A systematic review of behavioral health interventions for suicidal and self-harming individuals in prisons and jails

Natalie Winicov, Natalie Winicov

Abstract

This article reviews evaluation studies of interventions aimed at preventing and reducing incidents of suicide and self-harm among incarcerated individuals. Study design, sample characteristics, intervention procedures, study measures, and relevant results of each study are reviewed. The outcomes of interest include severity and frequency of self-harm episodes and suicidal ideation, scores on adaptive coping methods, scoring on the Beck Hopelessness scale and risk scores. The six evaluated studies are peer-reviewed, published between 1990 and 2015, and took place in the United States, the United Kingdom, and Pakistan. Treatment modalities widely vary across studies and include cognitive behavioral therapy, dialectical behavioral therapy, peer programming, staff intervention training, and uniquely-designed courses that incorporate various aspects from other treatment modalities. Due to the nature of the studies, only one multi-randomized controlled trial was identified. All identified studies had a pre- and post-treatment design either lacking a comparison group or containing 1-2 comparison groups and conduct follow-up of varying times. While Cognitive Behavioral Therapy (CBT) interventions and uniquely-tailored intervention programs suggest promising results, the general absence of comparison groups, the shortage of relevant evaluation studies and the inconsistency of behavioral outcome measurements compromise the capacity of this review. Further, definitional variances, particularly for self-injury (self-harm, non-suicidal self-injury [NSSI], deliberate self-harm, suicidal behavior, etc.) affect the ability to synthesize study results. This article aims to synthesize the literature results to identify the most effective interventions that would benefit from additional research.

Keywords: Intervention; NSSI; Prisons; Psychiatry; Psychology; Public health; Self-harm; Self-injury; Sociology; Suicidal behavior.

Figures

Fig. 1
Fig. 1
PRISMA flow diagram for study selection. PRISMA = Preferred Reporting of Items for Systematic Reviews and Meta-Analyses.

References

    1. Appelbaum K., Savageau J., Trestman R., Metzner J., Baillargeon J. A national survey of self-injurious behavior in American prisons. Psychiatr. Serv. 2011;62(3):285–290.
    1. Barker E., Kõlves K., Leo D.D. Management of suicide and self-harming behaviors in prisons: systematic literature review of evidence based activities. Arch. Suicide Res. 2014;18(3):227–240.
    1. Briere J., Gil E. Self-mutilation in clinical and general population samples: prevalence, correlates, and functions. Am. J. Orthopsychiatry. 1998;68(4):609–620.
    1. Cox J.F., Morschauser P.C. A solution to the problem of jail suicide. Crisis. 1997;18:178–184.
    1. Dear G.E., Thomson D.M., Hills A.M. Self-harm in prisons: manipulators can also be suicide attempters. Crim. Justice Behav. 2000;27(2):160–175.
    1. Dixon-Gordon K., Harrison N., Roesch R. Non-suicidal self-injury within offender populations: a systematic review. Int. J. Forensic Ment. Health. 2012;11(1):33–50.
    1. Hall B., Gabor P. Peer suicide prevention in a prison. Crisis. 2004;25:19–26.
    1. Hooley J.M., Franklin J.C. Why do people hurt themselves? A new conceptual model of nonsuicidal self-injury. Clin. Psychol. Sci. 2017;6(3):428–451. 2018.
    1. Horton M., Wright N., Dyer W., Wright-Hughes A., Farrin A., Mohammed Z. Assessing the risk of self-harm in an adult offender population: an incidence cohort study. Health Technol. Assess. 2014;18(64)
    1. Jeglic E., Vanderhoff H., Donovick P. The function of self-harm behavior in a forensic population. Int. J. Offender Ther. Comp. Criminol. 2005;49(2):131–142.
    1. Junker G., Beeler A., Bates J. Using trained offender observers for suicide watch in a federal correctional setting: a win-win solution. Psychol. Serv. 2005;2(1):20–27.
    1. Mitchell P., Smedley K., Kenning C., Mckee A., Woods D., Rennie C.E., Dolan M. Cognitive behaviour therapy for adolescent offenders with mental health problems in custody. J. Adolesc. 2011;34(3):433–443.
    1. Muehlenkamp J.J., Gutierrez P.M. Risk for suicide attempts among adolescents who engage in non-suicidal self-injury. Arch. Suicide Res. 2007;11(1):69–82.
    1. Nock M.K., Kessler R.C. Prevalence of and risk factors for suicide attempts versus suicide gestures: analysis of the National Comorbidity Survey. J. Abnorm. Psychol. 2006;115:616–623.
    1. Noonan . Bureau of Justice Statistics; 2016. Mortality in State Prison, 2001-2014 Statistical Tables. Retrieved from.
    1. Pattison E.M., Kahan J. The deliberate self-harm syndrome. Am. J. Psychiatry. 1983;140:867–872.
    1. Pratt D., Tarrier N., Dunn G., Awenat Y., Shaw J., Ulph F., Gooding P. Cognitive–behavioural suicide prevention for male prisoners: a pilot randomized controlled trial. Psychol. Med. 2015;45(16):3441–3451.
    1. Rabuy P.W. 2016. Mass Incarceration: the Whole Pie 2016. Retrieved. from.
    1. Riaz R., Agha S. Efficacy of cognitive behavior therapy with deliberate self-harm in incarcerated women. Pakistan J. Psychol. Res. 2012;27(1):21–35.
    1. Rohde P., Jorgensen J.S., Seeley J.R., Mace D.,E. Pilot evaluation of the coping course: a cognitive-behavioral intervention to enhance coping skills in incarcerated youth. J. Am. Acad. Child Adolesc. Psychiatry. 2004;43(6):669–678.
    1. Thornton D. Depression, self-injury and attempted suicide amongst the YOI population. In: Fludger N.L., Simmons I.P., editors. Vol. 34. 1990. pp. 47–55. (Proceedings of the Prison Psychologists’ Conference, Division of Psychological Services Report Series 1).
    1. Trupin E.W., Stewart D.G., Beach B., Boesky L. Effectiveness of a dialectical behaviour therapy program for incarcerated female juvenile offenders. Child Adolesc. Ment. Health. 2002;7(3):121–127.
    1. Welfare H., Mitchell J. Addressing vulnerability amongst imprisoned juvenile offenders: an evaluation of the Access course. Int. J. Prison. Health. 2005;1:171–181.

Source: PubMed

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