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Suicide in prisons

Reflection of the communities served, or exacerbated risk?

Published online by Cambridge University Press:  03 January 2018

Sheila M. Gore
Sheila M. Gore*
Affiliation:
MRC Biostatisttcs Unit, Robinson Way, Cambridge CB2 2SR. Tel; 01223 330368. fax: 01223 330388; e-mail: [email protected]
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Abstract

Background

A recent review showed that opioid users' deaths from suicide were 10 times as common as expected on the basis of age and gender. Surveys showing prisoners' high prevalence of injecting or opioid dependence have led to a new statistical approach to prison suicides.

Aims

To estimate the expected number of UK prison suicides annually, having taken account of inmates' age, gender and opioid dependence.

Method

By gender, estimate the effective number of individuals (in terms of community-equivalent suicide risk) for whom prisons have a duty of care as 10 times the number of opioid-dependent inmates plus the number of non-opioid user inmates. Apply the gender and age-appropriate national suicide rates to work out the expected number of prison suicides.

Results

The Scottish Prison Service can expect 7.1 suicides per annum, and annual totals up to 12 without exacerbation of suicides due to incarceration. For the Prison Service in England and Wales, 19.3 suicides per annum can be expected in prisons, and annual totals may range up to 28 without indicating incarceration; the total of self-inflicted deaths was 47 in 1993–94

Conclusions

Prisons cannot prevent all suicides. An alert may be warranted if prison suicides exceed 12 per annum in Scotland, or 28 in England and Wales.

Type
Papers
Information
The British Journal of Psychiatry , Volume 175 , Issue 1 , July 1999 , pp. 50 - 55
Copyright
Copyright © 1999 The Royal College of Psychiatrists 

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References

Bird, A. G., Gore, S. M., Cameron, S., et al (1995) Anonymous HIV surveillance with risk factor elicitation at Scotland's largest prison. Barlinnie. AIDS, 9, 801–808.CrossRefGoogle ScholarPubMed
Director of Health Cere (1995) Prison Health – Report of the Director of Health Care. April 1993–March 1994. p. 37. London: HM Prison Service.Google Scholar
Gore, S. M., Bird, A. G., Burns, S., et al (1997) Anonymous HIV surveillance with risk-factor elicitation: at Perth (for men) and Cornton Vale (for women) Prisons in Scotland. International Journal of STD & AIDS, 8, 166–175.CrossRefGoogle ScholarPubMed
Gore, S. & Bird, A. G. (1998) Drugs in UK prisons, British Medical Journal, 316, 1256–1257.CrossRefGoogle Scholar
Gore, S. & Bird, A. G. (1999) HIV, hepatitis and drugs epidemiology in Prisons. In Drug Use and Prisons: An International Perspective (eds D. Shewan & J. B. Davies). Reading: Harwood Academic.Google Scholar
Gore, S., Bird, A. G., & Strang, J. S. (1999) Random mandatory drugs testing of prisoners: a biased means of gathering information. Journal of Epidemiology and Biostavstics, 44, 3–9.Google Scholar
Harris, E. C. & Barraclough, B. (1998) Excess mortality of mental disorder. British Journal of Psychiatry, 173, 11–53.CrossRefGoogle ScholarPubMed
HM Chief Inspector of Prisons for Scotland (1998) Report for 1997–98, pp. 19–20. Edinburgh: Scottish Office Home Department.Google Scholar
HM Chief Inspectors of Prisons and of Social Work for Scotland (1998) Women in Prison. Edinburgh: Scottish Office Home Department.Google Scholar
Lewis, G. & Sloggett, A. (1998) Suicide, deprivation, and unemployment: record linkage study. British Medical Journal, 317, 1283–1286.CrossRefGoogle ScholarPubMed
Liebling, A. (1998) Deaths in Custody. Caring for People at Risk, pp. 41–53. London: Whiting and Birch.Google Scholar
Neal, D. (1996) Research, policy and practice: what progress? In Deaths in Custody. Caring for People at Risk (ed. A. Liebling), pp. 54–67. London: Whiting and Birch.Google Scholar
Office of Population, Censuses and Surveys (1995) 1993 Mortality Statistics by Cause. England and Wales, p. 163. London: HMSO.Google Scholar
Platt, S., Haeton, K., Kreitman, N., et al (1988) Recent clinical and epidemiological trends in parasuicide in Edinburgh and Oxford: a tale of two cities. Psychological Medicine, 18, 405–418.CrossRefGoogle Scholar
Registrar General for Scotland (1997) 1996 Annual Report, p. 75. Edinburgh: The General Register Office for Scotland.Google Scholar
Rowan, J. R. (1996) Prevention of deaths in custody – a worldwide problem. In Deaths in Custody. Caring for People at Risk (ed. Liebling, A.), pp. 183–193. London: Whiting and Birch.Google Scholar
Singleton, N., Meitzer, H., Gatward, R., et al (1998) Psychiatric Morbidity among Prisoners in England and Wales, pp. 126–135, 181–280, 13, 27 and 149. London: Office for National Statistics.Google Scholar
Wozniak, E., Dyson, G. & Carnie, J. (1998) The Third Prison Survey. Scottish Prison Service Occasional Paper. No. 3. pp. 267–280.Google Scholar
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