TY - JOUR A1 - Radeloff, Daniel A1 - Hövel, Marian ten A1 - Brennecke, Gerald A1 - Stöber, Franziska A1 - Lempp, Thomas A1 - Kettner, Mattias A1 - Zacher, Hannes A1 - Klitzing, Kai von A1 - Bennefeld-Kersten, Katharina T1 - Suicide after reception into prison: a case-control study examining differences in early and late events T2 - PLOS ONE N2 - Objective: Prisoners constitute a high-risk group for suicide, with suicide rates about 5 to 8 times higher than in the general population. The first weeks of imprisonment are a particularly vulnerable time, but there is limited knowledge about the risk factors for either early or late suicide events. Methods: Based on a national total sample of prison suicides in Germany between 2005 and 2017, suicides within the first 2 (4 and 8) weeks after reception into prison were matched by age and penalty length with cases that occurred later. Factors that potentially influence the timing of suicide were investigated. Results: The study has shown that 16.7% (31.5%) of all 390 suicides in German prisons occurred within the first two weeks (two months) of imprisonment. Factors that facilitate adaptation to the prison environment (e.g. prior prison experience) were negatively associated with early suicide events. Factors that hindered the adaptation process (e.g. withdrawal from illicit drugs) were observed more frequently in early suicide events than in late ones. These factors are active at different times of imprisonment. Conclusion: At reception, particular attention should be paid to the following factors associated with early suicide events: widowed marital status, lack of prison experience, and drug dependency. KW - Suicide KW - Prisons KW - Prisoners KW - Medical risk factors KW - Mental health and psychiatry KW - Drug addiction KW - Mental health therapies KW - Theft Y1 - 2021 UR - http://publikationen.ub.uni-frankfurt.de/frontdoor/index/index/docId/62700 UR - https://nbn-resolving.org/urn:nbn:de:hebis:30:3-627005 SN - 1932-6203 N1 - Funding: DR 50.181 € German Federal Ministry of Health https://www.bundesgesundheitsministerium.de/ The applicable grant ID is BVA/ZMVI-2517FSB134-IRIS-J. The Federal Ministry of Health supported the implementation of this project with EUR 50,000. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. VL - 16 IS - 8, art. e0255284 SP - 1 EP - 13 PB - PLOS CY - San Francisco, California, US ER -