TITLE:
Managing Self-Harm in Prison: What the Research Says about Improving Staff Competence and Resilience
AUTHORS:
Carmen-Valeria Baias, Eleni Vezali
KEYWORDS:
Self-Harm, Prisons, Occupational Stress, Suicidality, Training
JOURNAL NAME:
Open Journal of Epidemiology,
Vol.16 No.2,
March
18,
2026
ABSTRACT: Correctional staff are routinely exposed to high-stress environments, with inmate self-harm emerging as one of the most emotionally corrosive and ethically complex dimensions of prison life. While much research focuses on inmates, the psychological and moral impact on those tasked with their care remains underexplored, especially in relation to gender norms, institutional culture, and philosophical questions of responsibility and empathy. This paper addresses that gap through a comprehensive review of interdisciplinary literature, drawing from psychology, gender theory, and carceral studies. The analysis examines how correctional officers navigate emotional labour, institutional role conflict, and normative masculinity within an environment that demands both authority and detachment. Concepts such as dehumanization spillover and moral strain are used to illuminate how systemic pressures shape not only mental health outcomes but also ethical orientations and interpersonal behaviour. The study argues for a reconceptualization of staff training and prison governance grounded in trauma-informed, gender-responsive, and psychologically reflective frameworks. By placing the inner life of correctional personnel at the centre of inquiry, this paper contributes to a deeper understanding of the prison as a site where political, ethical, and psychological dimensions of care and control converge.