title: Safe in our hands?: a study of suicide and self-harm in asylum seekers.
abstract: This study examined the incidence of suicide and self-harm in asylum seekers in the UK, both those in detention and in the community. The investigation revealed that data recording is seriously flawed or sometimes non-existent. However, the scanty data those were available from Immigration Removal Centres, coroners' records and Prison Ombudsman's reports showed high levels of self-harm and suicide for detained asylum seekers as compared with the United Kingdom prison population. It is suggested that this could be attributed to routine failure to observe and mitigate risk factors. The author makes the following recommendations: coroners should record asylum seeker status and ethnicity of deceased, self-harm monitoring in the community should record asylum seeker status and ethnicity, health care in immigration removal centres should meet the same standards as UK prisons as a minimum, allegation of torture by immigration detainees should trigger a case management review and risk assessment for continued detention, and this process should be open to audit, and interpreters should be used for mental state examinations unless their English has been shown to the fluent.
authors.affiliation: Medical Foundation for the Care of Victims of Torture, 111 Isledon Road, London N7 7JW, UK. jcohen@torturecare.org.uk
authors.forename: Juliet
authors.initials: J
authors.lastname: Cohen
mesh_terms: D000293:Adolescent; D000328:Adult; D003334:Coroners and Medical Examiners; D019548:Crime Victims / Q000706:statistics & numerical data; D004282:Documentation; D005260:Female; D006801:Humans; D008297:Male; D017533:Marital Status / Q000706:statistics & numerical data; D001523:Mental Disorders / Q000453:epidemiology; D008722:Methods; D008875:Middle Aged; D011329:Prisoners / Q000706:statistics & numerical data; D012036:Refugees / Q000706:statistics & numerical data*; D016728:Self-Injurious Behavior / Q000453:epidemiology*; D013405:Suicide / Q000706:statistics & numerical data*; D014104:Torture / Q000706:statistics & numerical data; D006113:United Kingdom / Q000453:epidemiology