Dooley E
Maudsley Hospital.
Br J Psychiatry. 1990 Jan;156:40-5. doi: 10.1192/bjp.156.1.40.
The case notes of 295 suicides (98.3% of the total) in prisons in England and Wales between 1972 and 1987 were studied. This period has witnessed an increase in the suicide rate far in excess of the rate of rise in the prison population. The most common method of suicide was by hanging, usually at night. There was a frequent past history of psychiatric treatment and self-injury. People charged or convicted of violent or sexual offences were over-represented, as were those serving life sentences. There was an association between suicide and both guilt for the offence and being charged or convicted of a homicide offence. Some suicides occurred many years after reception into prison. Routine enquiry about previous suicide attempts must be implemented, along with better, ongoing, active communication between staff and inmates.
对1972年至1987年间英格兰和威尔士监狱中295起自杀事件（占总数的98.3%）的案件记录进行了研究。在此期间，自杀率的上升幅度远远超过了监狱人口的增长率。最常见的自杀方式是上吊，通常发生在夜间。自杀者常有接受过精神治疗和自残的既往史。被控或被判犯有暴力或性犯罪的人以及被判处终身监禁的人在自杀者中所占比例过高。自杀与对犯罪的内疚感以及被控或被判犯有杀人罪之间存在关联。一些自杀事件发生在入狱多年之后。必须对之前的自杀未遂情况进行常规询问，同时工作人员与囚犯之间要进行更好的、持续的、积极的沟通。
