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Cited by 58Suicide and Self-Harm StudiesCriminal Justice and Corrections AnalysisSubstance Abuse Treatment and Outcomes

Associations among Substance Use, Mental Health Disorders, and Self-Harm in a Prison Population: Examining Group Risk for Suicide Attempt

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Gates, Madison, Turney, Asher, Ferguson, Elizabeth, Walker, Veronica, Staples-Horne, Michelle·2017·International Journal of Environmental Research and Public Health
DOI 10.3390/ijerph14030317PMC PMC5369153
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Abstract

Substance use disorders (SUD) and mental health disorders are significant public health issues that co-occur and are associated with high risk for suicide attempts. SUD and mental health disorders are more prevalent among offenders (i.e., prisoners or inmates) than the non-imprisoned population, raising concerns about the risk of self-harm. This cross-sectional study examined the population of a state prison system (10,988 out of 13,079) to identify associations among SUD (alcohol, cannabis, intravenous drugs, narcotics, and tobacco smoking), mental health disorders (anxiety, bipolar, depression, and psychotic disorders), and suicide attempts. The primary aim was to determine which groups (SUD, mental health disorders, and co-occurrences) were strongly association with suicide attempts. Groups with a documented SUD or mental health disorders compared to peers without these issues had 2.0 and 9.2 greater odds, respectively, for attempting suicide, which was significant at p < 0.0001 for both conditions. There were also significant differences within SUD and mental health disorders groups in regard to suicide attempts. Groups with the greatest odds for suicide attempts were offenders with comorbid bipolar comorbid and anxiety, alcohol combined with depression, and cannabis co-occurring with depression. Documentation of suicide attempts during imprisonment indicates awareness, but also suggest a need to continue enhancing screening and evaluating environmental settings.

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  • This problem is likely particularly relevant to prison mindfulness interventions, due to their unique client group when compared to general populations.

    “This problem is likely particularly relevant to prison MIs, due to their unique client group when compared to general populations (Gates et al., 2017).”

    From Group-based mindfulness interventions in prisons: a selective critical review (2024) · cites this paper as Gates et al., 2017

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Authors
Gates, M., Turney, A., Ferguson, E., Walker, V., & Staples-Horne, M.
Affiliations
  • Augusta University (US)
  • Centurion, LLC, 53 Century Blvd, Suite 150, Nashville, TN 37214, USA
  • Lexington Public Library (US)
  • Georgia Department of Juvenile Justice (US)
Corresponding author
Gates, Madison
ORCID
Venue
International Journal of Environmental Research and Public Health
Publisher
MDPI AG
Published
2017-03-20
Volume
14
Issue
3
Pages
317
ISSN
1660-4601 (ISSN-L)
DOI
10.3390/ijerph14030317
PMC
PMC5369153
OpenAlex
W2600185136
Cited by
58
References
5
Citations by year
2026: 4 · 2025: 7 · 2024: 7 · 2023: 9 · 2022: 9 · 2021: 4 · 2020: 9 · 2019: 6 · 2018: 2 · 2017: 1
FWCI
6.11
Type
journal article
Language
en
Open access
Licence
Locations
  • International Journal of Environmental Research and Public Health (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • RePEc: Research Papers in Economics (submittedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
  • Social Sciences › Sociology and Political Science › Criminal Justice and Corrections Analysis
  • Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
Keywords
suicide attempts, substance use disorders, mental illness, prisoners, incarcerated offenders, comorbidities, alcohol consumption, cannabis use, depression, anxiety, bipolar disorder, psychosis, smoking, intravenous drug use, suicide risk screening, prison environment
MeSH terms
Adult, Mental Disorders, Cross-Sectional Studies, Female, Georgia, Humans, Male, Middle Aged, Prisoners, Risk Factors, Suicide, Attempted, Comorbidity, Self-Injurious Behavior, Substance-Related Disorders

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