Favril L, Audenaert K, Portzky G, Vander Laenen F
Tijdschr Psychiatr. 2022;64(3):166-172.
Suicidal behaviour is a global public health concern that disproportionately affects the most vulnerable members of society, including prisoners.
To map the epidemiology and risk factors for suicidal behaviour in Belgian prisons, and make recommendations to improve its management and prevention.
A national case file analysis of all suicides in Belgian prisons over a 20-year period (2000-2019) and a large-scale survey study covering 13% of the prison population nationwide (n = 1326).
Suicide accounts for one-third (33%) of all deaths in Belgian prisons. One in five (22%) prisoners in Belgium have attempted suicide in their lifetime, half of whom (10%) did so while incarcerated. Female prisoners have a higher prevalence of suicidal thoughts and attempts than their male counterparts. Risk factors for suicidal behaviour in prison include recent suicidal ideation, previous self-harm, psychiatric morbidity, environmental stressors, and aspects of the prison climate.
In Belgium, suicidal behaviour is five times more common in prisoners compared to the general population. We propose an integrated prevention model that incorporates targeted interventions aimed at high-risk individuals in combination with population strategies that promote the health and wellbeing of all people in prison.
自杀行为是一个全球公共卫生问题，对包括囚犯在内的社会最弱势群体产生了不成比例的影响。
梳理比利时监狱中自杀行为的流行病学特征和风险因素，并提出改善其管理和预防的建议。
对20年期间（2000 - 2019年）比利时监狱内所有自杀事件进行全国性案例档案分析，并开展一项覆盖全国13%监狱人口（n = 1326）的大规模调查研究。
自杀占比利时监狱所有死亡人数的三分之一（33%）。比利时五分之一（22%）的囚犯一生中曾试图自杀，其中一半（10%）是在监禁期间自杀。女性囚犯的自杀念头和自杀未遂发生率高于男性囚犯。监狱中自杀行为的风险因素包括近期的自杀意念、既往的自我伤害行为、精神疾病、环境压力源以及监狱氛围等方面。
在比利时，囚犯中的自杀行为比普通人群高出五倍。我们提出一种综合预防模式，该模式将针对高危个体的有针对性干预措施与促进监狱中所有人健康和福祉的人群策略相结合。
