Perceptions of Assessing and Managing Suicide Risk (AMSR) Training Among Clinicians in Correctional Settings

Suicide is a leading cause of death among incarcerated individuals, yet limited guidance exists to support the translation of suicide prevention strategies into correctional settings. Informed by implementation science frameworks (ADAPT-ITT and the Consolidated Framework for Implementation Research – CFIR), mental health administrators, and supervisors (n = 33) within one state’s Department of Corrections (DOC) attended an Assessing and Managing Suicide Risk (AMSR) training and completed an open-ended posttest survey regarding (1) the value and acceptability of the AMSR model to correctional settings, (2) challenges/barriers to adoption, and (3) practices that could be feasibly and quickly implemented. Two independent coders analyzed qualitative survey responses using content analysis methodology. Aspects of AMSR considered applicable in correctional settings included the risk assessment framework, person-centered language, and documentation. Challenges or barriers to implementation included system buy-in, time limitations, and the unique relationships between inmates and clinicians. Recommendations for immediate implementation included safety planning, language changes, and risk assessment documentation. This study uses a data-driven approach to tailoring suicide prevention clinical practices for correctional settings. Study limitations include a small sample size from only one state and one-time point of analysis. Despite these limits, this study provides guidance for correctional settings seeking to improve suicide care practices.