional mental health population. Criminal Justice and Behavior, 15, 210-218.
16.
Haines, J.,& Williams, C. L. (1997). Coping and problem-solving of self-mutilators. Journal of Clinical Psychology, 59, 1097-1106.
17.
Harris, E. C.,& Barraclough, B. (1998). Excess mortality of mental disorder.British Journal of Psychiatry, 173, 11-53.
18.
Herpertz, S., Sass, H., & Favazza, A. (1997). Impulsivity in self-mutilative behavior: Psychometric and biological findings. Journal of Psychiatric Research, 31, 451-465.
19.
Himber, J. (1994). Blood rituals: Self-cutting in female psychiatric inpatients. Psychotherapy, 31, 620-631.
20.
Jordan, B. K., Schlenger, W. E., Fairbank, J. A.,& Caddell, J. M. (1996). Prevalence of psychiatric disorders among incarceratedwomen: Convicted felons entering prison. Archives of General Psychiatry, 53(6), 513-519.
21.
Kokkevi, A.,& Stefanis, C. (1995). Drug abuse and psychiatric comorbidityComprehensive Psychiatry, 36(5), 329-337.
22.
Liebling, A. (1993). Suicides in young prisoners: A summary. Death Studies, 17(5), 381-409.
23.
Liebling, A.,& Kraup, H. (1993). Suicide attempts and self-injury in male prisoners. Cambridge, UK: Institute of Criminology.
24.
Linehan, M. (1993). The cognitive-behavioral treatment of borderline personality disorder. NewYork: Guilford.
25.
Linehan, M. (2000). The empirical basis of dialectical behavior therapy: Development of new treatments versus evaluation of existing treatments. Clinical Psychology: Science and Practice, 7, 113-119.
26.
Maden, A., Taylor, C. J. A., Brooke, D.,& Gunn, J. (1995). Mental disorder in remand prisoners. London: Institute of Psychiatry, Department of Psychiatry.
27.
McDonald, C., & Murphy, K. C. (2003). The new genetics of schizophrenia. Psychiatric Clinics of North America, 26(1), 41-63.
28.
Power, K. G., & Spencer, A. P. (1987). Parasuicidal behavior of detained Scottish young offenders. International Journal of Offender Therapy and Comparative Criminology, 31(3), 227-235.
29.
Shea, S. (1993). Personality characteristics of self-mutilating male prisoners. Journal of Clinical Psychology, 49, 576-585.
30.
Singleton, N., Meltzer, H., Gatward, R., Coid, J.,& Deasy, D. (1998). Psychiatric Morbidity of prisoners in England and Wales. London: Office for National Statistics.
31.
Suyemoto, K. (1998). The functions of self-mutilation. Clinical Psychology Review, 18, 531-554.
32.
Tice, D., Bratslavsky, E., & Baumeister, R. (2001). Emotional distress regulation takes precedence over impulse control: If you feel bad, do it!Journal of Personality and Social Psychology, 80, 53-67.
33.
Westermeyer, J. F., Harrow, M., & Marengo, J. T. (1991). Risk for suicide in schizophrenia and other psychotic and nonpsychotic disorders. Journal of Nervous and Mental Disorders, 179, 259-266.
34.
Wichmann, C., Serin, R., & Motiuk, L. (2000). Predicting suicide attempts among male offenders in federal penitentiaries(Research report). Ottawa: Correctional Service of Canada.
35.
Zlotnick, C., Mattia, J.,& Zimmerman, M. (1999). Clinical correlates of self-mutilation in a sample of general psychiatric patients. Journal of Nervous and Mental Disease, 187, 296-301.
