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Lifetime prevalence and correlates of self-harm and suicide attempts among male prisoners with histories of injecting drug use
BACKGROUND: Histories of self-harm and suicide attempts are common among people in prison in Australia, and substance dependence is an established risk factor for these lifetime experiences. We describe the prevalence of self-reported history of non-suicidal self-injury (NSSI) and suicide attempts i...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Berlin Heidelberg
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6755595/ https://www.ncbi.nlm.nih.gov/pubmed/30324532 http://dx.doi.org/10.1186/s40352-018-0077-2 |
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author | Stewart, Ashleigh C. Cossar, Reece Dietze, Paul Armstrong, Gregory Curtis, Michael Kinner, Stuart A. Ogloff, James R. P. Kirwan, Amy Stoové, Mark |
author_facet | Stewart, Ashleigh C. Cossar, Reece Dietze, Paul Armstrong, Gregory Curtis, Michael Kinner, Stuart A. Ogloff, James R. P. Kirwan, Amy Stoové, Mark |
author_sort | Stewart, Ashleigh C. |
collection | PubMed |
description | BACKGROUND: Histories of self-harm and suicide attempts are common among people in prison in Australia, and substance dependence is an established risk factor for these lifetime experiences. We describe the prevalence of self-reported history of non-suicidal self-injury (NSSI) and suicide attempts in a cohort of men with recent histories of injecting drug use (IDU) imprisoned in Victoria, Australia. Baseline interviews from the Prison and Transition Health (PATH) prospective cohort study were conducted in the weeks prior to release from prison among 400 incarcerated men who reported regular IDU in the six months prior to incarceration. RESULTS: Participants completed a researcher-administered structured questionnaire that collected information on sociodemographics, substance use patterns, and physical and mental health indicators. More than one third (37%) reported a history of NSSI and almost half of participants (47%) reported a history of suicide attempts. In multivariable Poisson regression models, a history of NSSI was associated with: being aged 30–39 years; moving accommodation three or more times in the year prior to current sentence; self-reporting a history of mental illness diagnosis; current poor psychiatric well-being; and self-reporting three or more previous drug overdoses. History of suicide attempts was significantly associated with: self-reporting a history of mental illness diagnosis; current poor psychiatric well-being; and self-reporting a history of 1–2 and > 3 drug overdoses. CONCLUSION: We observed a disconcertingly high lifetime prevalence of non-suicidal self-injury and suicide attempts among incarcerated males with a history of recent regular injecting drug use. Significant associations with indicators of mental illness and drug related harms support the need to prioritise in-prison screening and early intervention to reduce the risk of future harms for this population. |
format | Online Article Text |
id | pubmed-6755595 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Springer Berlin Heidelberg |
record_format | MEDLINE/PubMed |
spelling | pubmed-67555952019-09-26 Lifetime prevalence and correlates of self-harm and suicide attempts among male prisoners with histories of injecting drug use Stewart, Ashleigh C. Cossar, Reece Dietze, Paul Armstrong, Gregory Curtis, Michael Kinner, Stuart A. Ogloff, James R. P. Kirwan, Amy Stoové, Mark Health Justice Research Article BACKGROUND: Histories of self-harm and suicide attempts are common among people in prison in Australia, and substance dependence is an established risk factor for these lifetime experiences. We describe the prevalence of self-reported history of non-suicidal self-injury (NSSI) and suicide attempts in a cohort of men with recent histories of injecting drug use (IDU) imprisoned in Victoria, Australia. Baseline interviews from the Prison and Transition Health (PATH) prospective cohort study were conducted in the weeks prior to release from prison among 400 incarcerated men who reported regular IDU in the six months prior to incarceration. RESULTS: Participants completed a researcher-administered structured questionnaire that collected information on sociodemographics, substance use patterns, and physical and mental health indicators. More than one third (37%) reported a history of NSSI and almost half of participants (47%) reported a history of suicide attempts. In multivariable Poisson regression models, a history of NSSI was associated with: being aged 30–39 years; moving accommodation three or more times in the year prior to current sentence; self-reporting a history of mental illness diagnosis; current poor psychiatric well-being; and self-reporting three or more previous drug overdoses. History of suicide attempts was significantly associated with: self-reporting a history of mental illness diagnosis; current poor psychiatric well-being; and self-reporting a history of 1–2 and > 3 drug overdoses. CONCLUSION: We observed a disconcertingly high lifetime prevalence of non-suicidal self-injury and suicide attempts among incarcerated males with a history of recent regular injecting drug use. Significant associations with indicators of mental illness and drug related harms support the need to prioritise in-prison screening and early intervention to reduce the risk of future harms for this population. Springer Berlin Heidelberg 2018-10-15 /pmc/articles/PMC6755595/ /pubmed/30324532 http://dx.doi.org/10.1186/s40352-018-0077-2 Text en © The Author(s). 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. |
spellingShingle | Research Article Stewart, Ashleigh C. Cossar, Reece Dietze, Paul Armstrong, Gregory Curtis, Michael Kinner, Stuart A. Ogloff, James R. P. Kirwan, Amy Stoové, Mark Lifetime prevalence and correlates of self-harm and suicide attempts among male prisoners with histories of injecting drug use |
title | Lifetime prevalence and correlates of self-harm and suicide attempts among male prisoners with histories of injecting drug use |
title_full | Lifetime prevalence and correlates of self-harm and suicide attempts among male prisoners with histories of injecting drug use |
title_fullStr | Lifetime prevalence and correlates of self-harm and suicide attempts among male prisoners with histories of injecting drug use |
title_full_unstemmed | Lifetime prevalence and correlates of self-harm and suicide attempts among male prisoners with histories of injecting drug use |
title_short | Lifetime prevalence and correlates of self-harm and suicide attempts among male prisoners with histories of injecting drug use |
title_sort | lifetime prevalence and correlates of self-harm and suicide attempts among male prisoners with histories of injecting drug use |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6755595/ https://www.ncbi.nlm.nih.gov/pubmed/30324532 http://dx.doi.org/10.1186/s40352-018-0077-2 |
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