A national survey of self-injurious behavior in American prisons

Kenneth L. Appelbaum, Judith A. Savageau, Robert L. Trestman, Jeffrey L. Metzner, Jacques Baillargeon

Research output: Contribution to journalArticle

23 Citations (Scopus)

Abstract

Objective: This study sought information about the prevalence, epidemiology, and management of self-injurious behavior by inmates in U.S. prison systems. Although self-injurious behavior has long been the source of significant challenges in correctional settings, limited research is available on this topic. Methods: Mental health directors in all 51 state and federal prison systems were invited to respond to a 30-item questionnaire available online or in hard copy. Univariate statistics were used to describe significant aspects of the national experience with self-injurious behavior, and bivariate statistics were used to examine relationships between variables. Results: Thirty-nine systems (77%) responded to the survey. Responses indicated that <2% of inmates per year engage in self-injurious behavior, but such events were reported to occur at least weekly in 85% of systems, with occurrences more than once daily in some systems, thus causing substantial disruptions to operations and draining resources. The highest rates of occurrence of these behaviors were in maximum-security and lockdown units and most often involved inmates with axis II disorders. Despite the seriousness of the problem, systems typically collect few, if any, data on self-injurious behaviors, and management approaches to dealing with them lack consistency within and across systems. Eighty-four percent of respondents expressed interest in participating in further studies on this topic. Conclusions: The survey responses indicated the disruptive effects of self-injurious behavior in the nation's prisons, a need for better epidemiologic monitoring and data on such behavior, and the importance of developing and widely using effective interventions. The high response rate and expressed interest in follow-up projects suggest that state and federal correctional mental health directors see a need for better information and management in this area.

Original languageEnglish (US)
Pages (from-to)285-290
Number of pages6
JournalPsychiatric Services
Volume62
Issue number3
DOIs
StatePublished - Mar 2011

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Self-Injurious Behavior
Prisons
Mental Health
Epidemiological Monitoring
Information Management
Surveys and Questionnaires
Epidemiology
Research

ASJC Scopus subject areas

  • Psychiatry and Mental health

Cite this

A national survey of self-injurious behavior in American prisons. / Appelbaum, Kenneth L.; Savageau, Judith A.; Trestman, Robert L.; Metzner, Jeffrey L.; Baillargeon, Jacques.

In: Psychiatric Services, Vol. 62, No. 3, 03.2011, p. 285-290.

Research output: Contribution to journalArticle

Appelbaum, KL, Savageau, JA, Trestman, RL, Metzner, JL & Baillargeon, J 2011, 'A national survey of self-injurious behavior in American prisons', Psychiatric Services, vol. 62, no. 3, pp. 285-290. https://doi.org/10.1176/appi.ps.62.3.285
Appelbaum, Kenneth L. ; Savageau, Judith A. ; Trestman, Robert L. ; Metzner, Jeffrey L. ; Baillargeon, Jacques. / A national survey of self-injurious behavior in American prisons. In: Psychiatric Services. 2011 ; Vol. 62, No. 3. pp. 285-290.
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