Using data from the National Violent Death Reporting System (2003–2014), this study examined the characteristics and contributing circumstances of suicides in correctional facilities. χ2 and logistic regression analyses revealed that, compared to nonincarcerated suicide decedents, incarcerated suicide decedents had significantly lower odds of positive toxicology for substances but significantly higher odds of substance abuse problems. Descriptive subanalyses indicated that incarcerated suicide decedents often were incarcerated for personal crimes. They often died ≤ 1 week of incarceration, in a cell (frequently single-person or segregation), by hanging, using bedding material. Positive toxicology was more common for incarcerated decedents who died shortly after versus later in their incarceration. Findings highlight the need for enhanced detection and treatment of suicidal behavior, especially during early and vulnerable periods of incarceration.
Al-RousanT., RubensteinL., SieleniB., DeolH., WallaceR. B. (2017). Inside the nation’s largest mental health institution: A prevalence study in a state prison system. BMC Public Health, 17, 342. https://doi.org/10.1186/s12889-017-4257-0
2.
BagnallA. M., SouthJ., HulmeC., WoodallJ., Vinall-CollierK., RaineG., KinsellaK., DixeyR., HarrisL., WrightN. M. J. (2015). A systematic review of the effectiveness and cost-effectiveness of peer education and peer support in prisons. BMC Public Health, 15, 290. https://doi.org/10.1186/s12889-015-1584-x
BlaauwE., KerkhofA. J. F. M., HayesL. M. (2005). Demographic, criminal, and psychiatric factors related to inmate suicide. Suicide and Life-Threatening Behavior, 35(1), 63–75. https://doi.org/10.1521/suli.35.1.63.59268
5.
BlairJ. M., FowlerK. A., JackS. P., CrosbyA. E. (2016). The National Violent Death Reporting System: Overview and future directions. Injury Prevention, 22(Suppl. 1), i6–i11. https://doi.org/10.1136/injuryprev-2015-041819
6.
BronsonJ., BerzofskyM. (2017). Indicators of mental health problems reported by prisoners and jail inmates, 2011-12 (NCJ 250612). Bureau of Justice Statistics. https://www.bjs.gov/content/pub/pdf/imhprpji1112.pdf
Centers for Disease Control and Prevention. (2017). Web-based Injury Statistics Query and Reporting System (WISQARS). National Center for Injury Prevention and Control. https://www.cdc.gov/injury/wisqars/fatal.html
9.
CramerR. J., WechslerH. J., MillerS. L., YenneE. (2017). Suicide prevention in correctional settings: Current standards and recommendations for research, prevention, and training. Journal of Correctional Health Care, 23, 313–328. https://doi.org/10.1177/1078345817716162
10.
FaganT. J., CoxJ., HelfandS. J., AufderheideD. (2010). Self-injurious behavior in correctional settings. Journal of Correctional Health Care, 16, 48–66. https://doi.org/10.1177/1078345809348212
FiscellaK., PlessN., MeldrumS., FiscellaP. (2004). Benign neglect or neglected abuse: Drug and alcohol withdrawal in U.S. jails. Journal of Law, Medicine & Ethics, 32(1), 129–136. https://doi.org/10.1111/j.1748-720X.2004.tb00458.x
13.
HarfordT. C., YiH., ChenC. M., GrantB. F. (2018). Substance use disorders and self- and other-directed violence among adults: Results from the National Survey on Drug Use and Health. Journal of Affective Disorders, 225(1), 365–373. https://doi.org/10.1016/j.jad.2017.08.021
14.
HawtonK., Casañas i ComabellaC., HawC., SaundersK. (2013). Risk factors for suicide in individuals with depression: A systematic review. Journal of Affective Disorders, 147(1-3), 17–28. https://doi.org/10.1016/j.jad.2013.01.004
HayesL. M. (2012). National study of jail suicide: 20 years later. Journal of Correctional Health Care, 18(3), 233–245. https://doi.org/10.1177/1078345812445457
18.
HayesL. M. (2013). Suicide prevention in correctional facilities: Reflections and next steps. International Journal of Law and Psychiatry, 36(3–4), 188–194. https://doi.org/10.1016/j.ijlp.2013.04.010
KonradN., DaigleM. S., DanielA. E., DearG. E., FrottierP., HayesL. M., KerkhofA., LieblingA., SarchiaponeM. (2007). Preventing suicide in prisons, Part I: Recommendations from the International Association for Suicide Prevention Task Force on Suicide in Prison. Crisis, 28(3), 113–121. https://doi.org/10.1027/0227-5910.28.3.113
21.
LoeberR., StallingsR. (2011). Modeling the impact of interventions on local indicators of offending, victimization, and incarceration. In LoeberR., FarringtonD. P. (Eds.), Young homicide offenders and victims: Risk factors, prediction, and prevention from childhood (pp. 137–152). Springer. https://doi.org/10.1007/978-1-4419-9949-8_9
ReevesR., TamburelloA. (2014). Single cells, segregated housing, and suicide in the New Jersey Department of Corrections. Journal of the American Academy of Psychiatry and the Law, 42(4), 484–488. http://jaapl.org/content/42/4/484.long
SnowL., PatonJ., OramC., TeersR. (2002). Self-inflicted deaths during 2001: An analysis of trends. British Journal of Forensic Practice, 4(4), 3–17. https://doi.org/10.1108/14636646200200022
31.
SpohnC. (2013). Racial disparities in prosecution, sentencing, and punishment. In BuceriusS. M., TonryM. (Eds.) The Oxford handbook of ethnicity, crime, and immigration (pp. 166–193). Oxford University Press.
32.
StoneD., HollandK., BartholowB., CrosbyA., DavisS., WilkinsN. (2017). Preventing suicide: A technical package of policies, programs, and practices. Centers for Disease Control and Prevention. https://doi.org/10.15620/cdc.44275
33.
TrevisanL. A., BoutrosN., PetrakisI. L., KrystalJ. H. (1998). Complications of alcohol withdrawal: Pathophysiological insights. Alcohol Health and Research World, 22(1), 61–66.
