02515 2200301 4500 409044 0227-5910 409044 20241128d kkky0pory50 ba eng GB Prevention of suicidal behavior in prisons an overview of initiatives based on a systematic review of research on near-lethal suicide attempts Lisa Marzano...[et al.] Abstract: 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. London 2016 p. 323-334 Crisis Vol. 37, nº 5 SUICÍDIO NA PRISÃO PREVENÇÃO DO SUICÍDIO COMPORTAMENTO AUTO-DESTRUTIVO 343.8 MARZANO Lisa 070 HAWTON Keith 070 RIVLIN Adrienne 070 PIPER Mary 070 SMITH E. Naomi 070 FAZEL Seena PT RPC 343.8MAR 0 343_000000000000000_8MAR 2024-11-28 9780 480654 DGRSP DGRSP DGRSP9780 343.8MAR 2024-11-28 0