During their return from combat, warriors from Greek mythology and Native American traditions received the support of “helpers” to guide the reintegration back into their communities or tribes. While the military provides our modern warriors (MWs), similar helpers, during their departure from their hometown and during their initiation into the military, there is a dearth of comparable help when MWs reintegrate back into their hometowns. We strive to assist mental health providers to serve as such helpers for MWs to shape their reintegration environment, enable MWs to meet their unique needs after exiting the military, ameliorate the MW suicide epidemic, and facilitate MWs to continue their next “mission” to serve and improve society with a newly forged MW identity, wisdom, and sense of purpose.

Purpose This paper mains to bring attention to the potential impact COVID-19 could have on suicide risk among individuals who are incarcerated and those reentering the community after incarceration (i.e. reentry), with particular emphasis on the USA, as well as provide possible solutions to mitigate suicide risk. Design/methodology/approach This paper provides an overview of the association between the COVID-19 pandemic policies and suicide, the vulnerabilities specific to prisoners during the COVID-19 pandemic, relevant suicide risk factors among prisoners, the possible impact of COVID-19 on suicide risk during reentry and proposed solutions for moving forward to mitigate both risks for COVID-19 and suicide. Findings This paper highlights that prisoners and individuals reentering the community are particularly vulnerable to COVID-19 and suicide risk and COVID-19-related stressors may further exacerbate known suicide risk factors (e.g. psychiatric symptoms, lack of positive social ties, low feelings of belonging, feelings of burden, economic problems) and suicidal thoughts and behaviors. This paper also discusses barriers (e.g. lack of funds, access to health and mental health care, COVID-19 testing and personal protective equipment) to managing COVID-19 and suicide risk within prisons and during reentry. Originality/value This paper provides a review of scalable solutions that could mitigate the impact of COVID-19 and suicide risk during this pandemic among prisoners and those reentering the community, such as psychoeducation, self-help stress management, telehealth services, increased access and reduced cost of phone calls, reduced or eliminated cost of soap and sanitization supplies in prisons and early release programs.

Suicide is the leading cause of death in jails across the United States, making suicide prevention a priority of jail mental health care. Nonsuicidal self-injury (NSSI) is also concerning during jail incarceration. This chapter reviews terminology, rates, and statistics of suicide and NSSI behaviors across jail settings, as well as risk and protective factors. We discuss unique considerations for jail settings (e.g., motivations for suicidal behaviors and NSSI) and reentry into the community after jail incarceration. In addition, we review guidelines for practice, including suicide risk screening and assessment, and suicide risk management, with a focus on the development and implementation of suicide prevention and intervention plans for mental health, correctional, and administrative staff team, including sentinel event reviews. We also provide sample clinical scenarios for consideration. Approaching suicide prevention and intervention as a collaborative team effort across staff roles within the jail system is vital.

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