Suicidality In Correctional Settings

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RUNNIGN HEAD: Suicidality in Correctional Settings | Suicidality in Correctional Settings | How I might assess an inmate for suicidality is to indentify an at risk inmates. Screening and assessment of inmates when they enter a facility is critical to a correctional facility. Although the psychiatric and medical communities disagree about which factors can be used to predict suicide in general, (Aharonovich, et al, 2002). There is little disagreement as to the value of screening and assessment to the increased likelihood of preventing suicide. Intake screening for all inmates and ongoing assessment of inmates at risk is critically important because prior research has consistently reported that at least two thirds of all suicide victims…show more content…
It is not unusual for inmate to call attention to themselves by threatening suicide or even feigning an attempt in order to gain a housing relocation, transfer to the local hospital, receive preferential staff treatment, or seek compassion from a previously unsympathetic family member. Some inmate(s) simply use manipulation as a survival technique. Although there are no perfect solutions to the management of manipulative youth who threaten suicide or engage in self-injurious behavior for a perceived secondary gain, the critical issue is not how we label the behavior, but how we react to it. The reaction must include a multidisciplinary treatment plan. A disproportionate number of inmate(s) suicides take place in “special housing units” (disciplinary/administrative segregation) of the facility or under “room confinement.” A lack of inmate(s) on suicide precautions should not be interpreted as meaning that there are no currently suicidal inmates in the facility, or a barometer of sound suicide prevention…show more content…
The goal should not be “zero” number of inmate on suicide precautions; rather the goal should be to identify, manage and stabilize youth in our custody. We must avoid the obstacles to prevention. In conclusion, experience has shown that negative attitudes often impede meaningful suicide prevention efforts. These obstacles to prevention often embody a state of mind (before any inquiry begins) that inmate suicides cannot be prevented. We must create and maintain a comprehensive suicide prevention program that includes the following essential components: staff training; intake screening/assessment; communication; housing; levels of observation; intervention; reporting; and follow-up/morbidity-mortality
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