000			02515 2200301 4500
001			409044
011			_a0227-5910
090			_a409044
100			_a20241128d kkky0pory50 ba
101			_aeng
102			_aGB
200			_aPrevention of suicidal behavior in prisons _ean overview of initiatives based on a systematic review of research on near-lethal suicide attempts _fLisa Marzano...[et al.]
330			_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.
461			_cLondon _d2016 _pp. 323-334 _tCrisis _vVol. 37, nº 5
606			_98746 _aSUICÍDIO NA PRISÃO
606			_9327798 _aPREVENÇÃO DO SUICÍDIO
606			_911095 _aCOMPORTAMENTO AUTO-DESTRUTIVO
675			_9420646 _a343.8
700			_9423410 _aMARZANO _bLisa
701			_4070 _9423411 _aHAWTON _bKeith
701			_4070 _9423412 _aRIVLIN _bAdrienne
701			_4070 _9423414 _aPIPER _bMary
701			_4070 _9423413 _aSMITH _bE. Naomi
701			_4070 _9423415 _aFAZEL _bSeena
801			_aPT _gRPC
852			_j343.8MAR