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Choi NG, DiNitto DM, Marti CN. Suicide Decedents in Correctional Settings: Mental Health Treatment for Suicidal Ideation, Plans, and/or Attempts. JOURNAL OF CORRECTIONAL HEALTH CARE 2019; 25:70-83. [PMID: 30602323 DOI: 10.1177/1078345818819500] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Based on 2005 to 2014 data from the National Violent Death Reporting System, this study examined mental health treatment status of suicide decedents in correctional settings, focusing on those with prior/recent suicide ideation/plans/attempts. Of all decedents ( N = 1,727), 30% had prior/recent suicidal ideation/plans/attempts, and of them, 64% had not received mental health treatment while incarcerated. Multivariable analysis showed that those with past-month crime/violence (as a proxy for recent incarceration) and those with an alcohol problem had higher odds of not having received treatment. Coroner/medical examiner and law enforcement reports show that other life stressors and fear of jail environment contributed to despair. The findings underscore the importance of suicide risk screening at or shortly after incarceration and providing necessary treatment and support.
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Affiliation(s)
- Namkee G Choi
- 1 Steve Hicks School of Social Work, The University of Texas at Austin, Austin, TX, USA
| | - Diana M DiNitto
- 1 Steve Hicks School of Social Work, The University of Texas at Austin, Austin, TX, USA
| | - C Nathan Marti
- 1 Steve Hicks School of Social Work, The University of Texas at Austin, Austin, TX, USA
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2
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Ward T, Arnold K, Cunningham MC, Liljequist L. Three validation studies of the personality assessment inventory short form. J Clin Psychol 2018; 74:2264-2275. [PMID: 30091249 DOI: 10.1002/jclp.22677] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
OBJECTIVE We examined the psychometric properties of the Personality Assessment Inventory-Short Form (PAI-SF). METHOD Study 1 compared single-session short and full form PAI profiles of 200 outpatients, Study 2 examined PAI forms of 107 nonclinical adults across two administrations, and Study 3 compared correlations between full and short form scales and extratest variables. RESULTS Study 1 correlations between short and full form scales ranged from 0.85 to 0.95 (Mdn = 0.91), with lower correlations, ranging from 0.59 to 0.86 for clinical scales (Mdn = 0.82), in Study 2. In Study 3 only 4 of 34 correlations differed significantly between extratest variables and the PAI versus the PAI-SF. CONCLUSIONS These results indicate favorable psychometric properties of the PAI-SF.
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Affiliation(s)
- Tara Ward
- Department of Psychology, Murray State University, Murray, Kentucky
| | - Kaitlin Arnold
- Department of Psychology, Murray State University, Murray, Kentucky
| | | | - Laura Liljequist
- Department of Psychology, Murray State University, Murray, Kentucky
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Bartoli C, Berland-Benhaim C, Tuchtan-Torrents L, Kintz P, Leonetti G, Pelissier-Alicot AL. Suicide by Medication Overdose in Prison: A Study of Three Cases. J Forensic Sci 2017; 63:1316-1320. [DOI: 10.1111/1556-4029.13671] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2017] [Revised: 09/28/2017] [Accepted: 09/28/2017] [Indexed: 11/30/2022]
Affiliation(s)
- Christophe Bartoli
- CNRS; EFS; ADES; Aix Marseille Univ; Marseille France
- Service de Médecine Légale; APHM, CHU Timone; Marseille France
| | | | - Lucile Tuchtan-Torrents
- CNRS; EFS; ADES; Aix Marseille Univ; Marseille France
- Service de Médecine Légale; APHM, CHU Timone; Marseille France
| | - Pascal Kintz
- X-Pertise Consulting; 84 route de Saverne 67205 Oberhausbergen France
- IML; Strasbourg France
| | - Georges Leonetti
- CNRS; EFS; ADES; Aix Marseille Univ; Marseille France
- Service de Médecine Légale; APHM, CHU Timone; Marseille France
| | - Anne-Laure Pelissier-Alicot
- Service de Médecine Légale; APHM, CHU Timone; Marseille France
- INSERM; INMED; 1 Aix Marseille Univ, CNRS, EFS, ADES; Marseille France
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Steele IH, Thrower N, Noroian P, Saleh FM. Understanding Suicide Across the Lifespan: A United States Perspective of Suicide Risk Factors, Assessment & Management. J Forensic Sci 2017. [PMID: 28639299 DOI: 10.1111/1556-4029.13519] [Citation(s) in RCA: 87] [Impact Index Per Article: 12.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Abstract
Suicide is a troubling, preventable phenomenon. Prior to attempts, individuals often seek help, prompting practitioners to perform risk assessments that ideally use evidence-based risk management strategies. A literature review was performed using Harvard Countway Library of Medicine, Google Scholar, PubMed. Key words used were "Forensic Science," "Suicide Risk Management," "Pediatric Suicide Risk Factors," "Adult Suicide Risk Factors," "Geriatric Suicide Risk Factors," "Suicide Risk Assessment." Parameters limited articles to studies/reviews completed in the past twenty years in the United States. Results indicated predictors of suicide in juveniles were insomnia, burdensomeness, and recent conflicts with family or a romantic partner. Adults had greater risk if male, substance abusing, with marital/job loss. Elderly individuals with multiple medical comorbidities, hopelessness, and isolation were at higher risk. Everyone evaluated should be screened for access to firearms. Management of suicide risk involves providing the least restrictive form of treatment which maintains an individual's safety.
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Affiliation(s)
- Ian H Steele
- Harvard Longwood Psychiatry Resident Training Program Beth Israel Deaconess Medical Center, Department of Psychiatry, 330 Brookline Ave, Rabb-2, Boston, MA 02215
| | - Natasha Thrower
- Harvard Longwood Psychiatry Resident Training Program Brigham and Women's Hospital, Department of Psychiatry 221 Longwood Ave, Boston, MA 02115
| | - Paul Noroian
- Forensic Psychiatry Fellowship, Law and Psychiatry Program, Department of Psychiatry, University of Massachusetts Medical School, 55 Lake Ave North, Worcester, MA 01655
| | - Fabian M Saleh
- Harvard Medical School, 25 Shattuck St, Boston, MA 02115.,Sexual Violence Prevention and Risk Management Program, Department of Psychiatry, Beth Israel Deaconess Medical Center, 330 Brookline Ave, Rabb-2, Boston, MA 02215
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Kelley SE, Edens JF, Morey LC. Convergence of Self-Reports and Informant Reports on the Personality Assessment Screener. Assessment 2016; 24:999-1007. [DOI: 10.1177/1073191116636450] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
The present study is the first to investigate the Personality Assessment Screener, a brief self-report measure of risk for emotional and behavioral dysfunction, in relation to the informant report version of this instrument, the Personality Assessment Screener–Other. Among a sample of undergraduate roommate dyads ( N = 174), self-report and informant report total scores on the Personality Assessment Screener/Personality Assessment Screener–Other moderately converged ( r = 0.45), with generally greater agreement between perspectives observed for externalizing behaviors compared with internalizing distress. In addition, selves tended to report more psychological difficulties relative to informant ratings ( d = 0.45) with an average absolute discrepancy between sources of 6.31 ( SD = 4.96) out of a possible range of 66. Discrepancies between self-report and informant report were significantly associated with characteristics of the dyadic relationship (e.g., length of acquaintanceship) as well as the severity of self-reported psychological difficulties and positive impression management.
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Kucmanic MJ, Gilson TP. Suicide in Jail: A Ten-Year Retrospective Study. Acad Forensic Pathol 2016; 6:109-113. [PMID: 31239878 DOI: 10.23907/2016.011] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Revised: 11/19/2015] [Accepted: 01/16/2016] [Indexed: 11/12/2022]
Abstract
Suicide in jails, like all death in custody, may involve complicated investigation. Allegations of mistreatment and/or abuse may be raised and these possibilities need to be addressed. Apart from these investigative concerns, the occurrence of suicides in such a controlled environment raises additional questions about potential preventative measures. Between 2004 and 2014, there were ten deaths of incarcerated individuals in Cuyahoga County (metropolitan Cleveland) Ohio. Most (80%) were white and all were male. Similar to previous reviews, the majority of decedents hanged themselves (90%), with one case of asphyxiation by airway obstruction with a foreign body. Psychiatric disorders were noted in six of ten decedents while seven of ten had a history of substance abuse including alcoholism. Overall, nine of ten had at least one of these disorders. All suicide deaths occurred within one year of incarceration, which may reflect the absence of a long-term prison fatality in our county. It is noteworthy that 70% of deaths occurred within the first month of incarceration with four of ten events occurring in less than a day including two deaths in less than 30 minutes. Positive toxicology for abused substances was noted in 75% (three) of the four individuals who died in less than a day and only in one other suicide, which occurred on the second day of incarceration. Our data suggest that suicide in jail is predominantly a male phenomenon, with early incarceration being a particularly vulnerable period. The presence of another inmate in the same cell as the decedent was not seen to have an independent deterrent effect. Intoxication, particularly in individuals with a history of substance abuse and/or alcoholism, should raise concern for potential self-harm in recently jailed individuals. Possible interventions suggested by this study might include closer direct surveillance in the early incarceration period, earlier access to mental health services as well as design modifications in holding cells with possible dedicated short-term holding areas where self-harm risks are minimized and surveillance can be optimized.
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Porcerelli JH, Hurrell K, Cogan R, Jeffries K, Markova T. Personality Assessment Screener, Childhood Abuse, and Adult Partner Violence in African American Women Using Primary Care. Assessment 2015; 22:749-52. [PMID: 26374084 DOI: 10.1177/1073191115606213] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
This study assessed the relationship between psychopathology with the Personality Assessment Screener (PAS) and childhood physical and sexual abuse and adult physical and sexual partner violence in a primary care sample of 98 urban-dwelling African American women. Patients completed the PAS, the Childhood Trauma Questionnaire, and the Conflict Tactics Scale. The PAS total score significantly correlated with all measures of childhood and adult abuse. Stepwise regression analyses revealed that PAS element scores of Suicidal Thinking and Hostile Control significantly predicted a history of childhood physical abuse; Suicidal Thinking, Hostile Control, and Acting Out significantly predicted a history of childhood sexual abuse; Suicidal Thinking, Negative Affect, and Alienation significantly predicted current adult partner physical violence; and Psychotic Features, Alcohol Problems, and Anger Control significantly predicted current adult sexual partner violence. The PAS appears to be a useful measure for fast-paced primary care settings for identifying patients who need a more thorough assessment for abuse.
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Affiliation(s)
| | | | | | | | - Tsveti Markova
- Wayne State University School of Medicine, Detroit, MI, USA
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9
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Martin MS, Colman I, Simpson AIF, McKenzie K. Mental health screening tools in correctional institutions: a systematic review. BMC Psychiatry 2013; 13:275. [PMID: 24168162 PMCID: PMC4231452 DOI: 10.1186/1471-244x-13-275] [Citation(s) in RCA: 60] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/22/2013] [Accepted: 10/22/2013] [Indexed: 11/16/2022] Open
Abstract
BACKGROUND Past studies have identified poor rates of detection of mental illness among inmates. Consequently, mental health screening is a common feature to various correctional mental health strategies and best practice guidelines. However, there is little guidance to support the selection of an appropriate tool. This systematic review compared the sensitivity and specificity of mental health screening tools among adult jail or prison populations. METHODS A systematic review of MEDLINE and PsycINFO up to 2011, with additional studies identified from a search of reference lists. Only studies involving adult jail or prison populations, with an independent measure of mental illness, were included. Studies in forensic settings to determine fitness to stand trial or criminal responsibility were excluded. Twenty-four studies met all inclusion and exclusion criteria for the review. All articles were coded by two independent authors. Study quality was coded by the lead author. RESULTS Twenty-two screening tools were identified. Only six tools have replication studies: the Brief Jail Mental Health Screen (BJMHS), the Correctional Mental Health Screen for Men (CMHS-M), the Correctional Mental Health Screen for Women (CMHS-W), the England Mental Health Screen (EMHS), the Jail Screening Assessment Tool (JSAT), and the Referral Decision Scale (RDS). A descriptive summary is provided in lieu of use of meta-analytic techniques due to the lack of replication studies and methodological variations across studies. CONCLUSIONS The BJMHS, CMHS-M, CMHS-W, EMHS and JSAT appear to be the most promising tools. Future research should consider important contextual factors in the implementation of a screening tool that have received little attention. Randomized or quasi-randomized trials are recommended to evaluate the effectiveness of screening to improve the detection of mental illness compared to standard practices.
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Affiliation(s)
- Michael S Martin
- Department of Epidemiology and Community Medicine, University of Ottawa, 451 Smyth Road, Ottawa, Ontario K1H 8M5, Canada
| | - Ian Colman
- Department of Epidemiology and Community Medicine, University of Ottawa, 451 Smyth Road, Ottawa, Ontario K1H 8M5, Canada
| | - Alexander IF Simpson
- Centre for Addiction and Mental Health, 1001 Queen Street West, Toronto, Ontario K1H 8M5, Canada
- Department of Psychiatry, University of Toronto, 1001 Queen Street West, Toronto, Ontario M6J 1H4, Canada
| | - Kwame McKenzie
- Centre for Addiction and Mental Health, 1001 Queen Street West, Toronto, Ontario K1H 8M5, Canada
- Department of Psychiatry, University of Toronto, 1001 Queen Street West, Toronto, Ontario M6J 1H4, Canada
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Porcerelli JH, Kurtz JE, Cogan R, Markova T, Mickens L. Personality Assessment Screener in a Primary Care Sample of Low-Income Urban Women. J Pers Assess 2012; 94:262-6. [DOI: 10.1080/00223891.2011.650304] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
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