Evidence map›Paper›PMID 41382334›Full record

ArticleBJPsych open2025

Self-harm before and during imprisonment: cohort study of males in prison linking population-based routinely collected data in Wales.

Marcos DelPozo-Banos, Mark D Atkinson, Sze Chim Lee, Ann John

Abstract read
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Article in BJPsych open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Marcos DelPozo-BanosSwansea University Medical School, Faculty of Medicine, Health & Life Science, https://ror.org/053fq8t95Swansea University, Swansea, UK.ORCID https://orcid.org/0000-0003-1502-389X
Mark D AtkinsonSwansea University Medical School, Faculty of Medicine, Health & Life Science, https://ror.org/053fq8t95Swansea University, Swansea, UK.
Sze Chim LeeSwansea University Medical School, Faculty of Medicine, Health & Life Science, https://ror.org/053fq8t95Swansea University, Swansea, UK.
Ann JohnSwansea University Medical School, Faculty of Medicine, Health & Life Science, https://ror.org/053fq8t95Swansea University, Swansea, UK.ORCID https://orcid.org/0000-0002-5657-6995

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSelf-harm among UK prisoners has risen over the past decade.

aimsTo explore self-harm risk factors and mental health conditions in prisoners, pre- and during imprisonment, compared with the general population.

methodThis retrospective cohort study linked electronic health records and Ministry of Justice data for Welsh male prisoners (2019), and a comparison general population cohort. We examined imprisonment likelihood based on prior self-harm and mental health conditions using logistic regression. We also studied self-harm risk up to three years during imprisonment through Generalised Estimating Equations and time-stratified Cox regression, using a pre-imprisonment comparator (3 years before).

resultsPrisoners (

conclusionsPre-imprisonment, self-harm in male prisoners is already high compared with the general population, potentially driving a saturation effect, where known general population risk factors have a weaker effect in prisoners. Self-harm prevention should target people in contact with criminal justice, irrespective of imprisonment. In prisons, prevention efforts deployed at inception should target those with prior self-harm, drug use, learning difficulties, bipolar disorder and those on remand.

Indexed as

Data linkagemental healthprisonersroutinely collected dataself-harm

Identifiers

PMID41382334
PMCPMC12724122

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