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Suicide prevention in Latin American prisons

A multiple case study with meta-matrix of policies, programmes and protocols in 17 countries

Bibliographic Data

ID21880044
AuthorsPablo Antonio Cifuentes-Gramajo (0009-0004-0150-6385, Pontificia Universidad Católica de Chile), Lukas Beigel (0000-0003-3999-3989, Charité - Universitätsmedizin Berlin), Felix Bacigalupo (Pontificia Universidad Católica de Chile), Gerson Gómez-Durán (Ministerio de Salud), César Cortés-Jara (Instituto de Salud Pública de Chile), José Luis Osnaya (Universidad Autónoma de la Ciudad de México), Elisabet Eterovich (Ministerio de Salud), María Isabel Cuartas-Giraldo (Universidad Nacional Abierta y a Distancia), Anne Aboaja (0000-0002-1738-5096, Mental Health Research UK), Daniel D Pratt (0000-0002-8943-5697, Manchester Academic Health Science Centre), Daniel Pratt (Division of Psychology and Mental Health, School of Health Sciences, Manchester Academic Health Science Centre, University of Manchester, Manchester, England, UK), Amanda Perry (0000-0002-0279-1884, Mental Health Research UK), Amanda E Perry (University of York), Andrew Forrester (0000-0003-2510-1249, Cardiff University), Adrian P Mundt (0000-0001-8763-4601, Universidad de Los Andes, Chile)
Year2026
Volume11
Issue1
Pagese021858
Publication date2026-01-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueBMJ Global Health (JOURNAL)
Journal identifiersISSN: 2059-7908 • E-ISSN: 2059-7908
PublisherBMJ (PUBLISHER • GB)
DOI10.1136/bmjgh-2025-021858
PMID41513301
OpenAlexW7120167542
LanguageEN
Citations received1
References cited21

BACKGROUND: Suicide is one of the most common causes of death in correctional settings. This study aimed to analyse prison suicide prevention policies and procedures across Latin America. METHODS: For this multiple case study, we collected data on prison suicide prevention in policies (laws), programmes (institutional framework) and protocols (procedures) from 17 Latin American countries, from (1) the public domain and (2) archival records held by prison administrations. The search was conducted using Google, through hand search on prison administration websites and requests to public information departments and prison administrations. Theory-driven thematic analysis was conducted based on 11 key components of suicide prevention in prison. Presence and quality of policies, programmes and protocols were assessed using tailored instruments. Between-country comparisons were made by cross-case analysis. RESULTS: Data were retrieved from 17 Latin American jurisdictions. Nine cases had a policy or law, 6 had an institutional plan or programme and 13 had suicide prevention protocols. In 6 of the 17 cases (Argentina, Chile, Colombia, Ecuador, Mexico and Panama), the three elements were present. Among the 13 cases with protocols, 7 (Argentina, Brazil, Chile, Colombia, Mexico, Paraguay and Uruguay) had high, 2 had medium and 4 cases had low quantity and quality of key components. In the composite quality assessment of policies, programmes and protocols, three cases (Argentina, Colombia and Mexico) had high quality, four cases had medium quality and the other seven cases had low quality of suicide prevention in place. CONCLUSION: Many Latin American countries still need to draft policies and develop institutional frameworks for suicide prevention in prison. Most countries may review their suicide prevention protocols in prisons to cover all key components with clear procedures. Prison administrations in Latin America should publish internal plans and protocols for prison suicide prevention to facilitate cross-country policy evaluations and research

Developing country · Latin Americans · Occupational safety and health · Poison control · Prison · Public health · Publication · Suicide prevention · HIV, Drug Use, Sexual Risk · Mental Health Treatment and Access · Suicide and Self-Harm Studies

  • Incidence, ecological factors, and temporal trends of prison homicides and suicides in Chile, 2000-2024

    Open Access•Benjamín Asencio-Rojas, Gabriel Cavada-Chacón et al.•Frontiers in Psychiatry•2026

  • Mental health of prisoners

    Open Access•Seena Fazel, ADRIAN HAYES et al.•The Lancet Psychiatry•2016

  • Severe mental illness and substance use disorders in prisoners in low-income and middle-income countries

    Open Access•Gergő Baranyi, Carolin Scholl et al.•The Lancet Global Health•2019

  • Risk factors for suicide in prisons

    Open Access•Shaoling Zhong, Morwenna Senior et al.•The Lancet Public Health•2021

  • PRISMA 2020 explanation and elaboration

    Open Access•Matthew J Page, David Moher et al.•BMJ•2021

  • Using thematic analysis in psychology

    Open Access•Braun, Virginia Braun et al.•Qualitative Research in Psychology•2006

Unique citing works1
Citations per year1
Citation span2026 - 2026 (1)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 1

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