@article{ref1,
title="A population-based study of the prevalence and correlates of self-harm in juvenile detention",
journal="PLoS one",
year="2016",
author="Casiano, Hygiea and Bolton, Shay-Lee and Hildahl, Keith and Katz, Laurence Y. and Bolton, James and Sareen, Jitender",
volume="11",
number="1",
pages="e0146918-e0146918",
abstract="BACKGROUND: Suicide is the number one cause of death among incarcerated youth. We examined the demographic and forensic risk factors for self-harm in youth in juvenile detention using a Canadian provincial correctional database. <br><br>METHOD: We analyzed data from de-identified youth aged 12 to 18 at the time of their offense who were in custody in a Manitoba youth correctional facility between January 1, 2005 and December 30, 2010 (N = 5,102). Univariate and multivariate logistic regression analyses determined the association between staff-identified self-harm events in custody and demographic and custodial variables. Time to the event was examined based on the admission date and date of event. <br><br>RESULTS: Demographic variables associated with self-harm included female sex, lower educational achievement, older age, and child welfare involvement. Custodial variables associated with self-harm included higher criminal severity profiles, younger age at first incarceration, longer sentence length, disruptive institutional behavior, and a history of attempting escape. Youth identified at entry as being at risk for suicide were more likely to self-harm. Events tended to occur earlier in the custodial admission. <br><br>INTERPRETATION: Self-harm events tended to occur within the first 3 months of an admission stay. Youth with more serious offenses and disruptive behaviors were more likely to self-harm. Individuals with problematic custodial profiles were more likely to self-harm. Suicide screening identified youth at risk for self-harm. Strategies to identify and help youth at risk are needed.  Keywords: Juvenile justice; <p /> <p>Language: en</p>",
language="en",
issn="1932-6203",
doi="10.1371/journal.pone.0146918",
url="http://dx.doi.org/10.1371/journal.pone.0146918"
}