Suicide risk among prisoners in French Guiana: prevalence and predictive factors

BMC Psychiatry

Research Article

Romain Arnal¹  Dominique Sins¹  Eric Pinganaud¹  Célia Basurko²  Gülen Ayhan²  Mathieu Nacher³  Agathe Pastre⁴  Vincent About⁴  Bruno Falissard⁵  Louis Jehel⁶ 

[1] Centre d’Investigation Clinique Antilles-Guyane, CIC INSERM 1424, Centre Hospitalier Andrée Rosemon, Cayenne, French Guiana, France;Inserm CIC 1424, Centre d’Investigation Clinique Antilles Guyane, Centre Hospitalier de Cayenne, Avenue des Flamboyants, BP 6006, 97 306, Cayenne CEDEX, France;Inserm CIC 1424, Centre d’Investigation Clinique Antilles Guyane, Centre Hospitalier de Cayenne, Avenue des Flamboyants, BP 6006, 97 306, Cayenne CEDEX, France;EA3593, Université de Guyane, Cayenne, French Guiana, France;Unité de Soins et de Consultations Ambulatoires, Centre Hospitalier Andrée Rosemon, Cayenne, French Guiana, France;Équipe IPSOM, INSERM 1178, Paris, France;Équipe IPSOM, INSERM 1178, Paris, France;Department of Psychiatry, Centre Hospitalier Universitaire de Martinique, Fort-de-France, Martinique, France;

关键词: Suicide;    Prisons;    Child abuse;    Mental disorders;    South America;   

DOI  :  10.1186/s12888-017-1320-4

 received in 2017-02-11, accepted in 2017-04-20,  发布年份 2017

来源: Springer

【 摘 要 】

BackgroundSuicide rates in prison are high and their risk factors are incompletely understood. The objective of the present study is to measure the risk of suicide and its predictors in the only prison of multicultural French Guiana.MethodsAll new prisoners arriving between September 2013 and December 2014 were included. The Mini International Neuropsychiatric Interview (MINI) was used and socio-demographic data was collected. In order to identify the predictors of suicide risk multivariate logistic regression was used.ResultsOf the 707 prisoners included 13.2% had a suicidal risk, 14.0% of whom had a high risk, 15.1% a moderate risk and 41.9% a low risk. Predictive factors were depression (OR 7.44, 95% CI: 3.50–15.87), dysthymia (OR 4.22, 95% CI: 1.34–13.36), panic disorder (OR 3.47, 95% CI: 1.33–8.99), general anxiety disorder (GAD) (OR 2.19, 95% CI: 1.13–4.22), men having been abused during childhood (OR 21.01, 95%, CI: 3.26–135.48), having been sentenced for sexual assault (OR 7.12, 95% CI: 1.98–25.99) and smoking (OR 2.93, 95%, CI 1.30–6.63).ConclusionThe suicide risk was lower than in mainland France, possibly reflecting the differences in the social stigma attached to incarceration because of migrant populations and the importance and trivialization of drug trafficking among detainees. However, there were no differences between nationalities. The results reemphasize the importance of promptly identifying and treating psychiatric disorders, which were the main suicide risk factors.

【 授权许可】

CC BY   
© The Author(s). 2017