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A Population-Based Study of the Prevalence and Correlates of Self-Harm in Juvenile Detention

BACKGROUND: Suicide is the number one cause of death among incarcerated youth. We examined the demographic and forensic risk factors for self-harm in youth in juvenile detention using a Canadian provincial correctional database. METHOD: We analyzed data from de-identified youth aged 12 to 18 at the...

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Autores principales: Casiano, Hygiea, Bolton, Shay-Lee, Hildahl, Keith, Katz, Laurence Y., Bolton, James, Sareen, Jitender
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4711889/
https://www.ncbi.nlm.nih.gov/pubmed/26760497
http://dx.doi.org/10.1371/journal.pone.0146918
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author Casiano, Hygiea
Bolton, Shay-Lee
Hildahl, Keith
Katz, Laurence Y.
Bolton, James
Sareen, Jitender
author_facet Casiano, Hygiea
Bolton, Shay-Lee
Hildahl, Keith
Katz, Laurence Y.
Bolton, James
Sareen, Jitender
author_sort Casiano, Hygiea
collection PubMed
description BACKGROUND: Suicide is the number one cause of death among incarcerated youth. We examined the demographic and forensic risk factors for self-harm in youth in juvenile detention using a Canadian provincial correctional database. METHOD: We analyzed data from de-identified youth aged 12 to 18 at the time of their offense who were in custody in a Manitoba youth correctional facility between January 1, 2005 and December 30, 2010 (N = 5,102). Univariate and multivariate logistic regression analyses determined the association between staff-identified self-harm events in custody and demographic and custodial variables. Time to the event was examined based on the admission date and date of event. RESULTS: Demographic variables associated with self-harm included female sex, lower educational achievement, older age, and child welfare involvement. Custodial variables associated with self-harm included higher criminal severity profiles, younger age at first incarceration, longer sentence length, disruptive institutional behavior, and a history of attempting escape. Youth identified at entry as being at risk for suicide were more likely to self-harm. Events tended to occur earlier in the custodial admission. INTERPRETATION: Self-harm events tended to occur within the first 3 months of an admission stay. Youth with more serious offenses and disruptive behaviors were more likely to self-harm. Individuals with problematic custodial profiles were more likely to self-harm. Suicide screening identified youth at risk for self-harm. Strategies to identify and help youth at risk are needed.
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spelling pubmed-47118892016-01-26 A Population-Based Study of the Prevalence and Correlates of Self-Harm in Juvenile Detention Casiano, Hygiea Bolton, Shay-Lee Hildahl, Keith Katz, Laurence Y. Bolton, James Sareen, Jitender PLoS One Research Article BACKGROUND: Suicide is the number one cause of death among incarcerated youth. We examined the demographic and forensic risk factors for self-harm in youth in juvenile detention using a Canadian provincial correctional database. METHOD: We analyzed data from de-identified youth aged 12 to 18 at the time of their offense who were in custody in a Manitoba youth correctional facility between January 1, 2005 and December 30, 2010 (N = 5,102). Univariate and multivariate logistic regression analyses determined the association between staff-identified self-harm events in custody and demographic and custodial variables. Time to the event was examined based on the admission date and date of event. RESULTS: Demographic variables associated with self-harm included female sex, lower educational achievement, older age, and child welfare involvement. Custodial variables associated with self-harm included higher criminal severity profiles, younger age at first incarceration, longer sentence length, disruptive institutional behavior, and a history of attempting escape. Youth identified at entry as being at risk for suicide were more likely to self-harm. Events tended to occur earlier in the custodial admission. INTERPRETATION: Self-harm events tended to occur within the first 3 months of an admission stay. Youth with more serious offenses and disruptive behaviors were more likely to self-harm. Individuals with problematic custodial profiles were more likely to self-harm. Suicide screening identified youth at risk for self-harm. Strategies to identify and help youth at risk are needed. Public Library of Science 2016-01-13 /pmc/articles/PMC4711889/ /pubmed/26760497 http://dx.doi.org/10.1371/journal.pone.0146918 Text en © 2016 Casiano et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Casiano, Hygiea
Bolton, Shay-Lee
Hildahl, Keith
Katz, Laurence Y.
Bolton, James
Sareen, Jitender
A Population-Based Study of the Prevalence and Correlates of Self-Harm in Juvenile Detention
title A Population-Based Study of the Prevalence and Correlates of Self-Harm in Juvenile Detention
title_full A Population-Based Study of the Prevalence and Correlates of Self-Harm in Juvenile Detention
title_fullStr A Population-Based Study of the Prevalence and Correlates of Self-Harm in Juvenile Detention
title_full_unstemmed A Population-Based Study of the Prevalence and Correlates of Self-Harm in Juvenile Detention
title_short A Population-Based Study of the Prevalence and Correlates of Self-Harm in Juvenile Detention
title_sort population-based study of the prevalence and correlates of self-harm in juvenile detention
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4711889/
https://www.ncbi.nlm.nih.gov/pubmed/26760497
http://dx.doi.org/10.1371/journal.pone.0146918
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