Exploring suicidal behaviours by probation clients—a qualitative near-lethal study

Mackenzie, J.-M., Borrill, J. and Cartwright, T. 2018. Exploring suicidal behaviours by probation clients—a qualitative near-lethal study. The Journal of Public Health. 40 (1), pp. 146-153. https://doi.org/10.1093/pubmed/fdx005

TitleExploring suicidal behaviours by probation clients—a qualitative near-lethal study
TypeJournal article
AuthorsMackenzie, J.-M., Borrill, J. and Cartwright, T.
Abstract

Background
Existing research emphasizes that offenders serving community based sentences are at an increased risk of suicide compared with the general population, however, there is little understanding about the causes of this risk. The aim of the current research was to understand how to support probation clients and prevent suicide, by exploring the experiences of probation clients who carried out near-lethal suicide attempts whilst under probation supervision.
Methods
In-depth interviews were carried out with seven probation clients who made near-lethal suicide attempts whilst serving a probation sentence. Data were analysed using Interpretative Phenomenological Analysis.
Results
Participants recounted negative experiences which they perceived to be linked to their suicidal feelings and behaviours, such as experiencing bereavements, perceived loss of control over their mental state or situation, and difficulties relating to stages of their probation sentence. Participants expressed severe difficulties with trusting authorities, making disclosure of suicidal feelings problematic. However, participants emphasized the role that purposeful and meaningful activity can play in suicide prevention.
Conclusions
Suicide prevention strategies must be tailored to the needs of probation clients across the UK. Mandatory training for probation staff is recommended to help reduce suicides, and support from external agencies should be sought where possible.

Keywordsmental health, prisons
JournalThe Journal of Public Health
Journal citation40 (1), pp. 146-153
ISSN1741-3842
Year2018
PublisherOxford University Press
Accepted author manuscript
Digital Object Identifier (DOI)https://doi.org/10.1093/pubmed/fdx005
Publication dates
Published online04 Feb 2017
Published04 Feb 2017
Published in printMar 2018

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Borrill, J. and Hall, J. 2006. Responding to a self-inflicted death in custody: support services and postvention. in: Dear, G.E. (ed.) Preventing suicide and other self-harm in prison Basingstoke, UK Palgrave Macmillan.

Learning from 'near misses': interviews with women who survived an incident of severe self-harm in prison
Borrill, J., Snow, L., Medlicott, D., Teers, R. and Paton, J. 2005. Learning from 'near misses': interviews with women who survived an incident of severe self-harm in prison. Howard Journal of Criminal Justice. 44 (1), pp. 57-69. https://doi.org/10.1111/j.1468-2311.2005.00355.x

Making sense of illness: the experiences of users of complementary medicine
Cartwright, T. and Torr, R. 2005. Making sense of illness: the experiences of users of complementary medicine. Journal of Health Psychology. 10 (4), pp. 559-572. https://doi.org/10.1177/1359105305053425

Prisons
Paton, J. and Borrill, J. 2004. Prisons. in: Duffy, D. and Ryan, T. (ed.) New approaches to preventing suicide: a manual for practitioners London, UK Jessica Kingsley. pp. 114-130

Patterns of self-harm and attempted suicide among white and black/mixed race female prisoners
Borrill, J., Burnett, R., Atkins, R., Miller, S., Briggs, D., Weaver, T. and Maden, A. 2003. Patterns of self-harm and attempted suicide among white and black/mixed race female prisoners. Criminal Behaviour and Mental Health. 13 (4), pp. 229-270. https://doi.org/10.1002/cbm.549

Self-inflicted deaths of women in custody
MacKenzie, N., Oram, C. and Borrill, J. 2003. Self-inflicted deaths of women in custody. British Journal of Forensic Practice. 5 (1), pp. 27-35.

Self-inflicted deaths of prisoners serving life sentences
Borrill, J. 2002. Self-inflicted deaths of prisoners serving life sentences. British Journal of Forensic Practice. 4 (4), pp. 30-38.

Declining the offer of flexible sigmoidoscopy screening for bowel cancer: a qualitative investigation of the decision-making process
McCaffery, K., Borrill, J., Williamson, S., Taylor, T., Sutton, S., Atkin, W. and Wardle, J. 2001. Declining the offer of flexible sigmoidoscopy screening for bowel cancer: a qualitative investigation of the decision-making process. Social Science & Medicine. 53 (5), pp. 679-691. https://doi.org/10.1016/S0277-9536(00)00375-0

Acceptability of flexible sigmoidoscopy screening in older adults in the United Kingdom
Taylor, T., Williamson, S., Wardle, J., Borrill, J., Sutton, S. and Atkin, W. 2000. Acceptability of flexible sigmoidoscopy screening in older adults in the United Kingdom. Journal of Medical Screening. 7 (1), pp. 38-45. https://doi.org/10.1136/jms.7.1.38

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