title: Risk of suicide in male prison inmates.
abstract: OBJECTIVE
  Many studies have demonstrated that the risk of suicide in prison is higher than in the general population. This study has two aims. First, to explore the risk of suicide in men sentenced in Andalusian prisons. And second, to study the sociodemographic, criminal and, especially, psychopathological factors associated with this risk.
  
  
  METHODS
  An assessment was made of 472 sentenced inmates in two Andalusian prisons, and included a sociodemographic interview, the IPDE personality disorders questionnaire, the SCID-I diagnostic interview (DSMIV), and the Plutchick suicide risk questionnaire. The interviewers were experienced clinical psychologists with training in prison environments. Adjusted ORs were calculated using a logistic regression.
  
  
  RESULTS
  A risk of committing suicide was detected in 33.5% of the sample. The diagnoses (lifetime prevalence) of affective disorder (adjusted OR 3329), substance dependence disorders (adjusted OR 2733), personality disorders (adjusted OR 3115) and anxiety disorder (adjusted OR 1650), as well as a family psychiatric history (adjusted OR 1650), were the predictors that remained as risk factors after the regression analysis. No socio-demographic risk factor was significant in the regression analysis.
  
  
  CONCLUSIONS
  The psychopathological variables are essential and the most powerful factors to explain suicide risk in prisons. A correct and systematic diagnosis, and an appropriate treatment by mental health professionals during the imprisonment are essential to prevent the risk of suicide.
authors.affiliation: Departamento de Psicología Experimental, Universidad de Sevilla, Sevilla, España. Electronic address: fjsaavedra@us.es.
authors.forename: Javier
authors.initials: J
authors.lastname: Saavedra
authors.affiliation: Departamento de Evaluación y Programas, Fundación Andaluza Pública para la Integración Social de las Personas con Enfermedad Mental, Sevilla, España.
authors.forename: Marcelino
authors.initials: M
authors.lastname: López
mesh_terms: D000328:Adult; D006801:Humans; D016015:Logistic Models; D008297:Male; D001523:Mental Disorders / Q000175:diagnosis / Q000523:psychology; D011329:Prisoners / Q000523:psychology* / Q000706:statistics & numerical data; D011569:Psychiatric Status Rating Scales; D018570:Risk Assessment; D012307:Risk Factors; D012959:Socioeconomic Factors; D013030:Spain; D013405:Suicide / Q000523:psychology* / Q000706:statistics & numerical data
keywords: Factores de riesgo; Male health; Mental disorders; Prisiones; Prisons; Risk factors; Salud en hombres; Suicide; Suicidio; Trastornos mentales