Center for Health Policy and Research (CHPR) Publications


A national survey of self-injurious behavior in American prisons

UMMS Affiliation

Center for Health Policy and Research; Commonwealth Medicine

Publication Date


Document Type



Self-Injurious Behavior; Prisoners; Prisons


Health Services Administration | Health Services Research | Public Health


Objective: This study sought information about the prevalence, epidemiology, and management of self-injurious behavior by inmates in U.S. prison systems. Although self-injurious behavior has long been the source of significant challenges in correctional settings, limited research is available on this topic.

Methods: Mental health directors in all 51 state and federal prison systems were invited to respond to a 30-item questionnaire available online or in hard copy. Univariate statistics were used to describe significant aspects of the national experience with self-injurious behavior, and bivariate statistics were used to examine relationships between variables.

Results: Thirty-nine systems (77%) responded to the survey. Responses indicated that

Conclusions: The survey responses indicated the disruptive effects of self-injurious behavior in the nation's prisons, a need for better epidemiologic monitoring and data on such behavior, and the importance of developing and widely using effective interventions. The high response rate and expressed interest in follow-up projects suggest that state and federal correctional mental health directors see a need for better information and management in this area. (Psychiatric Services 62:285-290, 2011).

DOI of Published Version



Appelbaum KL, Savageau JA, Trestman RL, Metzner JL, Baillargeon J. A National Survey of Self-Injurious Behavior in American Prisons. Psychiatric Services 2011;62(3):285-290. Link to article on publisher's website

Journal/Book/Conference Title

Psychiatric services (Washington, D.C.)

PubMed ID