title: Preventing Suicide in Lesbian, Gay, Bisexual, and Transgender Prisoners: A Critique of U.K. Policy.
abstract: Suicide is a global problem in prisons. As in society generally, gay men in prison have a higher risk of attempting suicide compared with their heterosexual peers. The Howard League for Penal Reform Sex in Prison Commission 2015 reveals a pervasive culture of consensual and coercive sexual relations, with gay men more likely to be targeted for unsolicited sex. Research shows an inadequate institutional response to such abuse. Victims of sexual assault in prison have high rates of psychological problems, which can lead to self-harm and suicide. The Assessment, Care in Custody and Teamwork procedure to assess and manage risk of suicide in prisoners, however, makes no reference to the needs of the lesbian, gay, bisexual, and transgender prison population, despite national policy and best practice guidance that advocates an individualized approach to suicide risk with due consideration of vulnerable group status. This article argues that the Assessment, Care in Custody and Teamwork procedure should be tuned to the requirements of the Equality Act 2010 to ensure that lesbian, gay, bisexual, and transgender prisoners are not exposed to the double jeopardy of sexual assault and related suicidal tendencies.
authors.affiliation: Author Affiliations: King's College London.
authors.forename: Max
authors.initials: M
authors.lastname: Read
authors.forename: Niall
authors.initials: N
authors.lastname: McCrae
mesh_terms: D001727:Bisexuality; D005260:Female; D006291:Health Policy; D006297:Health Services Accessibility; D006716:Homosexuality; D006801:Humans; D007318:Inservice Training; D008297:Male; D011329:Prisoners / Q000523:psychology*; D012725:Sexual Behavior; D063106:Transgender Persons; D006113:United Kingdom; D000092864:Suicide Prevention