Suicide in Prisoners: A Systematic Review of Risk Factors

摘要: OBJECTIVE: To examine factors associated with suicide in prisoners. DATA SOURCES: Studies were identified through electronic searches of MEDLINE (1950-February 2007), PsycINFO (1806-February EMBASE (1974-February and CINAHL (1982-February 2007) without language restriction using the search terms prison, jail, felon, detainee, penal, custody combined suicide. STUDY SELECTION: Included studies investigations that reported on prisoners dying by who compared control groups (which randomly selected or matched, consisted total average prison population). Subgroup analysis meta-regression used to explore sources heterogeneity. SYNTHESIS: Thirty-four (comprising 4780 cases suicide) for inclusion review, which 12 based United States. Demographic included white race/ethnicity (OR = 1.9, 95% CI 1.7 2.2), being male 1.4 2.5), married 1.5, 1.3 1.7). Criminological occupation a single cell 9.1, 6.1 13.5), detainee/remand status 4.1, 3.5 4.8), serving life sentence 3.9, 1.1 13.3). Clinical recent suicidal ideation 15.2, 8.5 27.2), history attempted 8.4, 6.2 11.4), having current psychiatric diagnosis 5.9, 2.3 15.4), receiving psychotropic medication 4.2, 2.9 6.0), alcohol use problems 3.0, 1.9 4.6). Black was inversely 0.4, 0.3 0.4). Few differences found risk estimates when study design publication type. CONCLUSIONS: Several demographic, criminological, clinical be prisoners, most important cell, ideation, suicide, problems. As some these associations potentially modifiable environmental factors, there is scope targeting prevention strategies individuals custody. Language: en