RT Article
T1 Adjudications and self-harm in prisons during COVID-19: three-year longitudinal analysis of the Offender Personality Disorder Pathway in England and Wales
JF BJPsych Open
VO 11
IS 6
SP 1
OP 7
A1 Gillespie, Steven M.
A1 Jones, Andrew
A1 Broome, Laura J.
A1 Tonkin, Matthew J.
A1 O’Meara, Aisling
A1 Lewis, Carine
A1 Dagnall, Rachael
A1 Maruna, Shadd
A1 Davies, Jason
A2 Jones, Andrew
A2 Broome, Laura J.
A2 Tonkin, Matthew J.
A2 O’Meara, Aisling
A2 Lewis, Carine
A2 Dagnall, Rachael
A2 Maruna, Shadd
A2 Davies, Jason
LA English
YR 2025
UL https://krimdok.uni-tuebingen.de/Record/1944956883
AB 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.
NO Literaturverzeichnis: Seite 6-7
K1 Conduct disorders
K1 Social functioning
K1 personality disorders
K1 psychiatry and law
K1 Prison
DO 10.1192/bjo.2025.10883