title: Suicide by people in a community justice pathway: population-based nested case-control study.
abstract: The elevated risk of suicide in prison and after release is a well-recognised and serious problem. Despite this, evidence concerning community-based offenders' suicide risk is sparse. We conducted a population-based nested case-control study of all people in a community justice pathway in England and Wales. Our data show 13% of general population suicides were in community justice pathways before death. Suicide risks were highest among individuals receiving police cautions, and those having recent, or impending prosecution for sexual offences. Findings have implications for the training and practice of clinicians identifying and assessing suicidality, and offering support to those at elevated risk.
authors.affiliation: Carlene King, PhD, Jane Senior, RMN, PhD, Roger T. Webb, PhD, Tim Millar, PhD, Institute of Brain, Behaviour and Mental Health, The University of Manchester, Manchester, UK; Mary Piper, MB, FRCP, MFPHM, Public Health England, The Department of Health, London, UK; Alison Pearsall, RMN, MA, Naomi Humber, DClinPsy, PhD, Louis Appleby, MD, FRCPsych, FRCPsych, Jenny Shaw, FRCPsych, PhD, Institute of Brain, Behaviour and Mental Health, The University of Manchester, Manchester, UK.
authors.forename: Carlene
authors.initials: C
authors.lastname: King
authors.affiliation: Carlene King, PhD, Jane Senior, RMN, PhD, Roger T. Webb, PhD, Tim Millar, PhD, Institute of Brain, Behaviour and Mental Health, The University of Manchester, Manchester, UK; Mary Piper, MB, FRCP, MFPHM, Public Health England, The Department of Health, London, UK; Alison Pearsall, RMN, MA, Naomi Humber, DClinPsy, PhD, Louis Appleby, MD, FRCPsych, FRCPsych, Jenny Shaw, FRCPsych, PhD, Institute of Brain, Behaviour and Mental Health, The University of Manchester, Manchester, UK.
authors.forename: Jane
authors.initials: J
authors.lastname: Senior
authors.affiliation: Carlene King, PhD, Jane Senior, RMN, PhD, Roger T. Webb, PhD, Tim Millar, PhD, Institute of Brain, Behaviour and Mental Health, The University of Manchester, Manchester, UK; Mary Piper, MB, FRCP, MFPHM, Public Health England, The Department of Health, London, UK; Alison Pearsall, RMN, MA, Naomi Humber, DClinPsy, PhD, Louis Appleby, MD, FRCPsych, FRCPsych, Jenny Shaw, FRCPsych, PhD, Institute of Brain, Behaviour and Mental Health, The University of Manchester, Manchester, UK.
authors.forename: Roger T
authors.initials: RT
authors.lastname: Webb
authors.affiliation: Carlene King, PhD, Jane Senior, RMN, PhD, Roger T. Webb, PhD, Tim Millar, PhD, Institute of Brain, Behaviour and Mental Health, The University of Manchester, Manchester, UK; Mary Piper, MB, FRCP, MFPHM, Public Health England, The Department of Health, London, UK; Alison Pearsall, RMN, MA, Naomi Humber, DClinPsy, PhD, Louis Appleby, MD, FRCPsych, FRCPsych, Jenny Shaw, FRCPsych, PhD, Institute of Brain, Behaviour and Mental Health, The University of Manchester, Manchester, UK.
authors.forename: Tim
authors.initials: T
authors.lastname: Millar
authors.affiliation: Carlene King, PhD, Jane Senior, RMN, PhD, Roger T. Webb, PhD, Tim Millar, PhD, Institute of Brain, Behaviour and Mental Health, The University of Manchester, Manchester, UK; Mary Piper, MB, FRCP, MFPHM, Public Health England, The Department of Health, London, UK; Alison Pearsall, RMN, MA, Naomi Humber, DClinPsy, PhD, Louis Appleby, MD, FRCPsych, FRCPsych, Jenny Shaw, FRCPsych, PhD, Institute of Brain, Behaviour and Mental Health, The University of Manchester, Manchester, UK.
authors.forename: Mary
authors.initials: M
authors.lastname: Piper
authors.affiliation: Carlene King, PhD, Jane Senior, RMN, PhD, Roger T. Webb, PhD, Tim Millar, PhD, Institute of Brain, Behaviour and Mental Health, The University of Manchester, Manchester, UK; Mary Piper, MB, FRCP, MFPHM, Public Health England, The Department of Health, London, UK; Alison Pearsall, RMN, MA, Naomi Humber, DClinPsy, PhD, Louis Appleby, MD, FRCPsych, FRCPsych, Jenny Shaw, FRCPsych, PhD, Institute of Brain, Behaviour and Mental Health, The University of Manchester, Manchester, UK.
authors.forename: Alison
authors.initials: A
authors.lastname: Pearsall
authors.affiliation: Carlene King, PhD, Jane Senior, RMN, PhD, Roger T. Webb, PhD, Tim Millar, PhD, Institute of Brain, Behaviour and Mental Health, The University of Manchester, Manchester, UK; Mary Piper, MB, FRCP, MFPHM, Public Health England, The Department of Health, London, UK; Alison Pearsall, RMN, MA, Naomi Humber, DClinPsy, PhD, Louis Appleby, MD, FRCPsych, FRCPsych, Jenny Shaw, FRCPsych, PhD, Institute of Brain, Behaviour and Mental Health, The University of Manchester, Manchester, UK.
authors.forename: Naomi
authors.initials: N
authors.lastname: Humber
authors.affiliation: Carlene King, PhD, Jane Senior, RMN, PhD, Roger T. Webb, PhD, Tim Millar, PhD, Institute of Brain, Behaviour and Mental Health, The University of Manchester, Manchester, UK; Mary Piper, MB, FRCP, MFPHM, Public Health England, The Department of Health, London, UK; Alison Pearsall, RMN, MA, Naomi Humber, DClinPsy, PhD, Louis Appleby, MD, FRCPsych, FRCPsych, Jenny Shaw, FRCPsych, PhD, Institute of Brain, Behaviour and Mental Health, The University of Manchester, Manchester, UK.
authors.forename: Louis
authors.initials: L
authors.lastname: Appleby
authors.affiliation: Carlene King, PhD, Jane Senior, RMN, PhD, Roger T. Webb, PhD, Tim Millar, PhD, Institute of Brain, Behaviour and Mental Health, The University of Manchester, Manchester, UK; Mary Piper, MB, FRCP, MFPHM, Public Health England, The Department of Health, London, UK; Alison Pearsall, RMN, MA, Naomi Humber, DClinPsy, PhD, Louis Appleby, MD, FRCPsych, FRCPsych, Jenny Shaw, FRCPsych, PhD, Institute of Brain, Behaviour and Mental Health, The University of Manchester, Manchester, UK Jennifer.J.Shaw@manchester.ac.uk.
authors.forename: Jenny
authors.initials: J
authors.lastname: Shaw
mesh_terms: D000328:Adult; D016022:Case-Control Studies; D057237:Criminals / Q000706:statistics & numerical data*; D004739:England / Q000453:epidemiology; D005260:Female; D006801:Humans; D008297:Male; D012926:Social Control, Formal; D013405:Suicide / Q000706:statistics & numerical data*; D014852:Wales / Q000453:epidemiology