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Suicide and self-harm in prisoners

Miller, Rachael; (2019) Suicide and self-harm in prisoners. Doctoral thesis (D.Clin.Psy), UCL (University College London). Green open access

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Abstract

2.1 Abstract Aims: To investigate internal and external entrapment as risk factors for suicide ideation in a sample of male prisoners. Further, the study aims to investigate the role of goals (i.e. being able to adjust goals, and individual perceptions about goals) in relation to perceptions of entrapment and suicide ideation. Method: A total of 106 male prisoners took part in this cross-sectional questionnaire-based study over a four month period at a category C prison. Over-sampling was used to recruit higher-risk prisoners. Results: Univariate analyses showed that several variables significantly predicted current suicide ideation and these were included in a hierarchical logistic regression. Internal entrapment, external entrapment, goal re-engagement and goal ambivalence (i.e. a factor of goal perceptions), as a set, were able to independently predict current suicide ideation over and above established risk factors e.g. hopelessness, χ2 (6) = 64.42, p <0.01. Internal entrapment, perceived quality of social support and external entrapment made unique statistically significant (p values <0.05) contributions to the model, with odds ratios of 1.42, 1.03 and, interestingly, -0.78, respectively. Interaction terms between goal variables and entrapment variables were not significant in predicting suicide ideation, indicating no moderation. Conclusions: The results suggest a differential impact of internal and external entrapment on suicide ideation. There are preliminary findings that difficulty in engaging with, and feeling ambivalent about goals may contribute to suicide ideation, however these are not as important as other factors. These findings are discussed in relation to the current literature, along with the clinical implications for identification and management of at-risk prisoners and recommendations for future research.

Type: Thesis (Doctoral)
Qualification: D.Clin.Psy
Title: Suicide and self-harm in prisoners
Event: UCL (University College London)
Open access status: An open access version is available from UCL Discovery
Language: English
Additional information: Copyright © The Author 2019. Original content in this thesis is licensed under the terms of the Creative Commons Attribution 4.0 International (CC BY 4.0) Licence (https://creativecommons.org/licenses/by/4.0/). Any third-party copyright material present remains the property of its respective owner(s) and is licensed under its existing terms. Access may initially be restricted at the author’s request. - Some third party copyright material has been removed from this e-thesis.
UCL classification: UCL
UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
URI: https://discovery.ucl.ac.uk/id/eprint/10083374
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