Carey Marr, Christie Browne, Mariya Romanovich, Kirsty Smith, Trevor Ma, Sarah-Jane Spencer, Eve Slavich, Vindya Nanayakkara, Kimberlie Dean
{"title":"Self-harm in a prison mental health unit: a pilot trial of a structured professional judgement approach to risk assessment and safety planning.","authors":"Carey Marr, Christie Browne, Mariya Romanovich, Kirsty Smith, Trevor Ma, Sarah-Jane Spencer, Eve Slavich, Vindya Nanayakkara, Kimberlie Dean","doi":"10.1108/IJOPH-11-2024-0066","DOIUrl":"10.1108/IJOPH-11-2024-0066","url":null,"abstract":"<p><strong>Purpose: </strong>Evidence to support approaches to reducing self-harm (SH) and suicide in prison settings is lacking, despite increased risk in these settings. This study aims to describe a pilot trial of a health service-improvement initiative intended to provide a structured framework to support mental health clinicians in assessing and managing risk of SH /suicide in a prison setting.</p><p><strong>Design/methodology/approach: </strong>The authors examined all clinically reported SH incidents in a prison mental health unit over a three-year period. In the third year, the authors piloted a novel intervention, the Suicide/Self-Harm, Legal, Individual, Psychiatric, Safety Plan (SLIPS) framework, aimed at reducing SH and suicide behaviours. Routinely recorded data from clinical notes were used to examine both incidents of SH as well as reported thoughts of SH.</p><p><strong>Findings: </strong>No statistically significant reduction in the number of SH incidents was observed. An increase in patients reporting thoughts of SH to staff was seen in the post-SLIPS period, potentially reflecting an improvement in patient-staff engagement. Implementation of the intervention was challenging, with just under 20% of individuals in the unit receiving an SLIP assessment or safety plan.</p><p><strong>Originality/value: </strong>This study focused on a unique population of patients in a prison mental health screening unit and used a novel structured professional judgement approach to developing a framework for supporting clinicians to undertake the difficult job of assessing and managing SH and suicide risk in prison.</p>","PeriodicalId":519936,"journal":{"name":"International journal of prison health","volume":" ","pages":"218-232"},"PeriodicalIF":0.0,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143797373","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Substance use disorder diagnoses as predictors of rule violations in a county detention center in the USA.","authors":"Danielle Moody, Albert M Kopak, Alexa J Singer","doi":"10.1108/IJOPH-12-2023-0089","DOIUrl":"10.1108/IJOPH-12-2023-0089","url":null,"abstract":"<p><strong>Purpose: </strong>Substance use disorder (SUD) is one of the most prevalent behavioral health conditions observed among adults processed into county detention centers and behavioral misconduct is a pressing concern in terms of the safety of correctional staff; however, little is known about the connection between these two important factors. The purpose of this study is to examine the association between specific SUDS and documented rule violations in a county jail in the USA.</p><p><strong>Design/methodology/approach: </strong>This prospective study used data collected from a random sample of 210 adults admitted to a small county jail in the USA to examine the association between SUD diagnoses and jail rule violations. The Comprehensive Addictions and Psychological Evaluation-5 was used to identify specific SUDs and official correctional records were reviewed to collect formal reports of misconduct.</p><p><strong>Findings: </strong>Bivariate results indicated participants who were involved in rule violations were significantly more likely to meet the criteria for specific SUDs, including those related to alcohol, methamphetamine and opioids. Examination of the adjusted hazard ratios generated from a Cox proportional regression analysis demonstrated symptoms consistent with severe SUDs increased the rate of receiving a violation by 31%. Opioid use disorder had a specific impact on violations by increasing the rate among those who met the criteria for the condition by 145%.</p><p><strong>Originality/value: </strong>There are many challenges associated with conducting research in county detention centers and these restrictions have limited the understanding of how SUDs may contribute to misconduct. The current study examined these prevalent behavioral health conditions and highlighted the need to prioritize methods to address SUD in county detention centers to promote the safety and well-being of staff as well as people who are incarcerated.</p>","PeriodicalId":519936,"journal":{"name":"International journal of prison health","volume":"21 2","pages":"233-240"},"PeriodicalIF":0.0,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144059670","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sofia Mendez-Sandoval, Javier Alonso León Chavarria, Carlos Castro Mejía, Sebastián Vargas Cabezas, Eva Diana Quirós Orozco
{"title":"Implementation of good documentation practices and good storage and distribution practices for medical products in female penitentiary in Costa Rica.","authors":"Sofia Mendez-Sandoval, Javier Alonso León Chavarria, Carlos Castro Mejía, Sebastián Vargas Cabezas, Eva Diana Quirós Orozco","doi":"10.1108/IJOPH-07-2024-0044","DOIUrl":"10.1108/IJOPH-07-2024-0044","url":null,"abstract":"<p><strong>Purpose: </strong>This paper aimed to the enhancement of health-care services at a female penitentiary center in Costa Rica by implementing good documentation practices (GDocP) and good storage and distribution practices (GSDP) among the staff responsible for medications (SRM).</p><p><strong>Design/methodology/approach: </strong>The methodology used in this project was qualitative, as it sought to deepen and reinforce the knowledge of the SRM about GDocP and GSDP in the Vilma Curling CAI to achieve its implementation. Additionally, different questionnaires were applied to measure the initial level of knowledge of GDocP and GSDP and the new skills acquired by the SRM at the end of the project.</p><p><strong>Findings: </strong>Some improvement opportunities were identified in pharmaceutical service, management of the documentary system and knowledge of GDocP and GSDP among SRM. It is important to highlight the essential role of pharmacists, as experts in medical products, in health-care teams. Their participation significantly contributes to improving health outcomes for vulnerable populations, such as incarcerated women.</p><p><strong>Research limitations/implications: </strong>Limitations included a small sample size, the security regulations to entry to the penitentiary center and limited information related to the implementation of GDocP and GSDP in such environment.</p><p><strong>Originality/value: </strong>This project explores a poorly researched field such as the implementation of GDocP and GSDP and the impact that this could have on the pharmaceutical service of a penitentiary center.</p>","PeriodicalId":519936,"journal":{"name":"International journal of prison health","volume":" ","pages":"116-124"},"PeriodicalIF":0.0,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143025827","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The role of positive leadership in influencing recreational and extracurricular (R&E) programs to address mental wellbeing of prisoners.","authors":"Amaani Rauniar","doi":"10.1108/IJOPH-06-2024-0031","DOIUrl":"10.1108/IJOPH-06-2024-0031","url":null,"abstract":"<p><strong>Purpose: </strong>Mental health issues such as stress, anxiety and depression are prevalent among the prisoners, highlighting the urgent need to address mental health challenges in prison facilities. Existing research highlights the crucial role of recreational and extracurricular (R&E) programs in promoting the mental well-being of prisoners. Another stream of literature identifies the importance of effective leadership within the prison system to the success of these programs and services aimed at improving the mental health of incarcerated individuals. The purpose of this study is to provide a thorough examination of the breadth, scope and characteristics of the published literature, focusing on how positive leadership in prison settings can foster the success of R&E programs in addressing mental health challenges among prisoners.</p><p><strong>Design/methodology/approach: </strong>In this scoping review, a systematic literature review (SLR), using the guidelines of preferred reporting items for systematic reviews and meta-analysis (PRISMA, 2020) by Page et al. (2021), was followed which provides guidelines for study selection and research question, identification of relevant studies via databases and registers, multi-step screening to exclude literatures that are not directly relevant and finalizing body of literature for theory development, summarizing and reporting. The included studies for theory development were appraised for quality using methodology-specific tools. A critical narrative synthesis was adopted to present a theoretical framework for positive leadership influence on R&E programs to promote prisoner engagement and their mental well-being.</p><p><strong>Findings: </strong>The SLR procedure resulted in a total of 122 studies that met the inclusion criteria for the topics of the current paper. The finalized list of studies that were used for theory development included 21studies in the area of prison and prison system (including organizations), 33 in the area of individual and team behavior (including inmates and correctional officers), 26 in the area of leadership (both organizational and correctional facilities), 12 in the area of R&E (including training and education), 31 in the area of mental health and behavior and 2 studies on research methods. Of these 122 studies, 83 studies were peer-reviewed scientific publications, selected chapters from 7 books, while the remaining 32 included nonscientific and anecdotal reports.</p><p><strong>Originality/value: </strong>Despite the plethora of literature on the significance of effective leadership within organizational strategies and operations, there remains a notable gap in literature regarding the role of leadership and other enabling factors in the implementation and management of effective programs within correctional facilities aimed at improving the mental well-being of prisoners. This paper explores the role and relationship of leadership and R&E programs and acti","PeriodicalId":519936,"journal":{"name":"International journal of prison health","volume":" ","pages":"75-93"},"PeriodicalIF":0.0,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142820533","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Undernutrition and associated factors among prisoners in Bahir Dar Zone Prison Center, Northwest Ethiopia, 2021.","authors":"Gebyaw Lulie Adamu, Tadele Fentabil Anagaw, Genet Endalik Bishaw, Omer Seid Adem, Hunegnaw Almaw Derseh","doi":"10.1108/IJOPH-12-2023-0088","DOIUrl":"10.1108/IJOPH-12-2023-0088","url":null,"abstract":"<p><strong>Purpose: </strong>This study aims to assess undernutrition and associated factors among prisoners in Bahir Dar Zone Prison Center, Ethiopia, in 2021.</p><p><strong>Design/methodology/approach: </strong>An institution-based cross-sectional study was conducted among randomly selected 582 prisoners from October 1 to October 30, 2021. An interviewer-administered, semistructured questionnaire was used to collect the required data. The body mass index (BMI) was assessed to determine the nutritional status of prisoners. Data were entered into Epi-Info statistical software version 7 and exported to SPSS version 23 for analysis. Both bi-variable and multivariable logistic regression analyses were used to identify factors associated with undernutrition. In multivariable binary logistic regression analysis, variables with a <i>p</i>-value < 0.05 were considered significant. Adjusted odds ratios (AOR) and 95% confidence intervals (CIs) were used to measure the strength of the association.</p><p><strong>Findings: </strong>The prevalence of undernutrition was 17.5% (95% CI: 14.3, 21). Imprisonment history (AOR: 4.98, 95% CI: 2.80, 8.86), history of cigarette smoking (AOR: 5.38, 95% CI: 2.86, 10.13), imprisonment duration (AOR: 1.82, 95% CI: 1.04, 3.19), diarrheal diseases (AOR: 1.98, 95% CI: 1.15, 3.41), depression (AOR: 3.23, 95% CI: 1.88, 5.57) and poor social support (AOR: 7.09, 95% CI: 3.57, 14.05) were factors significantly increasing the odds of undernutrition.</p><p><strong>Originality/value: </strong>This manuscript is an original research article that was conducted by using primary data. The finding of the study implies that the magnitude of undernutrition among prisoners in the Bahir Dar Prison Center was found to be lower than the general population in Ethiopia. Therefore, this paper recommended behavioral change intervention, promotion of mental support and health education, cessation of cigarette smoking and management of diarrheal disease.</p>","PeriodicalId":519936,"journal":{"name":"International journal of prison health","volume":" ","pages":"13-27"},"PeriodicalIF":0.0,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142961111","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Stein Egil Kolderup Hervik, Astrid Kolderup Hervik, Trine Thoresen, Miranda Thurston
{"title":"\"When you've been living in darkness, the light suddenly becomes frightening\" - prisoners' experiences of health promotion in a Norwegian prison.","authors":"Stein Egil Kolderup Hervik, Astrid Kolderup Hervik, Trine Thoresen, Miranda Thurston","doi":"10.1108/IJOPH-05-2024-0026","DOIUrl":"10.1108/IJOPH-05-2024-0026","url":null,"abstract":"<p><strong>Purpose: </strong>A settings-based approach to health promotion emphasizes everyday environments in shaping health. Prisons are, therefore, potentially important arenas for health promotion. However, the inherent restriction of prisoner agency presents a fundamental challenge in this regard. There is a gap in qualitative research on prisoners' perspectives on health-related topics and a need for greater understanding of health promotion within prisons. This study aims to explore male prisoners' experiences of a Norwegian low-security prison as a setting for health promotion.</p><p><strong>Design/methodology/approach: </strong>This study was conducted in Forest Prison, a Norwegian low-security facility for 125 male prisoners. The prison offers various amenities and activities to prepare inmates for reintegration into society. The research used semi-structured interviews with 20 diverse prisoners. Interviews were transcribed and analyzed using Gale <i>et al.</i>'s framework method.</p><p><strong>Findings: </strong>This study revealed varied prisoner perspectives on Forest Prison as a setting for health promotion. In prisoners' talk, the importance of agency was evident. Restricted agency triggered negative emotions and distrust, while extended agency fostered trust and wellbeing. Although Forest Prison provides a considerable degree of agency, some prisoners did not fully benefit from this agentic context because of disparities in resources.</p><p><strong>Originality/value: </strong>Initiatives across three areas of action will strengthen Forest Prison as a setting for health promotion: extending agency, empowering prisoners and developing a prison culture with positive social relationships, effective communication and information flow. The findings of this study provide theoretical insights beyond the specific context, which can serve as a basis for developing prisons as health promoting settings.</p>","PeriodicalId":519936,"journal":{"name":"International journal of prison health","volume":" ","pages":"42-54"},"PeriodicalIF":0.0,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142776311","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ramazan Mert Atan, Sedat Arslan, Kevser Tari Selçuk
{"title":"Health behind bars: obesity and cardiometabolic risk according to different indicators in incarcerated men.","authors":"Ramazan Mert Atan, Sedat Arslan, Kevser Tari Selçuk","doi":"10.1108/IJOPH-07-2024-0037","DOIUrl":"10.1108/IJOPH-07-2024-0037","url":null,"abstract":"<p><strong>Purpose: </strong>This study aims to evaluate the obesity and cardiometabolic disease risks of incarcerated men and to determine the related factors.</p><p><strong>Design/methodology/approach: </strong>This study was cross-sectional and 139 incarcerated men were included. Data were collected using a questionnaire containing the Descriptive Information Form and the Pittsburgh Sleep Quality Index. The incarcerated men' body mass index (BMI), waist circumference, waist-to-hip ratio and waist-to-height ratio were evaluated. The significance level of statistical tests was accepted as <i>p</i> < 0.05.</p><p><strong>Findings: </strong>According to BMI, the rates of incarcerated men with overweight were 53.2% and with obesity were 13.7%. Their cardiometabolic disease risk according to waist circumference, waist-to-hip ratio and waist-to-height ratio was 47.5%, 53.2% and 73.4%, respectively. The cardiometabolic disease risk was 2.66 times higher in the married and 3.71 times higher in those with senior high school or lower education according to waist circumference, and 4.16 times higher in those who were in the aged = 40 years according to the waist-to-hip ratio, 3.49 times higher in those who were in the aged = 40 years and 4.26 times higher in those with senior high school or lower education according to the waist-to-height ratio.</p><p><strong>Originality/value: </strong>To the best of the authors' knowledge, this study is the first study in which obesity and the risk of cardiometabolic disease in incarcerated men was investigated in Türkiye. In the incarcerated individuals, there was an association between the increased cardiometabolic diseases risk and variables such as older age, being married and having senior high school or lower education.</p>","PeriodicalId":519936,"journal":{"name":"International journal of prison health","volume":" ","pages":"103-115"},"PeriodicalIF":0.0,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142934338","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Michael Denhof, Rachel Crawley, Leigha Puckett, Jesse Wiese, Theresa Ferry
{"title":"The development and psychometric properties of the Prison Fellowship-Well-being Index (PF WBI).","authors":"Michael Denhof, Rachel Crawley, Leigha Puckett, Jesse Wiese, Theresa Ferry","doi":"10.1108/IJOPH-03-2024-0009","DOIUrl":"10.1108/IJOPH-03-2024-0009","url":null,"abstract":"<p><strong>Purpose: </strong>This paper aims to describe the development and validation of the Prison Fellowship Well-being index (PF-WBI), a new quantitative tool for assessing prisoner and staff well-being within prison cultures.</p><p><strong>Design/methodology/approach: </strong>The PF-WBI was developed through an iterative process of item creation, administration alongside established well-being measures and a series of data analyses. Data was collected from both staff and prisoners (<i>n</i> = 989) across four North Dakota prisons.</p><p><strong>Findings: </strong>Analysis supported a four-factor structure for the PF-WBI measuring motivation/self-esteem, relationships/community functioning, hope/mood and stress-related detriments. The PF-WBI demonstrated excellent internal consistency reliability, convergent validity with established well-being measures and criterion-related validity for both staff and prisoners. Measurement invariance across staff and prisoners was also confirmed.</p><p><strong>Originality/value: </strong>The PF-WBI offers a new and versatile tool for researchers and practitioners to assess staff and prisoner well-being in correctional settings. It can be used to evaluate prison cultures and the effectiveness of culture improvement efforts.</p>","PeriodicalId":519936,"journal":{"name":"International journal of prison health","volume":" ","pages":"55-74"},"PeriodicalIF":0.0,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11915086/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142690342","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Manjistha Datta, Sujita Kumar Kar, S M Yasir Arafat
{"title":"Suicide among prisoners: a bibliometric analysis.","authors":"Manjistha Datta, Sujita Kumar Kar, S M Yasir Arafat","doi":"10.1108/IJOPH-04-2024-0016","DOIUrl":"10.1108/IJOPH-04-2024-0016","url":null,"abstract":"<p><strong>Purpose: </strong>Suicide in prisons accounts for about half of all prison deaths globally. A bibliometric analysis would indicate research output and potential contributors in the sector, which has not been conducted previously. The purpose of this paper was to conduct a bibliometric analysis to understand the patterns, trends and gaps in research on this issue.</p><p><strong>Design/methodology/approach: </strong>The PubMed database was searched by using the terms: (suicide) AND ((Prison) OR (prisoner) OR (incarceration)). A bibliometric analysis was done with the help of Harvard Catalyst, PubMed PubReMiner and biblioshiny.</p><p><strong>Findings: </strong>A total of 1,683 publications were identified in the PubMed database from 1949 to 2024, with an annual growth rate of 4.4% and a Hirsch index of 46. Journal articles were the top publications with the highest number in the journal Crisis. The USA published the highest number of articles, and countries with low income showed much less production.</p><p><strong>Originality/value: </strong>Prison suicide is not well-researched worldwide. The majority of the studies are published in high-income countries. An interdisciplinary outlook and more intervention-based and longitudinal studies are required in this field. Importantly, more research in low- and middle-income countries is required to understand mental health issues and prevent suicide in prisons.</p>","PeriodicalId":519936,"journal":{"name":"International journal of prison health","volume":" ","pages":"94-102"},"PeriodicalIF":0.0,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142901571","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
JohnBosco Chika Chukwuorji, Lauren M Weinstock, Min Eun Jeon, Tosca D Braun, Sarah A Arias, Morgan K Cinader, Haneen Hammad, Ted Miller, Jennifer E Johnson
{"title":"Suicide methods in the year following release from pretrial jail detention.","authors":"JohnBosco Chika Chukwuorji, Lauren M Weinstock, Min Eun Jeon, Tosca D Braun, Sarah A Arias, Morgan K Cinader, Haneen Hammad, Ted Miller, Jennifer E Johnson","doi":"10.1108/IJOPH-10-2024-0059","DOIUrl":"10.1108/IJOPH-10-2024-0059","url":null,"abstract":"<p><strong>Purpose: </strong>Despite an increasing body of knowledge on suicide methods, no previous studies have examined methods of past suicide attempts among individuals in pretrial jail detention and a follow-up after release from jail in the USA or in any other country. This study aims to describe suicide attempt methods considered and used in one's lifetime prior to pretrial jail detention and suicide attempt methods considered and used in the year following release from pretrial jail detention.</p><p><strong>Design/methodology/approach: </strong>Participants (<i>n</i> = 800) were recruited as part of a randomized controlled trial. They provided information on methods considered or acted on in their lifetime prior to the current pretrial jail detention as well as in the first year of release from jail.</p><p><strong>Findings: </strong>Participants most frequently reported having considered and attempted suicide by poisoning (82% and 72.8%), cutting/piercing (47.8% and 35.3%), suffocation (42.1% and 20.8%), transportation (39.9% and 25.3%), falls and jumping (27.4% and 8.0%) prior to jail detention. After jail detention, they mostly considered and attempted suicide by poisoning (73.6% and 73.4%), cutting/piercing (28.6% and 13.9%), suffocation (33.2% and 10.1%), transportation (23.6% and 18.6%), falls and jumping (20.9% and 2.5%).</p><p><strong>Originality/value: </strong>Given that poisoning, often with drugs or alcohol, was the commonest suicide attempt method, increasing access to effective substance use treatment may help to attenuate significant suicide risk. The study has laid the foundation for future research to explore potential moderators of suicide methods as well as to assess whether the findings are applicable to other parts of the world.</p>","PeriodicalId":519936,"journal":{"name":"International journal of prison health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12519593/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143607720","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}