ABSTRACT Self-harming behaviors occurring in prison disproportionately consume resources and cause considerable disruption. To date, theoretical paradigms have explained self-injurious behaviors and suicidal processes either via a continuum or dichotomy of self-harm. This current study examines all documented acts of self-harm (n = 1,158) occurring in South Carolina’s 28 prisons over a 50-month period. We test and find support for a tripartite schema of self-harm; differentiated with regard to suicidal processes, self-injurious behaviors, and a ‘mixed group‘ of self-harming behaviors. These groups of behaviors were distinct with regard to situational variables (i.e. body part targeted, injury severity) as well as institutional responses (i.e., medical treatment needed, employment of suicide protocols). Findings indicate that self-injurious behaviors are likely to result in physical injury and/or hospitalizations.

中文翻译：

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监狱中的自我伤害行为：自杀过程，自我伤害行为和混合事件的比较

摘要在监狱中发生的自我伤害行为会大量消耗资源并造成重大破坏。迄今为止，理论范式已经通过自我伤害的连续性或二分法解释了自我伤害行为和自杀过程。这项最新研究调查了南卡罗来纳州28所监狱在50个月内发生的所有自残行为（n = 1,158）。我们测试并发现了对自我伤害的三方模式的支持；在自杀过程，自我伤害行为和自我伤害行为的“混合群体”方面有所区别。这些小组的行为在情境变量（即针对目标的身体部位，损伤严重程度）以及机构反应（即所需的药物治疗，使用自杀方案）方面是截然不同的。