Some key facts and figures for the WHO European Region

Suicide and mental health

  • 13.5% of deaths in prison are from suicide.
  • 14% of Member States report that they do not screen for severe mental health disorders on or close to arrival in prison.
  • WHO guidance recommends that on arrival in prison, all individuals should be screened as soon as practicable for signs of poor mental health, self-harm and suicidal behaviour.

Substance use

  • Only 51% of countries have national guidelines on prevention of post-release drug-related deaths.
  • WHO guidance recommends that Member States implement medicines reconciliation and screening for substance use disorders for all individuals on arrival in prison.

HIV and tuberculosis (TB)

  • Prevalence rates for HIV vary from country to country, but the highest reported rate is 5.4% of the male prison population and 4.7% of female prison population.
  • Prevalence rates for TB vary from country to country, but the highest reported rate is 25% of the prison population.
  • WHO guidance recommends that Member States ensure that testing is available, but not mandatory, for HIV, hepatitis B, hepatitis C and sexually transmitted infections on arrival in prison; that pre- and post-test counselling is available in prisons; and that appropriate treatment or vaccination is available in prisons.
  • WHO guidance also recommends that Member States implement testing for TB on arrival in prison.