Suicidal Ideation among Inmate‐Patients in State Prison: Prevalence,Reluctance to Report,and Treatment Preferences

This study examined the prevalence, willingness to report, and treatment preferences for suicidal ideation among state prison inmates. The Beck Scale for Suicide Ideation (BSS) and a novel questionnaire were completed by 67 inmate‐patients. The BSS score was in the high range for 15% of general population (GP) and 40% of Intermediate Care Program (ICP) patients, with 19% of ICP inmates reporting a “moderate to strong” desire to commit suicide. A majority (64% GP, 86% ICP) had prior suicide attempt(s). Forty‐two percent of GP and 31% of ICP inmate‐patients were unlikely to tell mental health staff about suicidal thoughts. Family contact and talking with mental health staff were preferred interventions. ICP inmates preferred staff visits and observation in their own cells, but GP inmates did not. Only a small minority (14% GP, 21% ICP) favored transfer to a crisis observation cell, but the least desired option was talking to a corrections officer. While many inmate‐patients reported experiencing suicidal thoughts, they preferred not to inform staff. Almost 80% did not favor the current primary intervention: the observation cell. Alternative or supplementary options should be considered. Copyright © 2013 John Wiley & Sons, Ltd.     

prison guard predators: an analysis of inmates who established inappropriate relationships with prison staff, 1995-1998

Recently, media accounts have shed light on a number of correctional employees who were terminated for engaging in "inappropriate relationships" with prisoners. This study employed face-to-face interviews of 32 inmate "turners" who were investigated for engaging in inappropriate relationships with security officers. We found that many inmate manipulators share similar attitudes and beliefs regarding inappropriate relationships. Our findings indicate that there are three distinct types of inmate "turners," each exhibiting an entirely different set of motivations and behavior from one another. We conclude that inmates are very persistent in attempting to initiate an inappropriate relationship with prison employees.     

Broadcasting to an Enemy Country: What Appeals are Effective,and Why

Summary

This study examined inmate perceptions of the value of membership of penitentiary residential unit management committees for the rehabilitation of inmates. The degree of favorableness of inmate perceptions of the committees was treated as a function of their participation in a number of other penitentiary programs.

It was found that categorization of inmates in this way was useful for identifying and explaining differences in their perceptions of the utility of membership of the residential committees for rehabilitation. It was also found that in the case of three programs—group therapy, playing bridge, and individual counselling of inmates by classification officers —participants had significantly more favorable perceptions of residential committees than nonparticipants. A comparison of the perceptions of residential committees by these inmate samples and staff disclosed that only participation in counselling by classification officers and playing bridge resulted in inmates' perception of the committees becoming as favorable as those of the staff.

The conceptual framework of the study employed dissonance theory to account for the effect of participation on inmates' perceptions of the committees.     

Prevalence of ADHD and its subtypes in male and female adult prison inmates

There are few published studies of attention-deficit/hyperactivity disorder (ADHD) in adult inmates, and even fewer studies that have considered ADHD in adult inmates by gender. The present study examined the prevalence of ADHD, its subtypes, and associated psychological and neuropsychological comorbidity as a function of gender in a sample of 3,962 inmates (3,439 men and 523 women; mean age = 33.6 years, range 17-73) who had completed the 250-item, self-report, Diagnostic and Statistical Manual of Mental Disorders, 4th edition (Text Revision) (DSM-IV-TR)-aligned Coolidge Correctional Inventory (CCI). The overall ADHD prevalence rate found was 10.5%, which is substantially higher than the rate among adults in the general population (2-5%). The female inmate ADHD prevalence rate (15.1%) was higher than the male inmate ADHD rate (9.8%), consistent with some previous studies. The most prevalent ADHD subtype for both genders was the hyperactive-impulsive subtype. The combined and inattentive ADHD subtypes had higher levels of comorbid psychopathology than the hyperactive-impulsive ADHD subtype. As the presence of ADHD and associated gender differentials may impact the success of rehabilitation and educative programs with inmates, the assessment of ADHD and comorbid psychopathology should be a priority in initial inmate screening and evaluation.     

Clinical syndromes, personality disorders, and neurocognitive differences in male and female inmates

This study examined clinical syndromes, personality disorders, and neurocognitive problems in adult male (n = 523) and female inmates (n = 523) and a sample of unincarcerated adult women (n = 523). Inmates were administered the Coolidge Correctional Inventory (CCI), and the unincarcerated sample was given an identical test, the Coolidge Axis II Inventory. Although there were significant differences between the two inmate groups on a majority of the 32 CCI scales, only two scales achieved a medium effect size. The two inmate groups were found to be highly similar in a comparison of ranked personality disorder prevalence rates. Consistent with previous literature, male inmates had a significantly higher prevalence of antisocial personality disorder than female inmates (24% vs. 18%). Female inmates had double the prevalence of male inmates on the borderline and histrionic personality disorder scales. Female inmates also reported significantly more general neuropsychological dysfunction, specifically memory problems and neurosomatic symptoms, than male inmates. Female inmates also reported significantly higher levels of anxiety, depression, symptoms of schizophrenia, post-traumatic stress disorder, attention deficit hyperactivity disorder, and depersonalization than male inmates. Overall, the findings support previous research of high levels of psychological and neuropsychological problems in inmates, regardless of gender, and reinforces the need for comprehensive mental health screening of offender populations. Copyright © 2011 John Wiley & Sons, Ltd.     

Idleness and Inmate Misconduct: A New Perspective on Time Use and Behavior in Local Jails

ABSTRACT

A growing body of literature explores how participation in programming in correctional institutions predicts inmate misconduct. Theory and extant research suggest that engagement in structured and prosocial activities promotes positive behavioral and emotional outcomes, while idleness has a negative impact on inmate behavior and well-being. However, the literature that examines these relationships is largely based on qualitative methodology, small samples, and prison population. Using data from the 2002 Survey of Inmates in Local Jails, this study fills the gap in the literature by examining the associations between engagement in various activities in jail and inmate misconduct. This study also explores individual and jail-level factors that predict inmate engagement in different activities in jails. The results show that watching TV and working in jail are associated with lower misconduct, whereas recreation and reading are associated with higher levels of several types of misconduct. The data also reveal that certain personal and institution-level factors predict the extent of engagement in formal and leisure activities.     

“Four Gods” in Maximum Security Prison: Images of God,Religiousness, and Worldviews Among Inmates

This paper extends research on images of God, which prior researchers based mostly on national survey data, to a study of offenders in prison. We first explore whether the distribution of Froese and Bader’s (America’s four gods: What we say about god–& what that says about us, Oxford University Press, New York 2010) four images of God among prison inmates is similar to that in the general population. We then examine whether an inmate’s image of God is associated with the inmate’s worldviews: beliefs and attitudes toward the law, other inmates, moral responsibility, and ultimate meaning and purpose in life. Finally, we test whether an inmate’s belief in a forgiving God and religiousness explain the association. We analyzed data from a survey of 2249 inmates at America’s largest maximum-security prison, the Louisiana State Penitentiary. We found the distribution of God-images among inmates was the same as that in national samples in terms of rank order. As hypothesized, we also found inmates with an image of an engaged God tended to report lower levels of legal cynicism and sense of illegitimacy of punishment and higher levels of collective efficacy, existential belief, and moral responsibility than those with images of a disengaged God or no God. Finally, we found an inmate’s belief in a forgiving God and religiousness to mediate partly relationships between images of God and the inmate’s worldviews.     

The Mosher Guilt Scale: Theoretical Formulation,Research Review and Normative Data

The construct of trait guilt and the research results of the Mosher Guilt Scale were reviewed. Trait guilt is a personality predisposition to guilt that inhibits violation of moral standards. Normative data (N=862) for college and inmate males on the MGS were presented, along with personality correlates. The data supported the construct of trait guilt. Both sexual guilt and hostility guilt covaried with race and type of offense. The MGS offers promise for future research in assessing potential for acting out.     

Moral reasoning, interpersonal skills, and cognition of rapists, child molesters, and incest offenders

54 inmates were subdivided into four groups and classified according to their index offense. The groups included Rapists (n = 14), Incest Offenders (n = 9), Child Molesters (n = 11), General Offenders (n = 20). Nonoffenders (n = 20) were included as a control group. Psychometric tests including the Test of Nonverbal Intelligence, the Defining Issues Test, Survey of Interpersonal Values, Porteus Maze, and Minnesota Multiphasic Personality Inventory were administered to all inmate and control groups. Analysis showed the rapists and child molesters scored higher on moral reasoning on the Defining Issues Test; also rapists' scores were more elevated on the Psychopathic Deviate and Paranoia scales of the Minnesota Multiphasic Personality Inventory than those of other offender and control groups. These results imply that rapists and child molesters have the ability to understand moral issues; however, given their personality orientation, they ignore these interpersonal social values.     

Individual characteristics related to prison violence: A critical review of the literature

At the end of 2010, prisons in the United States incarcerated over 1,605,127 inmates, yielding an imprisonment rate of 497 per 100,000 residents (Guerino, Harrison, & Sabol, 2011). Approximately 15.6% of correctional officers have been the victim of an inmate assault (Duhart, 2001) and 21% of inmates reported being victims of violence in prison (Wolff, Blitz, Shi, Siegel, & Bachman, 2007). However, which inmates are more likely to perpetuate these violent acts while incarcerated? The present paper critically reviews the empirical literature on the relation between individual characteristics of inmates and prison violence. Variables are divided into three general categories: demographic, criminal history, and psychological variables. From over 500 studies, a representative sample of 20 studies from 1990 to 2011 was reviewed based on specified inclusion criteria, such as adult males incarcerated in English-speaking countries. Although there are some discrepant findings, a general conclusion can be reached regarding most variables. These characteristics are compiled into a prototype of an inmate at “high” risk and an inmate at “low” risk for prison violence. Methodological limitations of the research are presented, as well as suggestions for future research directions.     

The Use of Metaphor to Overcome Inmate Resistance to Mental Health Counseling

Mental health professionals who work with inmates typically encounter resistance to their services. Understanding the processes and purposes of inmate resistance is essential to establishing the rapport needed for counseling to take place. Metaphors, anecdotes, and stories can be used effectively in responding to inmate resistance. Two case examples are included to illustrate these techniques.     

Actuarial models for assessing prison violence risk: revisions and extensions of the Risk Assessment Scale for Prison (RASP)

An investigation and extension of the Risk Assessment Scale for Prison (RASP-Potosi), an actuarially derived scale for the assessment of prison violence, was undertaken through a retrospective review of the disciplinary records of the first 12 months of confinement of a cohort of inmates entering the Florida Department of Corrections in 2002 and remaining throughout 2003 (N=14,088). A near replication of the RASP-Potosi and additional analyses based on other weighted logistic regression models were performed on an inmate subsample for whom all information categories were available (n=13,341). Younger age and shorter sentences were associated with increased violent misconduct. Older age, drug conviction, and higher educational attainment were associated with reduced violent misconduct. Regardless of whether the original RASP-Potosi or its progeny were utilized, or the custody level of the inmate sample, the models were modestly successful in predicting prison violence, with the area under the curve (AUC) ranging from .645 to .707.     

Religiosity, Religious Participation, and Negative Prison Behaviors

An impressive research literature has emerged that identifies linkages between religion and a wide range of attitudes, behaviors, and life events. One of the recurrent themes in this literature is that religion may operate as a force both for reducing antisocial behaviors and for increasing prosocial behaviors. We build upon this research by examining survey data of inmates at a large southeastern prison facility to determine whether religiosity can reduce the odds of frequent inmate arguing and fighting. Overall, our results indicate that religiosity directly reduces the likelihood of arguing and indirectly reduces the likelihood of fighting. We conclude that the efficacy of religiosity and religious programs for individuals in prison rests on whether they can promote basic prosocial behaviors.     

The Bishops of the Protestant Episcopal Church and Birth Control

Summary

Some effects of the time incarcerated on the values and sociometric choices of 107 young inmates at a federal correctional institution were assessed. The longer an inmate was incarcerated, the less were his values like those that the prison staff attributed to an ideal inmate. Values showing decreasing acceptance over time by the inmates were religiousness, honesty, achievement, and kindness, while independence and loyalty increased. There was little evidence for a change toward socially acceptable values as the inmates neared release, in contrast to the results of other investigations. One of the sociometric measures, however, showed that inmates tended increasingly to choose staff as peers, as release time approached.     

Detection of malingering in psychiatric unit and general population prison inmates: a comparison of the PAI, SIMS, and SIRS

In this study, we compared the utility of three instruments, the Personality Assessment Inventory (PAI; Morey, 1991), the Structured Inventory of Malingered Symptomatology (Smith & Burger, 1997), and the Structured Interview of Reported Symptoms (SIRS; Rogers, Bagby, & Dickens, 1992) to detect malingering among prisoners. We examined 4 inmate samples: (a) prisoners instructed to malinger, (b) "suspected malingerers" identified by psychiatric staff, (c) general population control inmates, and (d) psychiatric patients. Intercorrelations among the measures for the total sample (N = 115) were quite high, and receiver operating characteristic analyses suggested similar rates of overall predictive accuracy across the measures. Despite this, commonly recommended cut scores for these measures resulted in widely differing rates of sensitivity and specificity across the subsamples. Moreover, although all instruments performed well in the nonpsychiatric samples (i.e., simulators and controls), classification accuracy was noticeably poorer when attempting to differentiate between psychiatric patients and suspected malingerers, with only 2 PAI indicators significantly discriminating between them.     

Maintaining Order and Following the Rules: Gender Differences in Punishing Inmate Misconduct

For this article, we examine gender differences in how staff members address inmate misconduct. Using in-depth interviews with forty-three correctional employees, we focus on how their various disciplinary styles create interpersonal conflict between staff members. We find that over half of interviewees are identified as “formal responders” who consistently punish inmate misconduct with formal sanctions, even if doing so creates conflict within the organization. However, female formal responders also claim that they work closely with male inmates to explain the importance of following the rules. They state that this puts them at odds with their male co-workers who misinterpret this behavior as instigating sexual relationships.     

Validity of factors of the Psychopathy Checklist--Revised in female prisoners: discriminant relations with antisocial behavior, substance abuse, and personality

The validity of the Psychopathy Checklist-Revised (PCL-R) has been examined extensively in men, but its validity for women remains understudied. Specifically, the correlates of the general construct of psychopathy and its components as assessed by PCL-R total, factor, and facet scores have yet to be examined in depth. Based on previous research conducted with male offenders, a large female inmate sample was used to examine the patterns of relations between total, factor, and facet scores on the PCL-R and various criterion variables. These variables include ratings of psychopathy based on Cleckley's criteria, symptoms of antisocial personality disorder, and measures of substance use and abuse, criminal behavior, institutional misconduct, interpersonal aggression, normal range personality, intellectual functioning, and social background variables. Results were highly consistent with past findings in male samples and provide further evidence for the construct validity of the PCL-R two-factor and four-facet models across genders.     

Axis I screens and suicide risk in jails: a comparative analysis

Mental health professionals conducting screenings in jail settings face formidable challenges in identifying inmates at risk for major depression and suicide. Psychologists often rely on correctional staff to provide initial appraisals of those inmates requiring further evaluation. In a sample of 100 jail detainees, the effectiveness of two specialized screens (the Referral Decision Scale and Mental Disability/Suicide Intake Screen or MDSIS) and one general screen (Personality Assessment Screener or PAS) was evaluated. For suicidal ideation, the MDSIS composite score evidenced promise (sensitivity = 1.00; specificity = 0.71). In ruling out major depression, the PAS Negative Affect subscale was useful for the inmate participants.     

A Tribute to a Former Latchkey Kid: Doing A Wheel

In this article, the author attempts to follow an inmate with a life sentence who, after the initial fear and anger stage of his sentence, started to comprehend that changes were needed if he were ever to have his sentence commuted.     

Estimation of MCMI DSM-III Axis II Constructs From MMPI Scales and Subscales

Wiggins, Harris and Lingoes, and Serkownek Minnesota Multiphasic Personality Inventory (MMPI) scores were used to predict Millon Clinical Multiaxial Inventory (MGMI) scores in a 100-patient sample. Equations from the first sample were cross-validated on a sample of 212 inmate subjects. We conclude that scores on 19 of the 20 MCMI scales can be successfully predicted by the Wiggins, Harris and Lingoes, and Serkownek subscales of the MMPI. In further cross-validation, the equations were used to predict the Morey, Waugh, and Blashfield MMPI composites for the prison sample, again with strongly positive results. The results appear quite promising for the estimation of personality disorder constructs from MMPI scales and subscales.