SUICIDE ATTEMPTS AMOMG WOMEN DEPRIVED OF THEIR FREEDOM IN A PRISON UNIT

Farias, Mariana; Maftum, Mariluci Alves; Kaled, Manuela; Ferreira, Aline Cristina Zerwes; Haeffner, Rafael; Capistrano, Fernanda Carolina; Zanchettin, Lillian Andressa

doi:10.1590/ce.v29i0.93785

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ORIGINAL ARTICLE • Cogit. Enferm. 29 • 2024 • https://doi.org/10.1590/ce.v29i0.93785 copy

SUICIDE ATTEMPTS AMOMG WOMEN DEPRIVED OF THEIR FREEDOM IN A PRISON UNIT^* * Article extracted from the master’s thesis project: “Ideação e comportamentos suicidas em mulheres privadas de liberdade em uma unidade prisional do Estado do Paraná”. Universidade Federal do Paraná, Programa de Pós-Graduação em Enfermagem, Curitiba, PR, Brasil, 2023.

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objective:

to describe the occurrences and factors associated with attempted suicide among women deprived of their freedom in a prison unit.

Method:

a cross-sectional study conducted at a detention facility in Paraná - Brazil, with 30 women, with data collected in 2022 using the Columbia-Suicide Severity Rating Scale instrument and another one prepared by the authors and analyzed descriptively and inferentially.

Results:

during their lifetime, 16 (53.3%) women presented suicidal behavior; 14 (46.7%) made actual suicide attempts; 14 (46.7%) had physical damage; and 10 (33.3%) preparatory acts. An actual suicide attempt was associated with suicidal thoughts before arrest (p<0.01) and with thoughts during arrest (p<0.02).

Conclusion:

previous history of ideation influenced the suicide attempt. Therefore, it is important to evaluate suicidal behavior in the admission and permanence of women deprived of their freedom. This study contributes to reducing the gap in the Brazilian scientific production on this topic with this population segment.

DESCRIPTORS:
Nursing; Prison Units; Women; Suicide; Suicide Attempt

HIGHLIGHTS

In jail, 23.3% of the women attempted suicide.

In life, 46.7% of the women attempted suicide.

Assess suicidal behaviors upon admission and staying in prison.

Physical clinical conditions	n	%
Endocrine and metabolic	3	10
Cardiac	2	6.7
Physical disability	2	6.7
Sexually transmitted infections	1	3.3
Hepatic	1	3.3
Not applicable	21	70
COVID-19	n	%
No	19	63.4
Yes	11	36.6
Deprivation of freedom before the pandemic	n	%
No	24	80
Yes	6	20
Mental health conditions	n	%
No	16	53.4
Yes	14	46.6
Mental disorders	n	%
Depression	4	13.3
Mood disorder	3	10
Disorder related to PAS use	2	6.7
Anxiety	2	6.7
Schizophrenia	1	3.3
Psychopathy	1	3.3
Eating disorder	1	3.3
Not applicable	16	53.4
Tobacco use	n	%
Yes	21	70
No	9	30
Alcohol consumption	n	%
Yes	22	73.3
No	8	26.7
Psychoactive substance use	n	%
Yes	17	56.7
No	13	43.3
Mental health treatment	n	%
No	20	66.6
Yes	10	33.4

Reason for imprisonment	n	%
Homicide	15	50
Drug possession and trafficking	7	23.3
Fights	3	10
Others^†	3	10
Theft, robbery, non-payment of alimony	2	6.7
Imprisonment time	n	%
<1 year	18	60
1-2 years	8	26.7
3-8 years	3	10
Does not know	1	3.3
First imprisonment	n	%
Yes	16	53.3
No	14	46.7
Age at first imprisonment	n	%
18 - 30 years old	14	46.7
31 - 55 years old	14	46.7
Up to 18 years old	2	6.6
Number of convictions	n	%
1 time	16	53.3
2-4 times	11	36.7
5-10 times	3	10
Number of people in the cell	n	%
1-3 people	20	66.7
4-6 people	8	26.7
7-14 people	0	0
Does not know	2	6.6
Course in the Prison System	n	%
No	27	90
Yes	3	10
Activity to reduce the sentence	n	%
No	23	76.7
Yes	7	23.3
Family history of imprisonment	n	%
No	19	63.3
Yes	11	36.7

Suicidal ideation	n	%
Yes	19	63.3
No	11	36.7
Active suicidal ideation with specific plan and intent	n	%
No	16	53.3
Yes	14	46.7
Suicidal thoughts before imprisonment	n	%
Yes	16	53.3
No	14	46.7
Suicidal thoughts during imprisonment	n	%
No	18	60
Yes	12	40
Suicidal behaviors	n	%
Yes	16	53.3
No	14	46.7
Effective attempts	n	%
No	16	53.3
Yes	14	46.7
Interrupted attempts	n	%
No	22	73.3
Yes	8	26.7
Aborted attempts	n	%
No	23	76.7
Yes	7	23.3
Preparatory acts	n	%
No	20	66.7
Yes	10	33.3
Attempted suicide during imprisonment	n	%
No	10	33.4
Yes	4	13.3
Not applicable	16	53.3
First attempt during imprisonment	n	%
No	11	36.7
Yes	3	10
Not applicable	16	53.3
Method used in suicide attempt	n	%
Medications	8	26.7
Strangulation	4	13.3
Melee weapon	2	6.7
Not applicable	16	53.3
Under the influence of alcohol or PAS in a suicide attempt	n	%
No	10	33.3
Yes	4	13.4
Not applicable	16	53.3
Physical harms	n	%
Yes	14	46.7
No	0	0
Not applicable	16	53.3
Family history of attempted suicide	n	%
No	21	70
Yes	8	26.7
Does not know/Did not answer	1	3.3

Suicide Attempts (SA)	OR (95%CI)
Thoughts before imprisonment (n = 30)
Yes (SA/yes: n = 13)	11.3 (1.48 - 86.95)	0.019
No (SA/yes: n = 1)	1
Thoughts during imprisonment (n = 30)	OR (95%CI)	p-value
Yes (SA/yes: n = 10)	3.75 (1.18 - 11.95)	0.025
No (SA/yes: n = 4)	1

Universidade Federal do Paraná Av. Prefeito Lothário Meissner, 632, Cep: 80210-170, Brasil - Paraná / Curitiba, Tel: +55 (41) 3361-3755 - Curitiba - PR - Brazil
E-mail: cogitare@ufpr.br

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[1] Corresponding author: Mariana Farias Universidade Federal do Paraná, Programa de Pós-Graduação em Enfermagem, Curitiba, PR, Brasil Av. Prefeito Lothário Meissner, 623 - Jardim Botânico, Curitiba - PR, 80210-170 E-mail: farias.mariana2710@gmail.com