Stressful life events among incarcerated women and men: Association with depression, loneliness, hopelessness, and suicidality

Kelly E Moore, Shania Siebert, Garrett Brown, Julia Felton, Jennifer E Johnson, Kelly E Moore, Shania Siebert, Garrett Brown, Julia Felton, Jennifer E Johnson

Abstract

Background: Justice-involved populations report a higher than average number of pre-incarceration stressful life events. However, few studies have described stressful life events which occur during incarceration, explored gender differences in these events, or evaluated the effect of these events on well-being.

Method: This study draws from a sample of male and female adults incarcerated in 6 prison facilities across two states (n = 160) to identify the number and type of stressful life events they experienced during incarceration, gender differences in stressful events, and the relationship between stressful life events and markers of well-being (i.e., depression, hopelessness, loneliness, suicidality). We also examined whether perceived social support would buffer the relationship between stressful events and well-being outcomes.

Results: Participants on average reported experiencing 4 stressful life events during their current incarceration, the most common being relocation to another cell and being made fun of/insulted by someone in the prison. There were few gender differences in types of events experienced. Regression analyses showed that stressful life events were associated with more loneliness, as well as suicidality, but only when participants had low perceived social support.

Conclusions: Stressful life events, and drawing on social support networks to cope with stress, should be addressed in the context of correctional treatments to reduce suicide risk during incarceration.

Keywords: Depression; Gender; Incarceration; Perceived social support; Prison; Stressful life events; Suicide.

Conflict of interest statement

The authors declare that they have no competing interests.

© 2021. The Author(s).

Figures

Fig. 1
Fig. 1
a The relationship between stressful life events and suicidality at low (1 SD below the mean), moderate (mean), and high (1 SD above the mean) levels of perceived social support. b The relationship between incarceration-specific stressful life events and suicidality at low (1 SD below the mean), moderate (mean), and high (1 SD above the mean) levels of perceived social support

References

    1. Ahmad A, Mazlan NH. Stress and depression: A comparison study between men and women inmates in peninsular Malaysia. International Journal of Humanities and Social Sciences. 2014;4(2):153–160.
    1. Asberg K, Renk K. Perceived stress, external locus of control, and social support as predictors of psychological adjustment among female inmates with or without a history of sexual abuse. International Journal of Offender Therapy and Comparative Criminology. 2014;58(1):59–84. doi: 10.1177/0306624X12461477.
    1. Banyard VL, Williams LM, Siegel JA. The impact of complex trauma and depression on parenting: An exploration of mediating risk and protective factors. Child Maltreatment. 2003;8(4):334–349. doi: 10.1177/1077559503257106.
    1. Barrenger SL, Maurer K, Moore KL, Hong I. Mental health recovery: Peer specialists with mental health and incarceration experiences. American Journal of Orthopsychiatry. 2020;90(4):479–488. doi: 10.1037/ort0000450.
    1. Beck A, Kovacs M, Weissman A. Assessment of suicidal intention: The scale of suicide ideation. Journal of Consulting and Clinical Psychology. 1979;47(2):343–352. doi: 10.1037/0022-006X.47.2.343.
    1. Beck A, Weissman A, Lester D, Trexler L. The measurement of pessimism: The hopelessness scale. Journal of Consulting and Clinical Psychology. 1974;42(6):861–865. doi: 10.1037/h0037562.
    1. Biggam FH, Power KG. Social support and psychological distress in a group of incarcerated young offenders. International Journal of Offender Therapy and Comparative Criminology. 1997;41(3):213–230. doi: 10.1177/0306624X97413002.
    1. Blaauw E, Arensman E, Kraaij V, Winkel FW, Bout R. Traumatic life events and suicide risk among jail inmates: The influence of types of events, time period and significant others. Journal of Traumatic Stress. 2002;15(1):9–16. doi: 10.1023/A:1014323009493.
    1. Blaauw E, Winkel FW, Kerkhof A. Bullying and suicidal behavior in jails. Criminal Justice and Behavior. 2001;28(3):279–299. doi: 10.1177/0093854801028003002.
    1. Briere J, Agee E, Dietrich A. Cumulative trauma and current posttraumatic stress disorder status in general population and inmate samples. Psychological Trauma: Theory, Research, and Policy. 2016;8(4):439–446. doi: 10.1037/tra0000107.
    1. Brugha T, Cragg D. The list of threatening experiences: The reliability and validity of a brief life events questionnaire. Acta Psychiatrica Scandinavica. 1990;82(1):77–81. doi: 10.1111/j.1600-0447.1990.tb01360.x.
    1. Bruijniks SJE, DeRubeis RJ, Hollon SD, Huibers MJH. The potential role of learning capacity in cognitive behavior therapy for depression: A systematic review of the evidence and future directions for improving therapeutic learning. Clinical Psychological Science. 2019;7(4):668–692. doi: 10.1177/2167702619830391.
    1. Buchman-Schmitt JM, Chu C, Michaels MS, Hames JL, Silva C, Hagan CR, Ribeiro JD, Selby EA, Joiner TE. The role of stressful life events preceding death by suicide: Evidence from two samples of suicide decedents. Psychiatry Research. 2017;256:345–352. doi: 10.1016/j.psychres.2017.06.078.
    1. Bulmash E, Harkness KL, Stewart JG, Bagby RM. Personality, stressful life events, and treatment response in major depression. Journal of Consulting and Clinical Psychology. 2009;77(6):1067–1077. doi: 10.1037/a0017149.
    1. Carlson, B. E., & Shafer, M. S. (2010). Traumatic histories and stressful life events of incarcerated parents: Childhood and adult trauma histories. The Prison Journal, 90(4), 475–493. 10.1177/0032885510382224.
    1. Celinska K, Sung HE. Gender differences in the determinants of prison rule violations. The Prison Journal. 2014;94(2):220–241. doi: 10.1177/0032885514524882.
    1. Chapman AL, Specht MW, Cellucci T. Factors associated with suicide attempts in female inmates: The hegemony of hopelessness. Suicide and Life-threatening Behavior. 2005;35(5):558–569. doi: 10.1521/suli.2005.35.5.558.
    1. Cheong EV, Sinnott C, Dahly D, Kearney PM. Adverse childhood experiences (ACEs) and later-life depression: Perceived social support as a potential protective factor. BMJ Open. 2017;7(9):e013228. doi: 10.1136/bmjopen-2016-013228.
    1. Cullen FT. Support as an organizing concept for criminology: Presidential address to the academy of criminal justice sciences. Justice Quarterly. 1994;11(4):527–559. doi: 10.1080/07418829400092421.
    1. Davey JW, Gugiu PC, Coryn CL. Quantitative methods for estimating the reliability of qualitative data. Journal of MultiDisciplinary Evaluation. 2010;6(13):140–162.
    1. Douglas N, Plugge E, Fitzpatrick R. The impact of imprisonment on health: What do women prisoners say? Journal of Epidemiology & Community Health. 2009;63(9):749–754. doi: 10.1136/jech.2008.080713.
    1. Favril, L., Indig, D., Gear, C., & Wilhelm, K. (2020). Mental disorders and risk of suicide attempt in prisoners. Social Psychiatry and Psychiatric Epidemiology, 55(11), 1145–1155. 10.1007/s00127-020-01851-7.
    1. Favril L, Vander Laenen F, Vanderviver C, Audenaert K. Suicidal ideation while incarcerated: Prevalence and correlates in a large sample of male prisoners in Flanders, Belgium. International Journal of Law and Psychiatry. 2017;55:19–28. doi: 10.1016/j.ijlp.2017.10.005.
    1. Fazel S, Hayes AJ, Bartellas K, Clerici M, Trestman R. Mental health of prisoners: Prevalence, adverse outcomes, and interventions. The Lancet Psychiatry. 2016;3(9):871–881. doi: 10.1016/S2215-0366(16)30142-0.
    1. Fazel S, Ramesh T, Hawton K. Suicide in prisons: An international study of prevalence and contributory factors. Lancet Psychiatry. 2017;4(12):946–952. doi: 10.1016/S2215-0366(17)30430-3.
    1. Fazel S, Seewald K. Severe mental illness in 33 588 prisoners worldwide: Systematic review and meta-regression analysis. The British Journal of Psychiatry. 2012;200(5):364–373. doi: 10.1192/bjp.bp.111.096370.
    1. Fogel CI. Hard time: The stressful nature of incarceration for women. Issues in Mental Health Nursing. 1993;14(4):367–377. doi: 10.3109/01612849309006900.
    1. Folk JB, Stuewig J, Mashek D, Tangney JP, Grossmann J. Behind bars but connected to family: Evidence for the benefits of family contact during incarceration. Journal of Family Psychology. 2019;33(4):453–464. doi: 10.1037/fam0000520.
    1. Fowler JC, Allen JG, Oldham JM, Frueh BC. Exposure to interpersonal trauma, attachment security, and depression severity. Journal of Affective Disorders. 2013;149(1-3):313–318. doi: 10.1016/j.jad.2013.01.045.
    1. Gosein VJ, Stiffler JD, Frascoia A, Ford EB. Life stressors and posttraumatic stress disorder in a seriously mental ill jail population. Journal of Forensic Science. 2016;61(1):161–121. doi: 10.1111/1556-4029.12874.
    1. Gunter TD, Chibnall JT, Antoniak SK, McCormick B, Black DW. Relative contributions of gender and traumatic life experience to the prediction of mental disorders in a sample of incarcerated offenders. Behavioral Sciences & the Law. 2012;30(5):615–630. doi: 10.1002/bsl.2037.
    1. Hamilton M. A rating scale for depression. Journal of Neurology, Neurosurgery, and Psychiatry. 1960;23(1):56–62. doi: 10.1136/jnnp.23.1.56.
    1. Hammen, C. (2003). Social stress and women’s risk for recurrent depression. Archives of Women’s Mental Health, 6(1), 9-13.10.1007/s00737-002-0160-4.
    1. Harlow, C. W. (2003). Education and correctional populations. Bureau of Justice Statistics, U.S. Department of Justice..
    1. Harner HM, Riley S. The impact of incarceration on women’s mental health: Responses from women in a maximum-security prison. Qualitative Health Research. 2013;23(1):26–42. doi: 10.1177/1049732312461452.
    1. Hochstetler A, Murphy DS, Simons RL. Damaged goods: Exploring predictors of distress in prison inmates. Crime & Delinquency. 2004;50(3):436–457. doi: 10.1177/0011128703257198.
    1. Hopfinger L, Berking M, Bockting CLH, Ebert DD. Emotion regulation mediates the effect of childhood trauma on depression. Journal of Affective Disorders. 2016;198:189–197. doi: 10.1016/j.jad.2016.03.050.
    1. Hurley W, Dunne MP. Psychological distress and psychiatric morbidity in women prisoners. Australian and New Zealand Journal of Psychiatry. 1991;25(4):461–470. doi: 10.3109/00048679109064439.
    1. Jiang S, Winfree LT., Jr Social support, gender, and inmate adjustment to prison life: Insights from a national sample. The Prison Journal. 2006;86(1):32–55. doi: 10.1177/0032885505283876.
    1. Johnson JE, Stout RL, Miller TR, Zlotnick C, Cerbo LA, Andrade JT, Nargiso J, Bonner J, Wiltsey-Stirman S. Randomized cost-effectiveness trial of group interpersonal psychotherapy (IPT) for prisoners with major depression. Journal of Consulting and Clinical Psychology. 2019;87(4):392–406. doi: 10.1037/ccp0000379.
    1. Johnson JE, Zlotnick C. Pilot study of treatment for major depression among women prisoners with substance use disorder. Journal of Psychiatric Research. 2012;46(9):1174–1183. doi: 10.1016/j.jpsychires.2012.05.007.
    1. Jones D, Maynard A. Suicide in recently released prisoners: A systematic review. Mental Health Practice. 2013;17(3):20–27. doi: 10.7748/mhp2013.11.17.3.20.e846.
    1. Kaeble D, Cowhig M. Correctional populations in the United States, 2016 [PDF file] 2018.
    1. Kane M, Dibartolo M. Complex physical and mental health needs of rural incarcerated women. Issues in Mental Health Nursing. 2002;23(3):209–229. doi: 10.1080/016128402753542974.
    1. Kao, J. C., Chuong, A., Reddy, M. K., Gobin, R. L., Zlotnick, C., & Johnson, J. E. (2014). Associations between past trauma, current social support, and loneliness in incarcerated populations. Health and Justice, 2(7). 10.1186/2194-7899-2-7.
    1. Keaveny ME, Zauszniewski JA. Life events and psychological well-being in women sentenced to prison. Issues in Mental Health Nursing. 1999;20(1):73–89. doi: 10.1080/016128499248790.
    1. Kleiman E, Riskind JH, Schaefer KE. Social support and positive events as suicide resiliency factors: Examination of synergistic buffering effects. Archives of Suicide Research. 2014;18(2):144–155. doi: 10.1080/13811118.2013.826155.
    1. Kraaij V, de Wilde EJ. Negative life events and depressive symptoms in the elderly: A lifespan perspective. Aging and Mental Health. 2001;5(1):84–91. doi: 10.1080/13607860020020681.
    1. Kupers T. Trauma and its sequalae in male prisoners: Effects of confinement, overcrowding, and diminished services. American Journal of Orthopsychiatry. 1996;66(2):189–196. doi: 10.1037/h0080170.
    1. Lipsitz JD, Markowitz JC. Mechanisms of change in interpersonal therapy (IPT) Clinical Psychology Review. 2013;33(8):1134–1147. doi: 10.1016/j.cpr.2013.09.002.
    1. Maschi T. Trauma and violent delinquent behavior among males: The moderating role of social support. Stress, Trauma, and Crisis. 2006;9(1):45–72. doi: 10.1080/15434610500506233.
    1. Maschi T, Morgen K, Zgoba K, Courtney D, Ristow J. Age, cumulative trauma and stressful life events, and post-traumatic stress symptoms among older adults in prison: Do subjective impressions matter? The Gerontologist. 2011;51(5):675–686. doi: 10.1093/geront/gnr074.
    1. Maschi T, Viola D, Koskinen L. Trauma, stress, and coping among older adults in prison: Towards a human rights and intergenerational family justice action agenda. Traumatology. 2015;21(3):188–200. doi: 10.1037/trm0000021.
    1. Maschi T, Viola D, Morgen K. Unraveling trauma and stress, coping resources, and mental well-being among older adults in prison: Empirical evidence linking theory and practice. The Gerontologist. 2014;54(5):857–867. doi: 10.1093/geront/gnt069.
    1. Matud MP. Gender differences in stress and coping styles. Personality and Individual Differences. 2004;37(7):1401–1415. doi: 10.1016/j.paid.2004.01.010.
    1. McDaniels-Wilson C, Belknap J. The extensive sexual violation and sexual abuse histories of incarcerated women. Violence Against Women. 2008;14(10):1090–1127. doi: 10.1177/1077801208323160.
    1. Merten MJ, Bishop AJ, Williams AL. Prisoner health and valuation of life, loneliness, and depressed mood. American Journal of Health Behavior. 2012;36(2):275–288. doi: 10.5993/AJHB.36.2.12.
    1. Messina, N., & Grella, C. (2006). Childhood trauma and women’s health outcomes in a California prison population. American Journal of Public Health, 96(10), 1842–1848. 10.2105/AJPH.2005.082016.
    1. Mowen TJ, Boman JH, IV, Schweitzer K. Strain and depression following release from prison: The moderating role of social support mechanisms on substance use. Deviant Behavior. 2020;41(6):750–764. doi: 10.1080/01639625.2019.1595372.
    1. Otte C, Gold SM, Penninx BW, Pariante CM, Etkin A, Fava M, et al. Major depressive disorder. Nature Reviews Disease Primers. 2016;2(1):1–20. doi: 10.1038/nrdp.2016.65.
    1. Pearlin LI. The life course and the stress process: Some conceptual comparisons. Journal of Gerontology: Social Sciences. 2010;65B(2):207–215. doi: 10.1093/geronb/gbp106.
    1. Pearlin LI, Schieman S, Fazio EM, Meersman SC. Stress, health, and the life course: Some conceptual perspectives. Journal of Health and Social Behavior. 2005;46(2):205–219. doi: 10.1177/002214650504600206.
    1. Phillips AC, Carroll D, Der G. Negative life events and symptoms of depression and anxiety: Stress causation and/or stress generation. Anxiety, Stress, and Coping: An International Journal. 2015;28(4):357–371. doi: 10.1080/10615806.2015.1005078.
    1. Porter LC. Being “on point”: Exploring the stress-related experiences of incarceration. Society and Mental Health. 2019;9(1):1–17. doi: 10.1177/2156869318771439.
    1. Pratt D, Foster E. Feeling hopeful: Can hope and social support protect prisoners from suicidal ideation? The Journal of Forensic Psychiatry & Psychology. 2020;31(2):311–330. doi: 10.1080/14789949.2020.1732445.
    1. Radatz DL, Wright EM. Does polyvictimization affect incarcerated and non-incarcerated adult women differently? An exploration into internalizing problems. Journal of Interpersonal Violence. 2017;32(9):1379–1400. doi: 10.1177/0886260515588921.
    1. Richie F, Bonner J, Wittenborn A, Weinstock LM, Zlotnick C, Johnson J. Social support and suicidal ideation among prisoners with major depressive disorder. Archives of Suicide Research. 2019;25(1):1–8. doi: 10.1080/13811118.2019.1649773.
    1. Rivlin A, Hawton K, Marzano L, Fazel S. Psychosocial characteristics and social networks of suicidal prisoners: Towards a model of suicidal behaviour in detention. PLoS One. 2013;8(7):e68944. doi: 10.1371/journal.pone.0068944.
    1. Robbers ML. Revisiting the moderating effect of social support on strain: A gendered test. Sociological Inquiry. 2004;74(4):546–569. doi: 10.1111/j.1475-682X.2004.00104.x.
    1. Rush A, Trivedi M, Ibrahim H, Carmody T, Arnow B, Klein D, Markowitz J, Ninan P, Kornstein S, Manber R, Thase M, Kocsis J, Keller M. The 16-item quick inventory of depressive symptomatology (QIDS), clinician rating (QIDS-C), and self-report (QIDS-SR): A psychometric evaluation in patients with chronic major depression. Biological Psychiatry. 2003;54(5):573–583. doi: 10.1016/S0006-3223(02)01866-8.
    1. Russell D. UCLA loneliness scale (version 3): Reliability, validity, and factor structure. Journal of Personality Assessment. 1996;66(1):20–40. doi: 10.1207/s15327752jpa6601_2.
    1. Scott CK, Lurigio AJ, Dennis ML, Funk RR. Trauma and morbidities among female detainees in a large urban jail. The Prison Journal. 2016;96(1):102–125. doi: 10.1177/0032885515605490.
    1. Senol-Durak E, Gencoz F. Factors associated with the symptoms of depression and anxiety among male Turkish prisoners: A life crisis and personal growth model perspective. The Journal of Forensic Psychiatry & Psychology. 2010;21(4):587–603. doi: 10.1080/14789941003624106.
    1. Singer MI, Bussey J, Song L, Lunghofer L. The psychological issues of women serving jail time. Social Work. 1995;40:103–113. doi: 10.1093/sw/40.1.103.
    1. Sykes, G. (1958). The society of captives: A study of a maximum security prison. Princeton University Press.
    1. Turney, K., Wildeman, C., & Schnittker, J. (2012). As fathers and felons: Explaining the effects of current and recent incarceration on major depression. Journal of Health and Social Behavior, 53(4), 465–481. 10.1177/0022146512462400.
    1. Vanhooren S, Leijssen M, Dezutter J. Ten prisoners on a search for meaning: A qualitative study of loss and growth during incarceration. The Humanistic Psychologist. 2017;45(2):162–178. doi: 10.1037/hum0000055.
    1. Wanklyn SG, Day DM, Hart TA, Girard TA. Cumulative childhood maltreatment and depression among incarcerated youth: Impulsivity and hopelessness as potential intervening variables. Child Maltreatment. 2012;17(4):306–317. doi: 10.1177/1077559512466956.
    1. Wolff N, Draine J. Dynamics of social capital of prisoners and community reentry: Ties that bind? Journal of Correctional Health Care. 2004;10(3):457–490. doi: 10.1177/107834580301000310.
    1. Zheng, Z. (2020). Jail inmates in 2018. Bureau of Justice Statistics. .
    1. Zimet G, Dahlem N, Zimet S, Farley G. The multidimensional scale of perceived social support. Journal of Personality Assessment. 1988;52(1):30–41. doi: 10.1207/s15327752jpa5201_2.

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