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Using the Stress-vulnerability Model to Better Understand Suicide in Prison Populations

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Date 2023 Jun 22
PMID 37346061
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Abstract

Suicide is the culmination of the interaction of a number of factors with the critical component being distress. The contribution of mental illness as a vulnerability factor in an individual case of suicide by a prisoner may be significant, marginal or non-existent. Because of the high prevalence in prison populations of all risk factors for suicide, relying solely on those factors is of little use in elaborating the risk of suicide for a given prisoner. Whilst a current mental illness or past history of a suicide attempt are two factors that appear to be strongly associated with completed suicide, no screening or risk assessment tool has any proven efficacy in predicting suicide in prison populations. The stress-vulnerability model offers a more sophisticated and comprehensive assessment and also informs a more individualised needs-based management of the risk of suicide with an emphasis on detecting and responding to a prisoner's distress.

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References
1.
Ryland H, Gould C, McGeorge T, Hawton K, Fazel S . Predicting self-harm in prisoners: Risk factors and a prognostic model in a cohort of 542 prison entrants. Eur Psychiatry. 2020; 63(1):e42. PMC: 7242092. DOI: 10.1192/j.eurpsy.2020.40. View

2.
Fazel S, Benning R . Suicides in female prisoners in England and Wales, 1978-2004. Br J Psychiatry. 2009; 194(2):183-4. DOI: 10.1192/bjp.bp.107.046490. View

3.
Appelbaum P . Lost in the crowd: prison mental health care, overcrowding, and the courts. Psychiatr Serv. 2011; 62(10):1121-3. DOI: 10.1176/ps.62.10.pss6210_1121. View

4.
Rich A, BONNER R . Concurrent validity of a stress-vulnerability model of suicidal ideation and behavior: a follow-up study. Suicide Life Threat Behav. 1987; 17(4):265-70. DOI: 10.1111/j.1943-278x.1987.tb00067.x. View

5.
Stoliker B, Verdun-Jones S, Vaughan A . The relationship between age and suicidal thoughts and attempted suicide among prisoners. Health Justice. 2020; 8(1):14. PMC: 7310337. DOI: 10.1186/s40352-020-00117-3. View