The Health & Justice approach to reducing self-harm & suicide in prisons: pathways, partnerships & patient care.
PHE ePoster Library. Leaman J. 09/12/17; 186522; 103
Jane Leaman
Jane Leaman
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Abstract BackgroundPrisons are experiencing increasing levels of Suicides and Self-harm. Recent MOJ data shows 13% increase in self-inflicted deaths and 26% increase in self-harm incidents. Recently released prisoners are at greater risk of suicide than the general population, especially in the first few weeks. People in contact with the criminal justice system are also a recognised priority group within the current Cross-Government Suicide Prevention Strategy and have substantially more risk factors for suicide, including increased prevalence of mental illness, substance misuse and socioeconomic deprivation, than the general population. MethodHer Majesty's Prison and Probation Service (HMPPS) and the Ministry of Justice, in partnership with PHE and NHSE, are focusing on suicide and self-harm reduction as part of a broader Safety Programme that also includes work to reduce violence in prisons. ResultsThe suicide and self-harm reduction work has three mutually reinforcing priorities: driving immediate operational improvements (through an operational assurance process and targeted support to the highest risk prisons); focused reforms to key policies and processes; and (over the next two years) transforming staffing levels, staff capability and the estate through the measures in the White Paper on Prison Safety and Reform ConclusionAction includes improvements to the early period in custody; information sharing; risk assessment; the built environment, including restricting access to means; case management of prisoners at risk; family and peer support; and staff training. This is all built on a foundation of analysis of what works and improved systems for learning from deaths and other serious incidents
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