Skip to main content
Top
Published in: BMC Psychiatry 1/2017

Open Access 01-12-2017 | Research article

Suicide risk among prisoners in French Guiana: prevalence and predictive factors

Authors: Gülen Ayhan, Romain Arnal, Célia Basurko, Vincent About, Agathe Pastre, Eric Pinganaud, Dominique Sins, Louis Jehel, Bruno Falissard, Mathieu Nacher

Published in: BMC Psychiatry | Issue 1/2017

Login to get access

Abstract

Background

Suicide rates in prison are high and their risk factors are incompletely understood. The objective of the present study is to measure the risk of suicide and its predictors in the only prison of multicultural French Guiana.

Methods

All new prisoners arriving between September 2013 and December 2014 were included. The Mini International Neuropsychiatric Interview (MINI) was used and socio-demographic data was collected. In order to identify the predictors of suicide risk multivariate logistic regression was used.

Results

Of the 707 prisoners included 13.2% had a suicidal risk, 14.0% of whom had a high risk, 15.1% a moderate risk and 41.9% a low risk. Predictive factors were depression (OR 7.44, 95% CI: 3.50–15.87), dysthymia (OR 4.22, 95% CI: 1.34–13.36), panic disorder (OR 3.47, 95% CI: 1.33–8.99), general anxiety disorder (GAD) (OR 2.19, 95% CI: 1.13–4.22), men having been abused during childhood (OR 21.01, 95%, CI: 3.26–135.48), having been sentenced for sexual assault (OR 7.12, 95% CI: 1.98–25.99) and smoking (OR 2.93, 95%, CI 1.30–6.63).

Conclusion

The suicide risk was lower than in mainland France, possibly reflecting the differences in the social stigma attached to incarceration because of migrant populations and the importance and trivialization of drug trafficking among detainees. However, there were no differences between nationalities. The results reemphasize the importance of promptly identifying and treating psychiatric disorders, which were the main suicide risk factors.
Literature
1.
go back to reference Sher L. Preventing suicide. QJM - Mon J Assoc Physicians. 2004;97(10):677–80.CrossRef Sher L. Preventing suicide. QJM - Mon J Assoc Physicians. 2004;97(10):677–80.CrossRef
2.
go back to reference World Health Organization. Preventing Suicide in Jails and Prisons. 2007;1–24. World Health Organization. Preventing Suicide in Jails and Prisons. 2007;1–24.
3.
go back to reference Forrester A, Slade K. Preventing self-harm and suicide in prisoners: job half done. Lancet. 2014;383:1109–11.CrossRefPubMed Forrester A, Slade K. Preventing self-harm and suicide in prisoners: job half done. Lancet. 2014;383:1109–11.CrossRefPubMed
4.
go back to reference Duburcq A, Coulomb S, Bonte J, Marchand C, Fagnani F, Falissard B. Enquête de prévalence sur les troubles psychiatriques. Sommaire 2004; p. 17. Duburcq A, Coulomb S, Bonte J, Marchand C, Fagnani F, Falissard B. Enquête de prévalence sur les troubles psychiatriques. Sommaire 2004; p. 17.
5.
go back to reference Fazel S, Benning R, Danesh J. Suicides in male prisoners in England and Wales, 1978-2003. Lancet. 2005;366(9493):1301–2.CrossRefPubMed Fazel S, Benning R, Danesh J. Suicides in male prisoners in England and Wales, 1978-2003. Lancet. 2005;366(9493):1301–2.CrossRefPubMed
6.
go back to reference Fazel S, Grann M, Kling B, Hawton K. Prison suicide in 12 countries: an ecological study of 861 suicides during 2003-2007. Soc Psychiatry Psychiatr Epidemiol. 2011;46(3):191–5.CrossRefPubMed Fazel S, Grann M, Kling B, Hawton K. Prison suicide in 12 countries: an ecological study of 861 suicides during 2003-2007. Soc Psychiatry Psychiatr Epidemiol. 2011;46(3):191–5.CrossRefPubMed
7.
go back to reference Fazel S, Cartwright J, Norman-Nott A, Hawton K. Suicide in prisoners: a systematic review of risk factors. J Clin Psychiatry. 2008 Nov;69(11):1721–31.CrossRefPubMed Fazel S, Cartwright J, Norman-Nott A, Hawton K. Suicide in prisoners: a systematic review of risk factors. J Clin Psychiatry. 2008 Nov;69(11):1721–31.CrossRefPubMed
8.
go back to reference Frühwald S, Matschnig T, Bauer P, Tier P. Suicide in custody: Case control study. Br J Psychiatry. 2004;185:494–8.CrossRef Frühwald S, Matschnig T, Bauer P, Tier P. Suicide in custody: Case control study. Br J Psychiatry. 2004;185:494–8.CrossRef
9.
go back to reference Jama-Alol KA, Malacova E, Ferrante A, Alan J, Stewart L, Preen D. Influence of offence type and prior imprisonment on risk of death following release from prison: a whole-population linked data study. Int J Prison Health. 2015;11(2):108–18.CrossRefPubMed Jama-Alol KA, Malacova E, Ferrante A, Alan J, Stewart L, Preen D. Influence of offence type and prior imprisonment on risk of death following release from prison: a whole-population linked data study. Int J Prison Health. 2015;11(2):108–18.CrossRefPubMed
10.
go back to reference Duthé G, Hazard A, Kensey A, Pan Ké Shon J. la France comparée à ses voisins européens. Popul Sociétés. 2009;462:2000–3. Duthé G, Hazard A, Kensey A, Pan Ké Shon J. la France comparée à ses voisins européens. Popul Sociétés. 2009;462:2000–3.
13.
go back to reference Saavedra J, López M. Risk of suicide in male prison inmates. Rev Psiquiatr y Salud Ment. 2015;8(4):224–31.CrossRef Saavedra J, López M. Risk of suicide in male prison inmates. Rev Psiquiatr y Salud Ment. 2015;8(4):224–31.CrossRef
14.
go back to reference Rabe K. Prison structure, inmate mortality and suicide risk in Europe. Int J Law Psychiatry. 2012;35(3):222–30. Rabe K. Prison structure, inmate mortality and suicide risk in Europe. Int J Law Psychiatry. 2012;35(3):222–30.
19.
go back to reference Sheehan DV, Lecrubier Y, Sheehan KH, Amorim P, Janavs J, Weiller E, et al. The Mini-International Neuropsychiatric interview (M.I.N.I.): the development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. J Clin Psychiatry. 1998;59(Suppl 20):22–33.PubMed Sheehan DV, Lecrubier Y, Sheehan KH, Amorim P, Janavs J, Weiller E, et al. The Mini-International Neuropsychiatric interview (M.I.N.I.): the development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. J Clin Psychiatry. 1998;59(Suppl 20):22–33.PubMed
20.
go back to reference Sheehan D, Janavs J, Baker R, Harnett Sheehan K, Knapp E, Sheehan M, et al. M.I.N.I. Mini International Neuropsychiatric Interview. Vol. 5.0.0. 2006. p. 1–27. Sheehan D, Janavs J, Baker R, Harnett Sheehan K, Knapp E, Sheehan M, et al. M.I.N.I. Mini International Neuropsychiatric Interview. Vol. 5.0.0. 2006. p. 1–27.
21.
go back to reference de Azevedo Marques JM, Zuardi AW. Validity and applicability of the Mini International Neuropsychiatric interview administered by family medicine residents in primary health care in Brazil. Gen Hosp Psychiatry. 2008;30(4):303–10.CrossRefPubMed de Azevedo Marques JM, Zuardi AW. Validity and applicability of the Mini International Neuropsychiatric interview administered by family medicine residents in primary health care in Brazil. Gen Hosp Psychiatry. 2008;30(4):303–10.CrossRefPubMed
22.
go back to reference Black DW, Arndt S, Hale N, Rogerson R. Use of the MINI International Neuropsychiatric interview (MINI) as a screening tool in prisons: results of a preliminary study. J Am Acad Psychiatry Law. 2004;32:158–62.PubMed Black DW, Arndt S, Hale N, Rogerson R. Use of the MINI International Neuropsychiatric interview (MINI) as a screening tool in prisons: results of a preliminary study. J Am Acad Psychiatry Law. 2004;32:158–62.PubMed
23.
go back to reference Falissard B, Loze J-Y, Gasquet I, Duburc A, de Beaurepaire C, Fagnani F, et al. Prevalence of mental disorders in French prisons for men. BMC Psychiatry. 2006;6:33.CrossRefPubMedPubMedCentral Falissard B, Loze J-Y, Gasquet I, Duburc A, de Beaurepaire C, Fagnani F, et al. Prevalence of mental disorders in French prisons for men. BMC Psychiatry. 2006;6:33.CrossRefPubMedPubMedCentral
28.
go back to reference Shaw J, Baker D, Hunt IM, Moloney A, Appleby L. Suicide by prisoners: national clinical survey. Br J Psychiatry. 2004;184(MAR):263–7.CrossRefPubMed Shaw J, Baker D, Hunt IM, Moloney A, Appleby L. Suicide by prisoners: national clinical survey. Br J Psychiatry. 2004;184(MAR):263–7.CrossRefPubMed
29.
go back to reference Jaramillo Gutiérrez MR, Silva Vallejo C, Rojas Arango BP, Medina-Pérez ÓA. Ideación suicida y factores asociados en internos de un establecimiento penitenciario de Antioquia (Colombia). Rev Colomb Psiquiatr. 2015;44(2):100–5.CrossRefPubMed Jaramillo Gutiérrez MR, Silva Vallejo C, Rojas Arango BP, Medina-Pérez ÓA. Ideación suicida y factores asociados en internos de un establecimiento penitenciario de Antioquia (Colombia). Rev Colomb Psiquiatr. 2015;44(2):100–5.CrossRefPubMed
32.
go back to reference Frottier P, Fruhwald S, Ritter K, Eher R, Schwarzler J, Bauer P. Jailhouse blues revisited. Soc Psychiatry Psychiatr Epidemiol. 2002 Feb;37(2):68–73.CrossRefPubMed Frottier P, Fruhwald S, Ritter K, Eher R, Schwarzler J, Bauer P. Jailhouse blues revisited. Soc Psychiatry Psychiatr Epidemiol. 2002 Feb;37(2):68–73.CrossRefPubMed
35.
go back to reference Lim S-W, Ko E-M, Shin D-W, Shin Y-C, Oh K-S. Clinical symptoms associated with suicidality in patients with panic disorder. Psychopathology. 2015;48(3):137–44.CrossRefPubMed Lim S-W, Ko E-M, Shin D-W, Shin Y-C, Oh K-S. Clinical symptoms associated with suicidality in patients with panic disorder. Psychopathology. 2015;48(3):137–44.CrossRefPubMed
38.
go back to reference DuRand CJ, Burtka GJ, Federman EJ, Haycox JA, Smith JW. A quarter century of suicide in a major urban jail: implications for community psychiatry. Am J Psychiatry. 1995;152(7):1077–80.CrossRefPubMed DuRand CJ, Burtka GJ, Federman EJ, Haycox JA, Smith JW. A quarter century of suicide in a major urban jail: implications for community psychiatry. Am J Psychiatry. 1995;152(7):1077–80.CrossRefPubMed
42.
go back to reference Ystgaard M, Hestetun I, Loeb M, Mehlum L. Is there a specific relationship between childhood sexual and physical abuse and repeated suicidal behavior? Child Abuse Negl. 2004;28(8):863–75.CrossRefPubMed Ystgaard M, Hestetun I, Loeb M, Mehlum L. Is there a specific relationship between childhood sexual and physical abuse and repeated suicidal behavior? Child Abuse Negl. 2004;28(8):863–75.CrossRefPubMed
Metadata
Title
Suicide risk among prisoners in French Guiana: prevalence and predictive factors
Authors
Gülen Ayhan
Romain Arnal
Célia Basurko
Vincent About
Agathe Pastre
Eric Pinganaud
Dominique Sins
Louis Jehel
Bruno Falissard
Mathieu Nacher
Publication date
01-12-2017
Publisher
BioMed Central
Published in
BMC Psychiatry / Issue 1/2017
Electronic ISSN: 1471-244X
DOI
https://doi.org/10.1186/s12888-017-1320-4

Other articles of this Issue 1/2017

BMC Psychiatry 1/2017 Go to the issue