A typology of male prisoners making near-lethal suicide attempts.

BACKGROUND: Prisoners are at high risk of suicide. AIMS: This study aimed to develop a typology of prison suicide. METHOD: We interviewed 60 male prisoners who made near-lethal suicide attempts in prison to obtain quantitative and qualitative data regarding psychiatric, psychological, social, and cr...

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Main Authors: Rivlin, A, Ferris, R, Marzano, L, Fazel, S, Hawton, K
Format: Journal article
Language:English
Published: 2013
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author Rivlin, A
Ferris, R
Marzano, L
Fazel, S
Hawton, K
author_facet Rivlin, A
Ferris, R
Marzano, L
Fazel, S
Hawton, K
author_sort Rivlin, A
collection OXFORD
description BACKGROUND: Prisoners are at high risk of suicide. AIMS: This study aimed to develop a typology of prison suicide. METHOD: 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. RESULTS: 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). CONCLUSION: 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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spelling oxford-uuid:39b2bbb4-0bcb-4824-8135-d5406524fbaf2022-03-26T13:57:13ZA typology of male prisoners making near-lethal suicide attempts.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:39b2bbb4-0bcb-4824-8135-d5406524fbafEnglishSymplectic Elements at Oxford2013Rivlin, AFerris, RMarzano, LFazel, SHawton, KBACKGROUND: Prisoners are at high risk of suicide. AIMS: This study aimed to develop a typology of prison suicide. METHOD: 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. RESULTS: 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). CONCLUSION: 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.
spellingShingle Rivlin, A
Ferris, R
Marzano, L
Fazel, S
Hawton, K
A typology of male prisoners making near-lethal suicide attempts.
title A typology of male prisoners making near-lethal suicide attempts.
title_full A typology of male prisoners making near-lethal suicide attempts.
title_fullStr A typology of male prisoners making near-lethal suicide attempts.
title_full_unstemmed A typology of male prisoners making near-lethal suicide attempts.
title_short A typology of male prisoners making near-lethal suicide attempts.
title_sort typology of male prisoners making near lethal suicide attempts
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