Adjudications and self-harm in prisons during COVID-19: three-year longitudinal analysis of the Offender Personality Disorder Pathway in England and Wales
Background: The effects of pandemic-related restrictions on people in prisons who tend to have multiple complex health needs are not well understood. Aims: We aimed to measure changes in adjudications and self-harm among people in prisons before and during the pandemic. Method: We examined effects o...
| Authors: | ; ; ; ; ; ; ; ; |
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| Format: | Electronic Article |
| Language: | English |
| Published: |
2025
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| In: |
BJPsych Open
Year: 2025, Volume: 11, Issue: 6, Pages: 1-7 |
| Online Access: |
Volltext (kostenfrei) Volltext (kostenfrei) |
| Check availability: | HBZ Gateway |
| Keywords: |
MARC
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| 100 | 1 | |a Gillespie, Steven M. |e VerfasserIn |0 (orcid)0000-0001-7789-5381 |4 aut | |
| 245 | 1 | 0 | |a Adjudications and self-harm in prisons during COVID-19 |b three-year longitudinal analysis of the Offender Personality Disorder Pathway in England and Wales |c Steven M. Gillespie, Andrew Jones, Laura J. Broome, Matthew J. Tonkin, Aisling O’Meara, Carine Lewis, Rachael Dagnall, Shadd Maruna and Jason Davies |
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| 520 | |a Background: The effects of pandemic-related restrictions on people in prisons who tend to have multiple complex health needs are not well understood. Aims: We aimed to measure changes in adjudications and self-harm among people in prisons before and during the pandemic. Method: We examined effects of time and demographic characteristics on odds and counts of adjudications and self-harm over a three-year period, starting one year before the COVID-19 pandemic, in 861 individuals from 21 Offender Personality Disorder Pathway prison sites. Results: The odds of adjudicating were lower in people of older age (odds ratio 0.98 (95% CI: 0.96–0.99)), and during COVID-19 year one (odds ratio 0.37 (95% CI: 0.23–0.60)) and year two (odds ratio 0.40 (95% CI: 0.25–0.65)) compared to pre-COVID-19. Being of White ethnicity was associated with increased odds (odds ratio 4.42 (95% CI: 2.06–9.47)) and being older was associated with reduced odds (odds ratio 0.97 (95% CI: 0.95–0.99)) of self-harm. The odds of self-harm were significantly reduced during COVID-19 year two (odds ratio 0.45 (95% CI: 0.26–0.78)), but not during COVID-19 year one (odds ratio 0.68 (95% CI: 0.40–1.14)), compared with the 12 months before COVID-19. Conclusions: Although adjudications and self-harm were generally lower during the pandemic, younger people showed increased odds of adjudications and self-harm compared with older people, while White people showed increased odds of self-harm compared with people of the global majority. Our findings highlight the importance of considering potential health inequities and environmental effects of lockdowns for people in prisons. | ||
| 650 | 4 | |a Conduct disorders | |
| 650 | 4 | |a Social functioning | |
| 650 | 4 | |a personality disorders | |
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| 700 | 1 | |a Jones, Andrew |e VerfasserIn |4 aut | |
| 700 | 1 | |a Broome, Laura J. |e VerfasserIn |4 aut | |
| 700 | 1 | |a Tonkin, Matthew J. |e VerfasserIn |4 aut | |
| 700 | 1 | |a O’Meara, Aisling |e VerfasserIn |0 (orcid)0000-0001-5129-7471 |4 aut | |
| 700 | 1 | |a Lewis, Carine |e VerfasserIn |4 aut | |
| 700 | 1 | |a Dagnall, Rachael |e VerfasserIn |4 aut | |
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| 700 | 1 | |a Davies, Jason |e VerfasserIn |0 (DE-588)1136619364 |0 (DE-627)89332082X |0 (DE-576)490705901 |4 aut | |
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