02340     2200265   4500001000700000011001400007100004100021101000800062102000700070200017300077330150700250461005301757606002801810606003201838606003401870675001001904700001801914701002301932701002601955701002101981701002502002701002202027801001202049852001302061409044  a0227-5910  a20241128d        kkky0pory50      ba  aeng  aGB  aPrevention of suicidal behavior in prisonsean overview of initiatives based on a systematic review of research on near-lethal suicide attemptsfLisa Marzano...[et al.]  aAbstract: Background: Worldwide, prisoners are at high risk of suicide. Research on near-lethal suicide attempts can provide important insights into risk and protective factors, and inform suicide prevention initiatives in prison. Aims: To synthesize findings of research on near-lethal attempts in prisons, and consider their implications for suicide prevention policies and practice, in the context of other research in custody and other settings. Method: We searched two bibliographic indexes for studies in any language on near-lethal and severe self-harm in prisoners, supplemented by targeted searches over the period 2000–2014. We extracted information on risk factors descriptively. Data were not meta-analyzed owing to heterogeneity of samples and methods. Results: We identified eight studies reporting associations between prisoner near-lethal attempts and specific factors. The latter included historical, prison-related, and clinical factors, including psychiatric morbidity and comorbidity, trauma, social isolation, and bullying. These factors were also identified as important in prisoners’ own accounts of what may have contributed to their attempts (presented in four studies). Conclusion: Factors associated with prisoners’ severe suicide attempts include a range of potentially modifiable clinical, psychosocial, and environmental factors. We make recommendations to address these factors in order to improve detection, management, and prevention of suicide risk in prisoners.  cLondond2016pp. 323-334tCrisisvVol. 37, nº 5  aSUICÍDIO NA PRISÃO   aPREVENÇÃO DO SUICÍDIO  aCOMPORTAMENTO AUTO-DESTRUTIVO  a343.8  aMARZANObLisa  4070aHAWTONbKeith  4070aRIVLINbAdrienne  4070aPIPERbMary  4070aSMITHbE. Naomi  4070aFAZELbSeena  aPTgRPC  j343.8MAR