By Penal Reform International and the University of Nottingham

Mortality rates are up to 50% higher in prison than in the community, linked to a wide range of causes and contributing factors which raise serious concerns for human rights, public health, and prison management. Yet, information on who is dying in prison and why, including disaggregated data, remains a key problem in understanding and reducing deaths in prisons.

This briefing is a call to action for the international community and national actors to strengthen their approach to deaths in prisons, to take pro-active measures to prevent loss of life and, when deaths do occur, to respond appropriately and conduct robust investigations in line with international human rights standards to identify any systemic concerns and prevent future harm.

Published in partnership with the University of Nottingham, it is based on research conducted as part of the prisonDEATH initiative and survey responses to a call for input from PRI from a variety of stakeholders in 25 countries covering all regions, as well as 19 prison administrations facilitated by EuroPris. Aimed to inspire action, it includes some recommendations to guide human rights-based responses to prevent premature or avoidable deaths in prison.

London: PRI, 2022. 16p.

By Prison Reform International and the University of Nottingham

nvestigating deaths in prisons is an essential part of a state’s human rights responsibilities, including the obligation to guarantee the right to life and the prohibition of torture and other cruel, inhuman or degrading treatment or punishment. Investigations of deaths in prisons provide crucial evidence to find out what went wrong, provide redress to families, improve prison management and ultimately prevent future deaths.

This guide by PRI and the University of Nottingham provides prison authorities, policy makers, law enforcement officials, and families of persons deprived of liberty guidance and analysis on the basic features of human rights-based investigations into deaths in prison. It sets out key international and regional jurisprudence and includes recommendations to assist in designing and implementing an effective investigation system, as well as promising practices to inspire authorities to develop and implement reforms.

London: PRI, 2023. 26p.

USED BOOK. MAY CONTAIN MARK-UP

By Oleg V. Khlevniuk. Translated by Vadim A. Staklo. With editorial assistance and commentary by David J. Nordlander. Foreword by Robert Conquest

FROM THE FOREWORD: “Although it is sometimes suggested that the Gulag was in some way derived from an older Russia, one has only to read about Dostoevsky's experiences as a political prisoner in The House of the Dead to find many differences. By the early twentieth century a number of Russian people--far fewer of them in any case than in Soviet times--were either in prison or in "exile." The latter penalty, whose victims included Lenin and Stalin, simply meant forced residence at some distant village, with a monetary allowance, sometimes with wives, but with no barbed wire or penal labor. The Gulag is only one example of how the Soviet regime represented a huge decline in civilization in Russia. But it is a revealing one. Areas of the Stalinist experience still remain obscure…”

NY. Yale University Press. 2004. 449p.

By Human Rights Watch

“A Nightmare for Everyone: The Health Care Crisis in Pakistan’s Prisons,” documents widespread deficiencies in prison health care in Pakistan and the consequences for a total prison population of more than 88,000 people. Pakistan has one of the world’s most overcrowded prison systems, with cells designed for a maximum of 3 people holding up to 15. Severe overcrowding has compounded existing health care deficiencies, leaving inmates vulnerable to communicable diseases and unable to get medicines and treatment for even basic health needs, as well as emergencies.

Washington, DC: HRW, 2023. 63p.

By Ashley Nellis

Before America’s era of mass incarceration took hold in the early 1970s, the number of individuals in prison was less than 200,000. Today, it’s 1.4 million; and more than 200,000 people are serving life sentences – one out of every seven in prison. More people are sentenced to life in prison in America than there were people in prison serving any sentence in 1970. Nearly five times the number of people are now serving life sentences in the United States as were in 1984, a rate of growth that has outpaced even the sharp expansion of the overall prison population during this period. The now commonplace use of life imprisonment contradicts research on effective public safety strategies, exacerbates already extreme racial injustices in the criminal justice system, and exemplifies the egregious consequences of mass incarceration. In 2020, The Sentencing Project obtained official corrections data from all states and the Federal Bureau of Prisons to produce our 5th national census on life imprisonment.

Washington, DC: The Sentencing Project, 2021. 46p.

The Monitoring Team is issuing this Special Report to advise the Court and the Parties of the continued imminent risk of harm to incarcerated individuals and staff in the New York City jails. The first few months of 2022 have revealed the jails remain unstable and unsafe for both inmates and staff. The volatility and instability in the jails is due, in no small part, to unacceptable levels of fear of harm by detainees and staff alike. Despite initial hopes that the Second Remedial Order (dkt. 398), entered in September 2021, would help the Department gain traction toward initiating reform on the most immediate issues, the Department’s attempts to implement the required remedial steps have faltered and, in some instances, regressed. These failures suggest an even more discouraging picture about the prospect for material improvements to the jails’ conditions. Furthermore, the Department’s staffing crisis continues and the New York City Mayor’s Emergency Executive Order, first issued on September 15, 2021, and still in effect (through multiple extensions) as of the filing of this report, acknowledges that, among other things, “excessive staff absenteeism among correction officers and supervising officers has contributed to a rise in unrest and disorder.” The Monitoring Team’s staffing analysis, discussed in detail below, reveals that the Department’s staff management and deployment practices are so dysfunctional that if left unaddressed, sustainable and material advancement of systemic reform will remain elusive, if not impossible, to attain. …

New York: The Independent Monitoring Team, 2022. 78p.

By Tony Kirk, The HM Inspectorate of Probation (UK)

  The vision of HM Prison and Probation Service (HMPPS)’s Offender Management in Custody model is that ‘everyone in prison should have the opportunity to transform their lives by using their time in custody constructively to reduce their risk of harm and reoffending; to plan their resettlement; and to improve their prospects of becoming a safe, law-abiding and valuable member of society’. Our joint thematic inspection of OMiC pre-release found that OMiC was not working as intended. Part two of this thematic inspection focused on outcomes for prisoners after they are released. Inspectors considered how practitioners assessed, planned and reviewed the work required to support successful resettlement. We also considered the extent to which key outcomes were achieved when an individual was released from prison, including whether they secured settled accommodation and education, training and employment.  

Manchester, HM Inspectorate of Probation2023. 39p.

By Coral Sirdifield, Charlie Brooker, Rebecca Marples 

A narrative systematic review was undertaken of the literature concerning the health of people on probation. In this paper, we provide an up-to-date summary of what is known about suicide and suicidal ideation and probation. This includes estimates of prevalence and possible predictors of suicide and suicidal ideation. Searches were conducted on nine databases from January 2000 to May 2017, key journals from 2000 to September 2017, and the grey literature. A total of 5125 papers were identified in the initial electronic searches but after careful double-blind review only one research paper related to this topic met our criteria, although a further 12 background papers were identified which are reported. We conclude that people on probation are a very high risk group for completed suicide, and factors associated with this include drug overdose, mental health problems, and poor physical health. There is a clear need for high quality partnership working between probation and mental health services, and investment in services, to support appropriate responses to suicide risk.

  Forensic Science International: Mind and Law Volume 1, November 2020,

By Róisín Mulgrew  

The State duty to prevent preventable prisoner deaths is easy to state and substantiate. Yet prisoner death rates are increasing around the world and are often much higher than those in the community. To understand why this is happening, the findings and recommendations of the country reports of international oversight bodies and thematic reports from international rapporteurs are synthesised with contemporary rights-informed penal standards, multi-disciplinary scholarship, non-governmental organization reports and media extracts. On the basis of this knowledge, this reform-oriented article explores the impact of structural, societal and environmental factors on natural and violent prisoner deaths and how these factors operate cumulatively to create dangerous and life-threatening custodial environments. The paper makes recommendations to reaffirm and enumerate the positive obligation to protect prisoners’ lives, develop specialist standards, adopt a broader approach to prison oversight and create a specific United Nations mandate on prisoner rights.

Human Rights Law Review, 2023, 23, 1–25.  

By Sarah Armstrong, Linda Allan, Deborah Cairns, Stuart Allan and Betsy Barkas  

This briefing addresses dying in prison in Scotland, including information about the numbers and circumstances of deaths. Even when presenting statistical data, we never forget that these numbers represent individual people who were part of families and communities, and that their loss is deeply felt. Our motivations for doing this work are to raise awareness of deaths in custody and to provide rigorous evidence about this issue. Ultimately, we aim to prevent deaths and reduce the number of families and friends who are exposed to the often traumatising experience of a fatal accident inquiry on top of their bereavement.   

Glasgow: Scottish Centre for Crime and Justice Research, 2022. 26p.

By Joshua M. Price

The United States imprisons more of its citizens than any other nation in the world. To be sentenced to prison is to face systematic violence, humiliation, and, perhaps worst of all, separation from family and community. It is, to borrow Orlando Patterson’s term for the utter isolation of slavery, to suffer “social death.” In Prison and Social Death, Joshua Price exposes the unexamined cost that prisoners pay while incarcerated and after release, drawing upon hundreds of often harrowing interviews conducted with people in prison, parolees, and their families. Price argues that the prison separates prisoners from desperately needed communities of support from parents, spouses, and children. Moreover, this isolation of people in prison renders them highly vulnerable to other forms of violence, including sexual violence. Price stresses that the violence they face goes beyond physical abuse by prison guards and it involves institutionalized forms of mistreatment, ranging from abysmally poor health care to routine practices that are arguably abusive, such as pat-downs, cavity searches, and the shackling of pregnant women. And social death does not end with prison. The condition is permanent, following people after they are released from prison. Finding housing, employment, receiving social welfare benefits, and regaining voting rights are all hindered by various legal and other hurdles. The mechanisms of social death, Price shows, are also informal and cultural. Ex-prisoners face numerous forms of distrust and are permanently stigmatized by other citizens around them. A compelling blend of solidarity, civil rights activism, and social research, Prison and Social Death offers a unique look at the American prison and the excessive and unnecessary damage it inflicts on prisoners and parolees.

New Brunswick, NJ: Rutgers University Press, 2015. 2122p.

By Alison Liebling

The suicide rate in prisons in England and Wales is 40 per 100,000—four times that of the general population. How can this rate be explained? Recent prison suicides have aroused much public concern and media attention, yet there has been very little research examining their true cause or nature. Previous studies have tended to rely exclusively on official statistics and prison records, and have had little effect on formulating policy and practice. Suicides in Prison is the first major study in this area to draw directly on the experiences of both prisoners and staff. The interviews conducted by the author help to cast new light on the circumstances which can lead to suicide or attempted suicide. The book provides further evidence to support the growing recognition that suicide is not an exclusively psychiatric problem. The coping mechanisms and social support given to the people involved can play a crucial role. Alison Liebling also shows how serious difficulties in the management of prisoners at risk of suicide may be exacerbated by problems of communication between departments, and that prison officers may lack the necessary training to play a potentially major role in suicide prevention. Most importantly, if staff perceptions and attitudes are not addressed, any attempt to improve procedures may well be ineffective. Suicides in Prison will be of interest to probation officers, social workers and prison staff and governors as well as those studying penology. It traces the recent history of the problem and provides the first major theoretical discussion of the nature and causes of suicide in prison.

London; New York: Routledge, 1998. 288p.