Prisons, by their very nature, are likely to be associated with sadness, discomfort and deprivations. But with self-inflicted deaths over six times more likely to occur amongst prisoners than in the general population, it is a sad and troubling fact that they remain an enduring part of prison life.

By exploring distress in prison from the perspective of those who live there, and drawing from a range of other sources including television documentaries and podcasts, newspaper articles, academic and grey literature, this report focuses on how aspects of the prison environment can interact with well-known self-harm and suicide risk factors to either reduce or increase risk further.