The Role of Loneliness in Prison Suicide Prevention and Management

Brown, Samantha M.; Day, Andrew

doi:10.1080/10509670801992459

Cited by 41 publications

(30 citation statements)

References 23 publications

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“…IPT also has potential for good uptake within prison systems because it (1) is effective in a group format 22,28 , (2) can be effectively delivered by counselors without advanced degrees 28,29 , and (3) addresses the life stressors, relationship challenges, and social isolation that are salient among prisoners with MDD 30–33,34 . This NIMH-funded R01 hybrid cost-effectiveness/implementation study: (1) evaluates the effectiveness of adding IPT for MDD to prison treatment as usual (TAU) relative to TAU alone among male and female prisoners from prisons in two states, and (2) collects descriptive implementation data, including a full cost-effectiveness evaluation, to inform subsequent implementation trials.…”

Section: Introductionmentioning

confidence: 99%

Study protocol: Hybrid Type I cost-effectiveness and implementation study of interpersonal psychotherapy (IPT) for men and women prisoners with major depression

Johnson

Miller

Stout

et al. 2016

Contemporary Clinical Trials

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Purpose This article describes the protocol for a Hybrid Type I cost-effectiveness and implementation study of interpersonal psychotherapy (IPT) for men and women prisoners with major depressive disorder (MDD). The goal is to promote uptake of evidence-based treatments in criminal justice settings by conducting a randomized effectiveness study that collects implementation data, including a full cost-effectiveness analysis. Background More than 2.3 million people are incarcerated in the United States on any given day. MDD is the most common severe mental illness among incarcerated individuals. Despite the prevalence and consequences of MDD among incarcerated populations, this study will be the first fully-powered randomized trial of any treatment for MDD in an incarcerated population. Design Given the politically charged nature of the justice system, advantageous health outcomes are often not enough to get an intervention implemented in prisons. To increase the policy impact of this trial, we sought advice from prison providers and administrators about outcomes that would be persuasive to policy-makers and defensible to the public. In this trial, effectiveness questions will be answered using a randomized clinical trial design comparing IPT plus prison treatment as usual (TAU) to TAU alone, with outcomes including depressive symptoms (primary), suicidality, and in prison functioning (enrollment and completion of correctional programs; disciplinary and incident reports; aggression/victimization; social support). Implementation outcomes will include cost-effectiveness; feasibility and acceptability of IPT to clients, providers, and administrators; prison provider intervention fidelity, attitudes, and competencies; and barriers and facilitators of implementation assessed through surveys, interviews, and process notes.

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Section: Introductionmentioning

confidence: 99%

Study protocol: Hybrid Type I cost-effectiveness and implementation study of interpersonal psychotherapy (IPT) for men and women prisoners with major depression

Johnson

Miller

Stout

et al. 2016

Contemporary Clinical Trials

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show abstract

“…In incarcerated populations, subjective feelings of loneliness have been found to be associated with elevated rates of suicidal ideation and behavior, depression, and hopelessness (Brown and Day 2008). In fact, Brown and Day’s (2008) study of 60 inmates found that those who reported higher levels of loneliness also scored higher on indicators of suicidal behavior. A study by Bonner and Rich (1990) with 146 inmates found a link between loneliness and suicidal ideation.…”

Section: Introductionmentioning

confidence: 99%

Associations between past trauma, current social support, and loneliness in incarcerated populations

et al. 2014

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BackgroundPrisoners are a vulnerable population with higher rates of trauma than community populations. Social support is important for both in–prison adjustment and post-release community re-entry. Loneliness, a related construct to social support, has been found to be associated with elevated rates of suicidal ideation and behavior, depression, and hopelessness in incarcerated populations.MethodsThis study explored the relationship of past physical, sexual, and crime-related trauma to current perceived social support and loneliness in a mixed-gender sample of 235 depressed prisoners enrolled in depression treatment studies.ResultsHistory of any trauma, regardless of type, as well as physical, sexual, and crime-related traumas were associated with lower current perceived social support scores (controlling for gender). Past sexual trauma and crime-related trauma were associated with higher levels of loneliness (controlling for gender), though history of any trauma and physical trauma was not.ConclusionFindings suggest that both overall trauma and specific types of trauma are linked to perceived social support and loneliness among incarcerated persons with major depressive disorder. This is the first study, to the authors’ knowledge, that specifically observed a relationship between past trauma and current social support and loneliness in prison populations. Many intervention programs for prisoners encourage them to develop non-criminogenic and substance-free social networks. These programs should be aware that individuals who have experienced interpersonal trauma may have additional interpersonal challenges, and may need strategies to address interpersonal deficits related to trauma exposure.Electronic supplementary materialThe online version of this article (doi:10.1186/2194-7899-2-7) contains supplementary material, which is available to authorized users.

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“…Durkheim claimed that unhealthy levels of integration can also lead to suicide. A recent study that corroborates his claim is Brown and Day's (2008) finding that prisoners who have no social support systems are at higher risk for egoistic suicide than those who are not as lonely. In contrast, Palestinian suicide bombers provide examples of excessive group integration (Pedahzur & Perliger 2003).…”

Section: Introductionmentioning

confidence: 71%

Suicide among elders: a Durkheimian proposal

Marson

Powell

2010

Int J Ageing Later Life

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This article proposes a model based on Durkheim's suicide framework as a tool for enhancing gerontological practitioner's ability to detect and prevent suicide among elders. Although many suicide detection tools are based on psychological factors, this model focuses on identifying environmental stressors that may increase psychological stressors. To illustrate our concepts, we use case files from one author's experience as a practicing social worker in nursing homes. We offer this model not as a replacement for psychological detection tools, but as an additional tool for practitioners who work to identify and prevent suicides among the elderly.

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The Role of Loneliness in Prison Suicide Prevention and Management

Cited by 41 publications

References 23 publications

Study protocol: Hybrid Type I cost-effectiveness and implementation study of interpersonal psychotherapy (IPT) for men and women prisoners with major depression

Study protocol: Hybrid Type I cost-effectiveness and implementation study of interpersonal psychotherapy (IPT) for men and women prisoners with major depression

Associations between past trauma, current social support, and loneliness in incarcerated populations

Suicide among elders: a Durkheimian proposal

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