By Matthew S Johnston , Rosemary Ricciardelli

Public safety personnel are at an elevated risk for suicidal thoughts and behaviors relative to the general public. Correctional workers in particular report some of the highest prevalence of suicidal thoughts and behaviors. To better understand this phenomenon, the current study draws on qualitative, open-ended survey response data (n = 94) that explores three distinct themes (occupational environment, lack of support, social silence) and how entrenched notions of mental health stigma and occupational culture inform how Canadian correctional workers understand their experiences with suicidal thoughts and behaviors. We conclude with a brief discussion of the research and policy implications, with an emphasis on mobilizing efforts to normalize mental health discussion in correctional workplaces, bolstering peer support resources, and collaboration, and assessing the limited organizational supports available to struggling staff.

Front Psychol.. 2023 Jan 4:13:1026821. doi: 10.3389/fpsyg.2022.1026821. eCollection 2022.

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 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 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 Charlie Brooker and Karen Tocque

There is a high prevalence of mental illness in probation including suicide. It is important for probation staff to recognise mental illness and to refer on to an appropriate agency once it is detected. Probation’s staff knowledge about mental illness was therefore examined across Europe in this study using a well validated measure – the Mental Health Literacy Scale (MHLS). Response rates within services and countries varied widely from 0-74%. Scores on the MHLS also varied considerably from 113-138 with an average score of 128. This overall average score is similar to other groups of the population such as university students and the clergy. There was a strong association between knowledge and confidence in working with people with a mental illness. The policy implications of these findings are discussed. It is clear there is a continuing role for CEP in this arena especially in the light of the Council of Europe’s recent White Paper on mental health in probation and in prisons.

Utrecht: Confederation of European Probation, 2023. 33p.

By The # HaltSolitary Campaign

In the U.S. criminal legal system, individuals sentenced to prison are required to relinquish their liberty as redress for the crimes for which they have been convicted. They are not supposed to also give up their humanity, their physical and mental health, or their lives. Yet in New York’s state prisons, these are the terrible prices many incarcerated people end up paying. Some of the incidents of suicide and self-harm in the state’s prisons may be beyond the control of the New York State Department of Corrections and Community Supervision (DOCCS). But there can be no doubt that prison conditions profoundly affect the level of suffering and despair felt by incarcerated people, and that inhumane conditions often lead to desperate responses. This report provides hard evidence, drawn from data provided by DOCCS and other state agencies, that the rate of suicides in New York’s prisons far exceeds the national prison average. It also establishes an undeniable link between the use of solitary confinement and higher rates of suicide, suicide attempts, and self-inflicted injury. Taken together, these numbers demand immediate and drastic change in DOCCS policies and practices in relation to solitary confinement. They demand that New York’s lawmakers put an end to preventable suffering, self-harm, and death in our prisons by enacting the HALT Solitary Confinement Act, A.2500/S.1623.1 Preventing self-injury and suicide by enacting HALT is even more imperative now, as COVID-19 increases the levels of anxiety, fear, and risk of self-harm for people in solitary during the pandemic.

New York: The New York Campaign for Alternatives to Isolated Confinement (CAIC) , 2020. 22p.

By Christine Tartaro and David Lester

Police and corrections personnel must always be mindful of the possibility that those in their custody may attempt suicide or commit an act of self-mutilation. Persons housed in prisons, jails, and police lockups tend to be at a higher risk for such destructive behavior than members of the general population. Reasons for this can be found by examining the mental health, substance abuse, and physical/sexual abuse histories of inmates in addition to deficits in their coping skills and the stress and uncertainty generated by incarceration.

This book explores several topics pertaining to suicide and deliberate self-harm in the corrections setting, including who tends to commit these acts; where, when, and how these incidents occur; screening mechanisms; the role of environmental stimuli in facilitating or preventing acts of self harm; interpersonal relations among inmates and between inmates and staff; and the role of the courts in setting and ruling on suicide prevention policies. The authors discuss the role of prevention techniques that offer a balance between strict opportunity-reduction and softer motivation-reduction strategies. The book also includes suggestions for diversion programs that can keep mentally ill inmates out of prisons and jails and transition planning programs to better prepare outgoing inmates for their re-entry into the community.

Lanham, MD: Lexington Books, 2009. 238p.