Citation

Walker T, Wainwright V, Dunlop BJ, Forrester A, Senior J, Shaw J. J. Forensic Psychiatry Psychol. 2022; 33(6): 868-882.

Copyright

(Copyright © 2022, Informa - Taylor and Francis Group)

DOI

10.1080/14789949.2022.2149418

PMID

unavailable

Abstract

BACKGROUND: Little evidence exists on how individuals in the criminal justice system (CJS) can discuss their experience of self-harm, suicidal ideation and behaviors. They are a valuable resource for suicide prevention in the CJS worldwide. Aims: To explore the views of those with lived experience on what the CJS can do to help support and improve services for those at risk of self-harm and suicide across the criminal justice pathway.

METHOD: Five focus group discussions with 21 experts by experience were analyzed using thematic analysis.

RESULTS: The qualitative analysis identified three themes relevant to the process of assessment and prevention of suicide and self-harm risk: knowing my history, being treated as an individual and being able to express vulnerability. Limitations: The focus group design may have made the participants more reluctant to share experiences representing alternative perspectives or personally sensitive information.

CONCLUSION: The findings of this study suggest the CJS needs improved connections across teams to promote continuity of care and the quality of information flow to enable institutions to become more therapeutic. By developing the use of key individual relationships this will ensure that people are treated as individuals, with safe spaces to reveal vulnerabilities. © 2022 Informa UK Limited, trading as Taylor & Francis Group.

Language: en

Keywords

adult; human; suicide; Suicide; female; male; self-harm; prison; risk assessment; major clinical study; controlled study; automutilation; patient care; risk management; qualitative analysis; criminal justice; vulnerability; Article; medical history; personal experience; thematic analysis; demographics; criminal justice system; lived experience; purposive sample