A review of 19 studies suggests that it may be feasible to identify prisoners with suicide risk on the basis of demographic, psychiatric, and criminal characteristics. The present study aimed to identify combinations of characteristics that are capable of identifying potential suicide victims. Characteristics of 95 suicide victims in the Dutch prison system were compared with those of a random sample of 247 inmates in ten jails. Combinations of indicators for suicide risk were also tested for their capability of identifying 209 suicides in U.S. jails and 279 prison suicides in England and Wales. A combination of six characteristics (age 40+, homelessness, history of psychiatric care, history of drug abuse, one prior incarceration, violent offence) was capable of correctly classifying 82% of the Dutch suicide victims (82% specificity). Less powerful combinations correctly classified 53% of the U.S. suicides and 47% of the U.K. suicides. It is concluded that a set of demographic and criminal characteristics and indicators of psychiatric problems is useful for the identification of suicide risk in jails and prisons.
Project staff from the National Center on Institutions and Alternatives (NCIA) gathered information from all jails (county and city) and police department lockups throughout the country regarding the incidence of jail suicides during 1985 and 1986. The study resulted in the identification of 854 jail suicides during 1985-86, with 453 occurring in 1985 and 401 in 1986. Project staff analyzed demographic data on 339 of the 1986 suicides. Subsequent comparison with NCIA's prior national research revealed that, absent minor variations, there were not any appreciable differences in jail suicide characteristics from 1979 and 1986. Most of the key characteristics of jail suicide--offense, intoxication, method/instrument, isolation, and length of incarceration--have remained virtually unchanged over time. The consistency of such findings could impact the ability to deter suicidal behavior. The utilization of these findings in the prevention of jail suicides is discussed.
Inmates in county jails and police lockups commit suicide at a rate of 16 times greater than individuals in the general population. This conclusion was reached as a result of findings in a National Study of Jail Suicides. Documentation of 419 suicides in county and local jails during 1979 is presented. From demographic data collected on 344 of these suicides, a profile of the victim was constructed. The victim is most likely to be a 22-year-old, white, single male. He would have been arrested for public intoxication, the only offense leading to his arrest, and would presumably be under the influence of alcohol and/or drugs upon incarceration. Further, the victim would not have had a significant history of prior arrests. He would have been taken to an urban county jail and immediately placed in isolation for his own protection and/or surveillance. However, less than three hours after incarceration, he would be dead. He would have hanged himself with material from his bed (such as a sheet or pillowcase). The incident would have taken place on a Saturday night in September, between the hours of midnight and 1:00 a.m. Jail staff would have found the victim, they say, within 15 minutes of the suicide. Later, jail records would indicate that the victim did not have a history of mental illness or previous suicide attempts. The special considerations of juvenile suicide, isolation, and intoxication are analyzed. Recommendations for jailers, public officials, and legislators are presented.
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