Suicide prevention following conviction within the criminal justice system: a review of good practice using a social-ecological framework

Suicide is a leading cause of death among individuals in contact with the criminal justice system, with rates far greater than those in the general population. Despite developments in research and practice around suicide prevention, few jurisdictions globally have implemented comprehensive systems or policies across the full criminal justice pathway. In this overview, we present a review of the current evidence base in relation to correctional policy and practice, along with selected examples of good practice in suicide prevention for people serving custodial or community-based sentences, predominantly from England and Wales and Australia. We utilise a social-ecological framework to describe the multi-level factors contributing to suicide risk and various approaches to prevention. While progress has been made, there are still significant gaps in both our understanding and implementation which, if addressed, would meaningfully enhance suicide prevention for this marginalised population.

• Publication year

  2025

• Venue

  BMC Global and Public Health

• Publication date

  2025-09-03

• Fields of study

  Law, Medicine, Sociology, Psychology

• Identifiers
  DOI 10.1186/s44263-025-00199-xPMID 40903769PMCID 12409944
• External record

  Open on Semantic Scholar

• Source metadata

  Semantic Scholar, PubMed

• No claims are published for this paper.

• No concepts are published for this paper.

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• Prevalence and risk factors for suicide attempts in prison.

  2022influential reference
• Preventing suicidal and self-Injurious behavior in correctional facilities: A systematic literature review and meta-analysis

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• Mental and physical health problems before and after detention: A matched cohort study

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• Suicide and Probation: a systematic review of the literature.

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• Risk factors for self-harm in prison: a systematic review and meta-analysis

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• The impact of exposure to suicidal behaviour in institutional settings

  2019influential reference
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• A systematic review of behavioral health interventions for suicidal and self-harming individuals in prisons and jails

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  2017influential reference
• Development and Validation of a National System for Routine Monitoring of Mortality in People Recently Released from Prison

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• Prevention of Suicidal Behavior in Prisons

  2016cited by this paper
• Shifting the paradigm of prison suicide prevention through enhanced multi-agency integration and cultural change

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• Prison Suicides in South Australia: 1996–2010

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• Suicide after release from prison: a population-based cohort study from Sweden.

  2014influential reference
• Mental disorder and probation policy and practice: a view from the UK.

  2014cited by this paper
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