ENCRENAZ, Gaëlle; MIRAS, Alain; CONTRAND, Benjamin; GALERA, Cedric; PUJOS, Stéphane; MICHEL, Grégory; LAGARDE, Emmanuel

doi:10.1016/j.jflm.2013.11.009

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ENCRENAZ, Gaëlle
Centre de droit comparé du travail et de la sécurité sociale [COMPTRASEC]
Epidémiologie et Biostatistique [Bordeaux]

MIRAS, Alain
Epidémiologie et Biostatistique [Bordeaux]

CONTRAND, Benjamin
Epidémiologie et Biostatistique [Bordeaux]

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J Forensic Leg Med. 2014-02, vol. 22, p. 20-5

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OBJECTIVES: To estimate the incidence of suicide attempts during imprisonment in a French prison and to determine factors associated with them. METHODS: All male inmates of a prison for prisoners awaiting trial or serving a short sentence (Bordeaux, France) were eligible for this cross-sectional study. They were face-to-face interviewed by an experienced psychologist (n = 369; mean age = 36 years). Socio-demographic data, imprisonment conditions, health status, healthcare utilization, mental health, impulsiveness, inmate-to-inmate violence (victim and perpetrator status) and suicidal behaviours were documented. RESULTS: The incidence of suicidal attempts during imprisonment was 13.4 per 100 person-years. Having made at least one suicide attempt during imprisonment was associated with: being a victim of physical or sexual violence without perpetrating it (adjusted OR = 5.4; 95%CI [2.4-12]), suffering from depressive and anxious symptoms (adjusted OR = 3.3; 95%CI [1.5-7.7]), having children (adjusted OR = 3.0; 95%CI [1.2-7.7]) and having a poor perceived health status (OR = 2.5; 95%CI [1.1-5.4]). A history of suicide attempt before imprisonment was not associated with the risk of suicide attempts while imprisoned. CONCLUSION: Our results suggest that violence plays a major role in the suicidal process in prison. The inclusion of inmate-to-inmate violence in the screening checklists of inmate suicide risk should be explored.< Réduire

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Inmate-to-inmate violence as a marker of suicide attempt risk during imprisonment.

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