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The purpose of this paper is to investigate the correlates of suicidal ideation in offenders incarcerated in three Belgian prisons.

A cross-sectional questionnaire design was used. In total, 60 participants were recruited from three Belgian prisons. In addition to a questionnaire regarding demographic, social, institutional, and criminological factors, validated self-report instruments of psychological and psychiatric variables (coping, hopelessness, and depressive symptomatology) were administered. Associations with suicidal ideation were tested using regression analysis.

Coping style, life events, and social support were most strongly associated with suicidal ideation in prisoners. In particular, a passive coping style, feelings of loneliness, and the loss of a significant other contributed most to the presence of suicidal ideation, whereas a close partner relationship constituted a protective factor of suicidal thoughts.

This pilot study used a convenience sampling strategy, prone to sampling bias. Additionally, given the small sample size, results must be interpreted with caution, as they might not be representative of the general population of prisoners in Belgium.

Interventions focussing on improving coping skills and social support and on impeding the availability and accessibility of suicide methods are promising suicide prevention strategies in custodial settings.

To date, no studies have been conducted in Belgium focussing on suicidality in prisoners. Furthermore, the examination of suicidal ideation in prison settings has received relatively scant attention in international research.

Problem solving courts are a result of the therapeutic jurisprudence movement. Drug treatment courts (DTCs), for instance, aim to divert substance using offenders away from the criminal justice system (CJS) to (drug) treatment services. DTCs are associated with reduced criminal offending and substance use. Psychosocial outcomes of DTCs, such as employment, health and family relations, received only little attention. The paper aims to discuss these issues.

This paper focuses on the outcomes regarding substance use and psychosocial variables of a Belgian DTC situated in the Ghent region, which were investigated by a naturalistic evaluation study with a pre- post-design using judicial files.

The results show that Ghent DTC clients were diverted to drug treatment and financial counselling services. Next the Ghent DTC produced beneficial outcomes regarding employment. Contrary to criminal offending (De Keulenaer and Thomaes, 2013), substance use was not significantly reduced in the Ghent DTC sample. Yet more compliance with opioid maintenance treatment was observed. Information on more client centred outcomes such as health and social relations was lacking, precluding a full outcome measurement of psychosocial variables.

Future DTC studies should address more client centreed outcomes by gathering information through DTC clients and treatment services instead of solely relying on judicial data sources. In addition, DTCs should develop a clear and uniform registration system regarding these outcomes.

Since the therapeutic jurisprudence movement continues to expand, discussion regarding the roles and tasks of the CJS as well as treatment and counselling services is vital. Each actor should maintain its own role and task, regarding monitoring and substantive work, to insure a “problem solving approach” that is in line with the recovery philosophy.