Background: Suicide in prison is a major problem and several risk factors have been identified in the literature (e.g., period of incarceration, depressive disorders). Aims: The study examined the impact of several risk factors for suicide attempts before and during incarceration using life trajectory analysis of inmates by interviews with informants. Method: The lifetime of inmates with a history of suicide attempts (ISA; n = 20) or without (IWSA; n = 29) was recounted on a life chart according to four main domains (health, life events, relationships, and judiciary domain) organized in two different periods (predetention and current detention). Life charts were compared between the two groups and a predictive model of suicide risk was constructed using logistic regression and receiving operating characteristic curve analysis. Results: Before detention, more depressive experiences were observed in ISA than in IWSA, and ISA reported more behavioral disorders than IWSA during current detention. Moreover, the total burden for ISA was greater than that for IWSA. The predictive model identified three dimensions for differentiating ISA from IWSA: mood disorders before detention, behavioral disorders, and the quality of relationships with nuclear family during detention. Limitations: Interviews with inmates would have been informative. Conclusion: The accumulation of life events and behavioral manifestations should be incorporated in the developmental trajectory as a therapeutic model regarding suicide in prison.

中文翻译：

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使用生活轨迹分析来表征监狱中的自杀企图。

背景：监狱中的自杀是一个主要问题，文献中已经确定了几个危险因素（例如，监禁期，抑郁症）。目的：该研究通过与线人进行访谈，通过对囚犯的生活轨迹分析，考察了在囚禁之前和期间自杀未遂的几种危险因素的影响。方法：根据四个主要方面（健康，生活事件，人际关系和司法领域），在生命图表中对有自杀未遂史（ISA； n = 20）或没有自杀史（IWSA； n = 29）的囚犯的一生进行重新计算。 ）分为两个不同的时期（预先拘留和当前拘留）。比较两组患者的生命图，并使用逻辑回归分析并接受操作特征曲线分析，建立自杀风险的预测模型。结果：在拘留之前，在ISA中观察到比在IWSA中更多的抑郁经历，并且在当前拘留期间，ISA报告的行为障碍比IWSA更多。此外，ISA的总负担大于IWSA的总负担。该预测模型确定了区分ISA和IWSA的三个维度：拘留前的情绪障碍，行为障碍以及拘留期间与核心家庭的关系质量。局限性：与囚犯的面谈本来可以提供很多信息。结论：生活事件和行为表现的积累应纳入发展轨迹，作为监狱自杀的治疗模型。ISA的总负担大于IWSA的总负担。该预测模型确定了区分ISA和IWSA的三个维度：拘留前的情绪障碍，行为障碍以及拘留期间与核心家庭的关系质量。局限性：与囚犯的面谈本来可以提供很多信息。结论：生活事件和行为表现的积累应纳入发展轨迹，作为监狱自杀的治疗模型。ISA的总负担大于IWSA的总负担。该预测模型确定了区分ISA和IWSA的三个维度：拘留前的情绪障碍，行为障碍以及拘留期间与核心家庭的关系质量。局限性：与囚犯的面谈本来可以提供很多信息。结论：生活事件和行为表现的积累应纳入发展轨迹，作为监狱自杀的治疗模型。