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Characteristics of Inmates Who Initiate Hunger Strikes.

Rusty Reeves1, Anthony C Tamburello2, Jennifer Platt2

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The Journal of the American Academy of Psychiatry and the Law
|September 24, 2017
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Summary
This summary is machine-generated.

Hunger strikes in prisons are common but often brief. Mental health patients, particularly those with personality disorders in disciplinary housing, are disproportionately represented. Improving communication and housing conditions may reduce strikes.

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Area of Science:

  • Corrections
  • Public Health
  • Psychiatry

Background:

  • Hunger strikes are a significant issue in correctional facilities, posing risks to inmate health and facility resources.
  • Understanding the characteristics of inmates initiating hunger strikes is crucial for developing effective interventions.

Purpose of the Study:

  • To describe the characteristics of inmates who initiated hunger strikes within a state prison system.
  • To identify factors associated with hunger strikes in correctional settings.

Main Methods:

  • Retrospective review of electronic medical records for hunger strikes from January 2005 to September 2015.
  • Analysis of inmate demographics, strike duration, weight loss, diagnoses, housing, and reasons for termination.

Main Results:

  • 292 hunger strikes were documented; 71% lasted ≤3 days.
  • 45% of striking inmates had mental health diagnoses, predominantly personality disorders (48%).
  • 75% of strikes occurred in disciplinary housing; custody intervention was the most common reason for ending strikes.

Conclusions:

  • Inmates in disciplinary housing and those with mental health issues, especially personality disorders, are disproportionately involved in hunger strikes.
  • Improving communication between custody and mental health services, and mitigating adverse housing conditions, may decrease hunger strike incidence.