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Suicide in Adult Correctional Facilities: Key Ingredients to Prevention and Overcoming the Obstacles

Published online by Cambridge University Press:  01 January 2021

Lindsay M. Hayes
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Extract

Despite increased general awareness of suicide in U.S. adult correctional facilities as well as the availability of research and correctional standards that advocate increased attention and services to potentially suicidal inmates, prevention efforts within correctional facilities remain piecemeal and inmate suicide continues to be a serious public health problem. A robotic state of mind excuse, that inmate suicide is not preventable, impedes prevention efforts. In the following discussion, the key ingredients to comprehensive suicide prevention programming are offered to dispel these obstacles.

Suicide is a leading cause of death in jails across the United States, with well over 400 inmates taking their lives each year. In some urban jail facilities, deaths related to acquired immune deficiency syndrome (AIDS) slightly outnumber deaths by suicide. The rate of suicide in county jails is estimated to be approximately nine times greater than that of the general population. Overall, most jail suicide victims are young white males who have been arrested for nonviolent offenses and were intoxicated when arrested.

Type
Article
Information
Journal of Law, Medicine & Ethics , Volume 27 , Issue 3 , Fall 1999 , pp. 260 - 268
Copyright
Copyright © American Society of Law, Medicine and Ethics 1999

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References

See Bureau of Justice Statistics, Jails and Jail Inmates 1993–94 (Washington, D.C.: Department of Justice, NCJ 151651, Apr. 1995): at 11.Google Scholar
See Hayes, L.M., “National Study of Jail Suicides: Seven Years Later,” Psychiatric Quarterly, 60 (1989): 7–29.CrossRefGoogle Scholar
See id. at 26.Google Scholar
See id. at 21.Google Scholar
See Copeland, A.R., “Fatal Suicidal Hangings Among Prisoners in Jail,” Medicine, Science and the Law, 29 (1989): 341–45; DuRand, C.J. Burka, G.J., and Federman, E.J., “A Quarter Century of Suicide in a Major Urban Jail: Implications for Community Psychiatry,” American Journal of Psychiatry, 152 (1995): 1077–80; Frost, R. and Hanzlick, R., “Deaths in Custody: Atlanta City Jail and Fulton County Jail, 1974–1985,” American Journal of Forensic Medicine and Pathology, 9 (1988): 207–11; and Marcus, P. and Alcabes, P., “Characteristics of Suicides by Inmates in an Urban Jail,” Hospital and Community Psychiatry, 44 (1993): 256–61.Google Scholar
See Bonner, R.L., “Isolation, Seclusion, and Psychological Vulnerability as Risk Factors for Suicide Behind Bars,” in Maris, R. Berman, A.L., and Maltsberger, J.T., eds., Assessment and Prediction of Suicide (New York: Guilford Press, 1992): 398–419; and Winkler, G.E., “Assessing and Responding to Suicidal Jail Inmates,” Community Mental Health Journal, 28 (1992): 317–26.Google Scholar
See Bonner, supra note 6, at 404.Google Scholar
See Bureau of Justice Statistics, Correctional Populations in the United States, 1995 (Washington, D.C.: Department of Justice, NCJ 163916, June 1997): at 105 tbl. 5.17.Google Scholar
See Hayes, L.M., “Prison Suicide: An Overview and Guide to Prevention,” Prison Journal, 75 (1995): 431–56.CrossRefGoogle Scholar
See Anno, B.J., “Patterns of Suicide in the Texas Department of Corrections, 1980–1985,” Journal of Prisons and Jail Health, 5 (1985): 83–93; Jones, D., Study of Inmate Suicides (Frankfort: Kentucky Corrections Cabinet, 1986); White, T.W. and Schimmel, D.J., “Suicide Prevention in Federal Prisons: A Successful Five-Step Program,” in Hayes, L.M., ed., Prison Suicide: An Overview and Guide to Prevention (Washington, D.C.: National Institute of Corrections, 1995): 46–57; and Salive, M.E. Smith, G.S., and Brewer, T.F., “Suicide Mortality in the Maryland State Prison System, 1979 through 1987,” JAMA, 262 (1989): 365–69.Google Scholar
See New York State Department of Correctional Services, Characteristics of Suicide Victims in NYSDOCS Between 1986–1994 (Albany: New York State Department of Correctional Services, 1994); and Salive, Smith, , and Brewer, supra note 10.Google Scholar
See White, and Schimmel, supra note 10.Google Scholar
Anno, supra note 10, at 90.Google Scholar
See Haycock, J., “Crimes and Misdemeanors: A Review of Recent Research on Suicide in Prison,” Omega, 23 (1991): 81–91.CrossRefGoogle Scholar
Id. at 90.Google Scholar
The American Correctional Association's standards for suicide prevention in jails and prisons are identical. See American Correctional Association, Standards for Adult Local Detention Facilities (Laurel: American Correctional Association, 1991) [hereinafter Standards for Adult Local Detention Facilities] and American Correctional Association, Standards for Adult Correctional Institutions (Laurel: American Correctional Association, 1991) [hereinafter Standards for Adult Correctional Institutions].Google Scholar
The National Commission on Correctional Health Care's standards for suicide prevention in jails and prisons are identical. See National Commission on Correctional Health Care, Standards for Health Services in Jails (Chicago: National Commission on Correctional Health Care, 1996) [hereinafter Standards for Health Services in Jails]; and National Commission on Correctional Health Care, Standards for Health Services in Prisons (Chicago: National Commission on Correctional Health Care, 1997) [hereinafter Standards for Health Services in Prisons].Google Scholar
See Standards for Health Services in Jails, supra note 17; and Standards for Health Services in Prisons, supra note 17.Google Scholar
See Hayes, L.M., “Jail Standards and Suicide Prevention: Another Look,” Jail Suicide/Mental Health Update, 6, no. 4 (1996): 1–11.Google Scholar
See Hayes, L.M., “National and State Standards for Prison Suicide Prevention: A Report Card,” Journal of Correctional Health Care, 3 (1996): 5–38.Google Scholar
See Marcus, and Alcabes, supra note 5; and Cox, J.F. and Morschauser, P.C., “A Solution to the Problem of Jail Suicide,” Crisis: The Journal of Crisis Intervention and Suicide Prevention, 18 (1997): 178–84.Google Scholar
See Felthous, A.R., “Preventing Jailhouse Suicides,” Bulletin of the American Academy of Psychiatry and the Law, 22 (1994): 477–88.Google Scholar
Several comprehensive training curriculums are available. See, for example, Rowan, J.R. and Hayes, L.M., Training Curriculum on Suicide Detection and Prevention in Jails and Lockups (Mansfield: National Center on Institutions and Alternatives, 1995); New York State Office of Mental Health, Commission of Correction, and Ulster County Community Mental Health Services, Suicide Prevention and Crisis Intervention in County Jails and Police Lockups—Trainer's Manual (Albany: New York State Office of Mental Health, 1986); and New York State Office of Mental Health, Department of Correctional Services and Commission of Correction, Suicide Prevention and Intervention in State Correctional Facilities—Trainer's Manual (Albany: New York State Office of Mental Health, 1995).CrossRefGoogle Scholar
See Hughes, D.H., “Can the Clinician Predict Suicide?,” Psychiatric Services, 46 (1995): 449–51.CrossRefGoogle Scholar
See Clark, D.C. and Horton-Deutsch, S.L., “Assessment in Absentia: The Value of the Psychological Autopsy Method for Studying Antecedents of Suicide and Predicting Future Suicides,” in Maris, Berman, , and Maltsberger, supra note 6, at 144–82.Google Scholar
See Appelbaum, K. Dvoskin, J., and Geller, J., Report on the Psychiatric Management of John Salvi in Massachusetts Department of Correction Facilities, 1995–1996 (Worcester: University of Massachusetts Medical Center, 1997); Anno, supra note 10; and Jones, supra note 10.Google Scholar
See Atlas, R., “Reducing the Opportunity for Inmate Suicide: A Design Guide,” Psychiatric Quarterly, 60 (1989): 161–71; and Lester, D. and Danto, B.L., Suicide Behind Bars: Prediction and Prevention (Philadelphia: Charles Press, 1993).Google Scholar
See Emergency Cardiac Care Committee and Subcommittees, American Heart Association, “Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiac Care,” JAMA, 268 (1992): 2172–83.Google Scholar
See Standards for Adult Local Detention Facilities, supra note 16; Standards for Adult Correctional Institutions, supra note 16; Standards for Health Services in Jails, supra note 17; and Standards for Health Services in Prisons, supra note 17.Google Scholar
See Standards for Adult Local Detention Facilities, supra note 16; Standards for Adult Correctional Institutions, supra note 16; Standards for Health Services in Jails, supra note 17; and Standards for Health Services in Prisons, supra note 17.Google Scholar
See Hayes, supra note 20.Google Scholar
See Mitchell, J.T. and Everly, G.S., Critical Incident Stress Debriefing: An Operations Manual for the Prevention of Traumatic Stress Among Emergency Services and Disaster Workers (Ellicott City: Chevron Publishing, 1996); and Meehan, B., “Critical Incident Stress Debriefing Within the Jail Environment,” Jail Suicide/Mental Health Update, 7, no. 1 (1997): 1–5.Google Scholar
See Sanchez, H.G., “Inmate Suicide and the Psychological Autopsy Process,” Jail Suicide/Mental Health Update, 8, no. 3 (1999): 3–9.Google Scholar
See Hayes, L.M., “Were They Preventable?: The Comprehensive Review of Inmate Suicides,” Jail Suicide/Mental Health Update, 8, no. 3 (1999): 1–3, 9–11.Google Scholar
To ensure confidentiality, all names have been changed. No other modifications to the facts have been made.Google Scholar
See Hayes, L.M., “Custodial Suicide: Overcoming Obstacles to Prevention,” in Liebling, A., ed., in Deaths in Custody: Caring for People at Risk (London: Whiting & Birch, 1996): 169–82.Google Scholar
See, for example, Jail Suicide/Mental Health Update, 7, no. 3 (1998), 8, no. 1 (1998), and 8, no. 2 (1998).Google Scholar
See, for example, Hayes, L.M., “Orange County Sheriff's Department—A Model Suicide Prevention Program,” Jail Suicide/Mental Health Update, 8, no. 1 (1998): 1–7, at 3.Google Scholar
See id. at 6.Google Scholar