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Journal of Correctional Health Care
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Article

Self-Injurious Behavior in Correctional Settings

Thomas J. Fagan, PhD1*, Judith Cox, MA, CCHP2, Steven J. Helfand, PsyD, CCHP3, and Dean Aufderheide, PhD4

1 Division of Social and Behavioral Sciences, Farquhar College of Arts and Sciences, Nova Southeastern University, Fort Lauderdale, Florida
2 JFC Consultation Services, Clifton Park, New York
3 Correctional Managed Health Care, University of Connecticut Health Center, Farmington, Connecticut
4 Office of Health Services, Florida Department of Corrections, Tallahassee, Florida

* To whom correspondence should be addressed. E-mail: tfagan{at}nova.edu.


   Abstract
This article reviews the literature concerning self-injury among criminal offenders. It describes many of the problems, barriers, and obstacles to effective assessment and treatment of self-injury and discusses the absence of a clear paradigm within which to develop a classification system and standardized nomenclature to describe the spectrum of self-injurious behaviors. This article distinguishes between self-injury resulting from suicidal versus nonsuicidal intent, presents treatment strategies for managing each, and concludes with a proposed set of eight recommended goals for creating a national strategy to develop self-injury programming in correctional settings.

First published on October 26, 2009
Journal of Correctional Health Care 2009, doi:10.1177/1078345809348212


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