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Am J Psychiatry 1995; 152:1077-1080
Copyright © 1995 by American Psychiatric Association
A quarter century of suicide in a major urban jail: implications for community psychiatry
CJ DuRand, GJ Burtka, EJ Federman, JA Haycox and JW Smith
Boston University School of Medicine, MA, USA.
OBJECTIVE: The authors' goal was to identify factors that increase the risk
of suicide in urban jails. METHOD: They examined and verified all suicides
as of 1992 in a representative large jail in Detroit since the beginning of
record keeping in 1967 to 1992. RESULTS: There were 37 suicides over this
time period. Inmates charged with murder or manslaughter were 19 times more
likely to commit suicide than were inmates with other charges. Thirty-nine
percent of the suicides were committed by individuals charged with murder.
All 37 suicides were by hanging, and most occurred at night within 31 days
of admission. Many of the inmates who committed suicide had made previous
attempts while incarcerated. Thirty-nine percent of the suicides were
committed by individuals charged with murder, constituting 2% of the
admissions (two per day). CONCLUSIONS: An important risk factor in jail
suicide not previously identified is the charge of murder or manslaughter.
Treatment and prevention programs should recognize these inmates as
belonging in a very high-risk category.
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