Mental health of persons deprived of liberty - a review of issues and systemic challenges
DOI:
https://doi.org/10.12775/QS.2025.46.66582Keywords
prisoner mental health, prisoner needs, women in prison, incarceration, prison mental health careAbstract
Introduction: The global prison population is rising at an alarming rate. The unique conditions within correctional facilities, combined with inmates’ complex personal histories, make prisoners more vulnerable to mental health problems than the general population.
Methodology: A review was conducted using PubMed, Google Scholar and ResearchGate. Search terms included: prisoner mental health, prisoner needs, women in prison, incarceration and prison mental health care. A review of studies published between 2010 and 2025 was conducted.
Results: The most prevalent mental illnesses among prisoners are depression, anxiety disorders, bipolar disorder, and schizophrenia spectrum disorders. Inmates are at an increased risk of self-harm and suicide. The widespread use of psychoactive substances—often exacerbating mental health conditions—remains a serious concern. Women and non-heteronormative individuals in prison show increased susceptibility to mental health issues.
Conclusions: Correctional facilities should prioritize the provision of mental health services and implement routine psychological screenings. Prisons must be adapted to accommodate the specific needs of women, older individuals, and LGBTQ+ inmates, ensuring inclusive and appropriate care.
References
Favril, L., Rich, J. D., Hard, J., & Fazel, S. (2024). Mental and physical health morbidity among people in prisons: An umbrella review. Lancet Public Health, 9(4), e250–e260. https://doi.org/10.1016/S2468-2667(24)00023-9
Gómez-Figueroa, H., & Camino-Proaño, A. (2022). Mental and behavioral disorders in the prison context. Revista Española de Sanidad Penitenciaria, 24(2), 66–74. https://doi.org/10.18176/resp.00052
Emilian, C., Al-Juffali, N., & Fazel, S. (2025). Prevalence of severe mental illness among people in prison across 43 countries: a systematic review and meta-analysis. The Lancet Public Health, 10, e97–e110. https://doi.org/10.1016/S2468-2667(24)00280-9
Martin, M. S., Crocker, A. G., Potter, B. K., Wells, G. A., Grace, R. M., & Colman, I. (2018). Mental health screening and differences in access to care among prisoners. Canadian Journal of Psychiatry, 63(10), 692–700. https://doi.org/10.1177/0706743718762099
Fazel, S., Hayes, A. J., Bartellas, K., Clerici, M., & Trestman, R. L. (2016). The mental health of prisoners: A review of prevalence, adverse outcomes, and interventions. The Lancet Psychiatry, 3(9), 909–922. https://doi.org/10.1016/S2215-0366(16)30142-0
Wolff, S., Ding, Y., & Davis, A. (2023). Health decline in prison and the effects of sporting activity. Health & Justice, 11, Article 23. https://doi.org/10.1186/s40352-023-00285-9
Morken, F., Helland, W. A., Evanger, E., Vårvik, A., & Øen Jones, L. (2023). Oral language skills and mental health in female prisoners: Pragmatic skills are essential. Frontiers in Psychology, 14, 1212121. https://doi.org/10.3389/fpsyg.2023.1212121
Comartin, E., Dearing, M., & Hager, M. (2022). Nutrition availability for those incarcerated in jail: Implications for mental health. Journal of Correctional Health Care, 28(2), 109–122. https://doi.org/10.1177/10783458221090344
Mundt, A. P., Browne, J. L., van den Brink, J., & Pfeffer, C. R. (2024). Worldwide incidence of suicides in prison: A systematic review with meta-regression analyses. The Lancet Psychiatry, 11(5), 536–544. https://doi.org/10.1016/S2215-0366(24)00134-2
Bukten, A., & Stavseth, M. R. (2021). Suicide in prison and after release: A 17-year national cohort study. European Journal of Epidemiology, 36(10), 1075–1083. https://doi.org/10.1007/s10654-021-00782-8
Boys, A., Farrell, M., Bebbington, P., & McManus, S. (2017). Results of a study in the Lyon-Corbas prison, France. European Psychiatry, 41, S1–S2. https://doi.org/10.1016/j.eurpsy.2017.01.001
Perry, A. E., Martyn‐St James, M., Burns, L., Hewitt, C., Glanville, J. M., Aboaja, A., Thakkar, P., Kumar, S. M., Pearson, C., Wright, K., & Swami, S. (2019). Interventions for drug‐using offenders with co‐occurring mental health problems. Cochrane Database of Systematic Reviews, 2019(10), CD010901. https://doi.org/10.1002/14651858.CD010901.pub3
Baranyi, G., Fazel, S., Langerfeldt, S. D., & Mundt, A. P. (2022). The prevalence of comorbid serious mental illnesses and substance use disorders in prison populations: A systematic review and meta-analysis. The Lancet Public Health, 7(6), e557–e568. https://doi.org/10.1016/S2468-2667(22)00093-7
Pereira, M. D., & Gomes, M. A. (2024). New trends of drug abuse in custodial settings: A systematic review. European Psychiatry, 70, 1–9. https://doi.org/10.1016/j.eurpsy.2024.03.001
Rousselet, M., Guerlais, M., Caillet, P., Le Geay, B., Mauillon, D., Serre, P., Chameau, P.‑Y., Bleher, Y., Mounsande, S., Jolliet, P., & Victorri‑Vigneau, C. (2019). Consumption of psychoactive substances in prison: Between initiation and improvement, what trajectories occur after incarceration? PLoS ONE, 14(12), e0225189. https://doi.org/10.1371/journal.pone.0225189
Li, A., Williams, B., & Barry, L. C. (2022). Mental and physical health of older incarcerated persons who have aged in place in prison. Journal of Applied Gerontology, 41(4), 1101–1110. https://doi.org/10.1177/07334648211030069
Chiclana, S., Castillo-Gualda, R., Paniagua, D., & Rodríguez-Carvajal, R. (2019). Mental health, positive affectivity and wellbeing in prison: A comparative study between young and older prisoners. Revista Española de Sanidad Penitenciaria, 21(3), 138–148. https://doi.org/10.18176/resp.00038
McLeod, K. E., Wong, K. A., Rajaratnam, S., Guyatt, P., Di, S., McLaughlin, V. L., McDonald, L. M., MacDonald, E. J., & McDonald, S. J. (2025). Health conditions among women in prisons: A systematic review. The Lancet Public Health, 10, e609–e624. https://doi.org/10.1016/S2468-2667(25)00092-1
Blitz, C. L., Wolff, N., & Paap, K. (2006). Availability of behavioral health treatment for women in prison. Psychiatric Services, 57(3), 356–360. https://doi.org/10.1176/appi.ps.57.3.356
Hidayati, N. O., Suryani, S., Rahayuwati, L., & Widianti, E. (2023). Women behind bars: A scoping review of mental health needs in prison. Iranian Journal of Public Health, 52(2), 243–253. https://doi.org/10.18502/ijph.v52i2.11878
Brömdal, A., Mullens, A. B., Phillips, T. M., & Gow, J. (2019). Experiences of transgender prisoners and their knowledge, attitudes, and practices regarding HIV prevention and care. PLOS ONE, 14(11), e0224789. https://doi.org/10.1371/journal.pone.0224789
Murphy, M., Rogers, B. G., Streed, C. J., Hughto, J. M. W., Radix, A., Galipeau, D., Napoleon, S., Scott, T., Noh, M., Sutten Coats, C., Hubbard, L., Chan, P. A., Nunn, A., & Berk, J. (2023). Implementing gender-affirming care in correctional settings: A review of key barriers and action steps for change. Journal of Correctional Health Care, 29(1), 3–11. https://doi.org/10.1089/jchc.21.09.0094
Donohue, G., McCann, E., & Brown, M. (2021). Views and experiences of LGBTQ+ people in prison regarding their psychosocial needs: A systematic review of the qualitative research evidence. International Journal of Environmental Research and Public Health, 18(17), 9335. https://doi.org/10.3390/ijerph18179335
Kendig, N. E., Cubitt, A., Moss, A., & Sevelius, J. (2019). Developing correctional policy, practice, and clinical care considerations for incarcerated transgender patients through collaborative stakeholder engagement. Journal of Correctional Health Care, 25(3), 277–286. https://doi.org/10.1177/1078345819857113
Aldrich, J., Kant, J., & Gramszlo, E. (2023). Gender-affirming care, incarceration, and the Eighth Amendment. AMA Journal of Ethics, 25(6), E407–E413. https://doi.org/10.1001/amajethics.2023.407
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Copyright (c) 2025 Karolina Koguc, Gabriela Sikora, Martyna Woźniak, Karolina Kutnik, Karolina Kusibab, Michał Czechowski, Małgorzata Sajda, Katarzyna Gunia, Marcela Słomianny, Karolina Kolada
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