Psychiatric disorders in male prisoners who made near-lethal suicide attempts: case–control study.
Open accessAbstract
Background: Although male prisoners are five times more likely to die by suicide than men of a similar age in the general population, the contribution of psychiatric disorders is not known. Aims: To investigate the association of psychiatric disorders with near-lethal suicide attempts in male prisoners. Method: A matched case–control study of 60 male prisoners who made near-lethal suicide attempts (cases) and 60 prisoners who had never carried out near-lethal suicide attempts in prison (controls) was conducted. Psychiatric disorders were identified with the Mini International Neuropsychiatric Interview (MINI), and information on sociodemographic characteristics and criminal history was gathered using a semi-structured interview. Results: Psychiatric disorders were present in all cases and 62% of controls. Most current psychiatric disorders were associated with near-lethal suicide attempts, including major depression (odds ratio (OR) = 42.0, 95% CI 5.8–305), psychosis (OR = 15.0, 95% CI 2.0–113), anxiety disorders (OR = 6.0, 95% CI 2.3–15.5) and drug misuse (OR = 2.9, 95% CI 1.3–6.4). Lifetime psychiatric disorders associated with near-lethal attempts included recurrent depression and psychoses. Although cases were more likely than controls to meet criteria for antisocial personality disorder, the difference was not statistically significant. Comorbidity was also significantly more common among cases than controls for both current and lifetime disorders. Conclusions: In male prisoners, psychiatric disorders, especially depression, psychosis, anxiety and drug misuse, are associated with near-lethal suicide attempts, and hence probably with suicide.
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The prison population is exposed to multiple other risk factors for suicide (e.g., increased prevalence of mental illness, substance misuse and low socioeconomic position).
“The prison population is exposed to multiple other risk factors for suicide (e.g. increased prevalence of mental illness, substance misuse and low socioeconomic position) ( Humber et al., 2011; Rivlin et al., 2010)”
From The impact of the COVID-19 pandemic on self-harm and suicidal behaviour: a living systematic review (2020) · cites this paper as Rivlin et al., 2010
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References 60 · Cited by 127
Research works printed but not linked: 3
- Daigle MS, Daniel AE, Dear GE, Frottier P, Hayes LM, Kerkhof A, et al. Preventing suicide in prison, Part 2. Crisis 2007; 28: 122-30.
- Hawton K, Appleby L, Platt S, Foster T, Cooper J, Malmberg A, et al. The psychological autopsy approach to studying suicide: a review of methodological issues. J Affect Disord 1998; 50: 269-76.
- Spitzer RL, Williams JBW, Gibbon M, First MB. Structured Clinical Interview for DSM-III-R. American Psychiatric Press, 1990.
- Authors
- Rivlin, A., Hawton, K., Marzano, L., & Fazel, S.
- Affiliations
- Warneford Hospital (GB)
- Corresponding author
- Fazel, Seena
- Venue
- British Journal of Psychiatry
- Publisher
- Royal College of Psychiatrists
- Published
- 2010-10
- Volume
- 197
- Issue
- 4
- Pages
- 313-319
- ISSN
- 0007-1250 (ISSN-L)
- 1472-1465
- OpenAlex
- W2165974524
- Cited by
- 127
- References
- 60
- Citations by year
- 2026: 3 · 2025: 6 · 2024: 4 · 2023: 5 · 2022: 15 · 2021: 10 · 2020: 13 · 2019: 6 · 2018: 8 · 2017: 11 · 2016: 6 · 2015: 11 · 2014: 4 · 2013: 11 · 2012: 6
- FWCI
- 8.45
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- The British Journal of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Social Sciences › Psychology › Clinical Psychology › Psychopathy, Forensic Psychiatry, Sexual Offending
- Social Sciences › Sociology and Political Science › Criminal Justice and Corrections Analysis
- Keywords
- mental illness, incarcerated men, prison suicide, major depressive disorder, psychosis, anxiety disorders, drug abuse, antisocial personality disorder, psychiatric comorbidity, lifetime psychiatric disorders
- MeSH terms
- Adolescent, Adult, Mental Disorders, England, Epidemiologic Methods, Humans, Interview, Psychological, Male, Middle Aged, Prisoners, Suicide, Attempted, Comorbidity, Healthcare Disparities, Young Adult
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