Self-injury and suicide attempt in incarcerated women: prevalence and risk factors
DOI:
https://doi.org/10.33448/rsd-v10i7.15788Keywords:
self-injury, suicide attempt, women, prison, mental health; Self-injury; Suicide attempt; Women; Prison; Mental health.Abstract
Purpose: To assess the prevalence and risk factors for self-injury and suicide attempt in prison in a sample composed of 186 female inmates. Methods: Sociodemographic data, measures of depression, self-destructive behavior, suicide attempt, and other specific questions related to the reality in the prison environment were collected. Results: Self-injury and suicide attempt before incarceration was reported by 11.3% and 35.5% of the sample, respectively. During imprisonment, a prevalence of 29% and 18.8% for self-injury and suicide attempt, respectively, was observed. Multiple binary logistic regression identified the following risk factors for self-injury: age <32 years, depressive symptoms, history of torture at the time of the arrest, aggression in prison, and sexually transmitted infection. Conversely, the risk factors for suicide attempt were depressive symptoms, self-injury history, aggression in prison, and sexually transmitted infection. Conclusion: This study confirmed the high prevalence of self-harm and suicide attempts in female prisoners. Specific screening tools and the institution of public policies to assess and provide mental health care for incarcerated people in Brazil are needed.
References
Alemayehu, F., Ambaw, F., & Gutema, H. (2019). Depression and associated factors among prisoners in Bahir Dar Prison, Ethiopia. 19, 88.
Association, A. P. (2013). Diagnostic and Statistical Manual of Mental Disorders (DSM-V) (5a ed.).
Baranyi, G. S. C., Fazel, S., Patel, V., Priebe, S., & Mundt, A. (2019). Severe mental illness and substance use disorders in prisoners in low-income and middle-income countries: A systematic review and meta-analysis of prevalence studies. The Lancet, 7, 461-471.
Barker, E., Kõlves, K., & De Leo, D. (2014). Management of suicidal and self-harming behaviors in prisons: systematic literature review of evidence-based activities. Arch Suicide Res, 18, 227-240.
Brazil. (2003). Portaria Interministerial nº 1777/MS/MJ. Plano Nacional de Saúde no Sistema Penitenciário. In (Vol. 2020): Ministério da Saúde.
Brazil. (2005). Plano Nacional de Saúde no Sistema Penitenciário. In (Vol. 2019): Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de Ações Programáticas Estratégicas. .
Brazil. (2017). Perfil epidemiológico das tentativas e óbitos por suicídio no Brasil e a rede de atenção à saúde. Secretaria de Vigilância em Saúde − Ministério da Saúde.
Brazil. (2018). Departamento Penitenciário Nacional. Levantamento Nacional de Informações Penitenciárias. In (2nd ed.), Infopen Mulheres - Ministério da Justiça. .
Carraro, E. (2014). O princípio da dignidade da pessoa humana e o preso portador de deficiência física: rumo à adequação física dos estabelecimentos prisionais. Revista da Escola Superior da Magistratura do Estado de Santa Catarina, 21, 399-424.
Enggist, S. M., L.; Galea, G.; & Udese, C. (2014). Prison and Health. In (Vol. 2020).
Espinoza, O. (2004). A mulher encarcerada em face do poder punitivo. IBCCRIM.
Favazza, A. R. (1998). The coming of age of self-mutilation. J Nerv Ment Dis, 186, 259-268.
Favazza, A. R., & Conterio, K. (1989). Female habitual self-mutilators. Acta Psychiatr Scand, 79, 283-289.
Fazel, S., & Baillargeon, J. (2011). The health of prisoners. Lancet, 377, 956-965.
Garreto, A. K. R. (2015). O desempenho executivo em pacientes que apresentam automutilação. Faculdade de Medicina da Universidade de São Paulo.
Goffman. (1961). Manicômios, prisões e conventos. Editora Perspectiva.
Hatje, L. F. (2015). Gênero e prisão: a invisibilidade da mulher no sistema penitenciário-perspectivas com a construção do presídio feminino regionalizado do Rio Grande/RS (Bachelor's thesis).
Haw, C., Hawton, K., Houston, K., & Townsend, E. (2001). Psychiatric and personality disorders in deliberate self-harm patients. Br J Psychiatry, 178, 48-54.
Hawton, K., Linsell, L., Adeniji, T., Sariaslan, A., & Fazel, S. (2014). Self-harm in prisons in England and Wales: an epidemiological study of prevalence, risk factors, clustering, and subsequent suicide. Lancet, 383, 1147-1154.
Klonsky, E. D., May, A. M., & Glenn, C. R. (2013). The relationship between nonsuicidal self-injury and attempted suicide: converging evidence from four samples. 122, 231-237.
Knight, B., Coid, J., & Ullrich, S. (2017). Non-Suicidal Self-Injury in UK Prisoners. International Journal of Forensic Mental Health, 16, 172-182.
Kroenke, K., Spitzer, R. L., & Williams, J. B. (2001). The PHQ-9: validity of a brief depression severity measure. J Gen Intern Med, 16, 606-613.
Lloyd-Richardson EE, K. M., Hope T. (1997). Self-mutilation in a community sample of adolescents. Louisiana State University, Louisiana.
Marzano, L., Fazel, S., Rivlin, A., & Hawton, K. (2010). Psychiatric disorders in women prisoners who have engaged in near-lethal self-harm: case-control study. Br J Psychiatry, 197, 219-226.
Peng, E. Y.-C., Yeh, C.-Y., Lyu, S.-Y., Morisky, D. E., Chen, Y.-M. A., Lee, M.-B., Farabee, D., & Malow, R. M. (2010). Prevalence and correlates of lifetime suicidal ideation among HIV-infected male inmates in Taiwan. AIDS Care, 22, 1212-1220.
Power, J., Brown, S. L., & Usher, A. M. (2013). Prevalence and Incidence of Nonsuicidal Self-Injury Among Federally Sentenced Women in Canada. Criminal Justice and Behavior, 40, 302-320.
Sampieri, R. H., Collado, C. F., & Lucio, M. D. P. B. Metodologia de Pesquisa. Tradução de Daisy Vaz de Moraes. (5a ed.), Penso; 2013.
Santos, I. S., Tavares, B. F., Munhoz, T. N., Almeida, L. S. P., Silva, N. T. B., Tams, B. D., Patella, A. M., & Matijasevich, A. (2013). Sensibilidade e especificidade do Patient Health Questionnaire-9 (PHQ-9) entre adultos da população geral. Cad Saude Publica, 29(8), 1533-43.
Soares, B. I.. I. (2002). Prisioneiras: Vida e violência atrás das grades. Garamond.
Taron, M., Nunes, C., & Maia, T. (2020). Suicide and suicide attempts in adults: exploring suicide risk 24 months after a psychiatric emergency room visit. Braz J Psychiatry, 42, 367-371.
Vinokur, D., & Levine, S. Z. (2019). Non-suicidal self-harm in prison: A national population-based study. Psychiatry Res, 272, 216-221.
Völlm, B. A., & Dolan, M. C. (2009). Self-harm among UK female prisoners: a cross-sectional study. The Journal of Forensic Psychiatry & Psychology, 20, 741-751.
Wacquant, L. (2008). O lugar da prisão na nova administração da pobreza. In (Vol. 2020): Novos estud. - CEBRAP.
WHO. (2002). World report on violence and health. World Health Organization.
WHO. (2016). Practice manual for establishing and maintaining surveillance systems for suicide attempts and self-harm. World Health Organization.
WHO. (2019). Suicide. In (Vol. 2020).
Winicov, N. (2019). A systematic review of behavioral health interventions for suicidal and self-harming individuals in prisons and jails. Heliyon, 5, e02379.
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Copyright (c) 2021 Eronyce Rayka de Oliveira Carvalho; Karla Santos Mateus; Kaline da Silva Lima ; Jeferson Barbosa Silva; Ricardo Riyoiti Uchida
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