Suicide Prevention in Penal Institutions: Validation and Optimization of a Screening Tool for Early Identification of High-Risk Inmates in Pretrial Detention

Suicide is the leading cause of death in penal institutions, especially during the early stage of confinement. Effective suicide prevention thus requires early identification of at-risk inmates. The aim of this study was to assess a screening instrument developed in the Netherlands for early identification of potentially suicidal high-risk inmates. The screening instrument was retrospectively tested and further developed on the basis of 30 suicides that occurred between 1991–2000 at the pretrial detention center Berlin-Moabit and an equalsized control random sample. The screening instrument turned out to be sensitive. The initially high rate of false-positive classifications could be lowered by simplifying the instrument.