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Research ArticleRegular Articles

Characteristics of Inmates Who Initiate Hunger Strikes

Rusty Reeves, Anthony C. Tamburello, Jennifer Platt, Drew Tepper and Kerri Edelman
Journal of the American Academy of Psychiatry and the Law Online September 2017, 45 (3) 302-310;
Rusty Reeves
Dr. Reeves is Professor and Training Director in Forensic Psychiatry, Dr. Tamburello is Clinical Associate Professor, and Dr. Platt is Clincial Assistant Professor, Rutgers University–Robert Wood Johnson Medical School, New Brunswick, NJ. Dr. Reeves is Director of Psychiatry, Dr. Tamburello is Associate Director of Psychiatry, Dr. Tepper is Staff Psychiatrist, and Dr. Edelman is Staff Psychologist, Rutgers University–Correctional Health Care, Trenton, NJ.
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Anthony C. Tamburello
Dr. Reeves is Professor and Training Director in Forensic Psychiatry, Dr. Tamburello is Clinical Associate Professor, and Dr. Platt is Clincial Assistant Professor, Rutgers University–Robert Wood Johnson Medical School, New Brunswick, NJ. Dr. Reeves is Director of Psychiatry, Dr. Tamburello is Associate Director of Psychiatry, Dr. Tepper is Staff Psychiatrist, and Dr. Edelman is Staff Psychologist, Rutgers University–Correctional Health Care, Trenton, NJ.
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Jennifer Platt
Dr. Reeves is Professor and Training Director in Forensic Psychiatry, Dr. Tamburello is Clinical Associate Professor, and Dr. Platt is Clincial Assistant Professor, Rutgers University–Robert Wood Johnson Medical School, New Brunswick, NJ. Dr. Reeves is Director of Psychiatry, Dr. Tamburello is Associate Director of Psychiatry, Dr. Tepper is Staff Psychiatrist, and Dr. Edelman is Staff Psychologist, Rutgers University–Correctional Health Care, Trenton, NJ.
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Drew Tepper
Dr. Reeves is Professor and Training Director in Forensic Psychiatry, Dr. Tamburello is Clinical Associate Professor, and Dr. Platt is Clincial Assistant Professor, Rutgers University–Robert Wood Johnson Medical School, New Brunswick, NJ. Dr. Reeves is Director of Psychiatry, Dr. Tamburello is Associate Director of Psychiatry, Dr. Tepper is Staff Psychiatrist, and Dr. Edelman is Staff Psychologist, Rutgers University–Correctional Health Care, Trenton, NJ.
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Kerri Edelman
Dr. Reeves is Professor and Training Director in Forensic Psychiatry, Dr. Tamburello is Clinical Associate Professor, and Dr. Platt is Clincial Assistant Professor, Rutgers University–Robert Wood Johnson Medical School, New Brunswick, NJ. Dr. Reeves is Director of Psychiatry, Dr. Tamburello is Associate Director of Psychiatry, Dr. Tepper is Staff Psychiatrist, and Dr. Edelman is Staff Psychologist, Rutgers University–Correctional Health Care, Trenton, NJ.
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    Figure 1.

    Frequency distribution of hunger strikes.

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    Figure 2.

    Frequency distribution of duration of hunger strikes.

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    Table 1

    Characteristics of Hunger Striking NJDOC Inmates

    FeatureHunger Strikers (%)Total Inmate Population in 2015 (%)Inmates in Admin. Segregation (%)
    MH Special Needs designation4515*
    Residing in disciplinary housing747*100
    No psychiatric diagnosis3126
    Any personality disorder4812*22*
    Antisocial personality disorder267*14*
    Psychotic disorder104*
    Bipolar disorder42†
    Impulse control disorder or ADHD84†
    Major depressive disorder63‡
    Anxiety disorders66
    Adjustment disorders65
    Malingering213*
    • ↵* p < .0001 versus the proportion of hunger strikers with the feature.

    • ↵† p < .01 versus the proportion of hunger strikers with the feature.

    • ↵‡ p < .05 versus the proportion of hunger strikers with the feature.

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    Table 2

    Documented Reasons for Start of a Hunger Strike

    Reason for Starting StrikeDisciplinary HousingNondisciplinary HousingAll Housing
    Number%Number%Number%
    Unknown632925338830
    Protest discipline4722575218
    Housing change411914185519
    Conflict with custody331510134315
    Suspected psychiatric symptoms17868238
    Legal13634166
    Property10534135
    Dietary9479166
    Medical issue7368135
    Conflict with inmates524593
    Conditions of confinement210021
    Lack of family contact1<1001<1
    Political1<1001<1
    Parole003431
    Commissary00111<1
    • Numbers and percentages total more than 292 hunger strikes and 100%, respectively, as more than one reason may have been identified.

    • View popup
    Table 3

    Reasons Documented for Stopping a Hunger Strike

    Reason for StoppingNumber%
    Unknown24183
    DOC intervention248
    Gave up72
    Mental health intervention62
    Denied hunger strike62
    Medical intervention41
    Moot (released or won court case)31
    Gave up after medical illness21
    • Numbers total more than 292 hunger strikes, as more than one reason may have been identified.

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Journal of the American Academy of Psychiatry and the Law Online: 45 (3)
Journal of the American Academy of Psychiatry and the Law Online
Vol. 45, Issue 3
1 Sep 2017
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Characteristics of Inmates Who Initiate Hunger Strikes
Rusty Reeves, Anthony C. Tamburello, Jennifer Platt, Drew Tepper, Kerri Edelman
Journal of the American Academy of Psychiatry and the Law Online Sep 2017, 45 (3) 302-310;

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Characteristics of Inmates Who Initiate Hunger Strikes
Rusty Reeves, Anthony C. Tamburello, Jennifer Platt, Drew Tepper, Kerri Edelman
Journal of the American Academy of Psychiatry and the Law Online Sep 2017, 45 (3) 302-310;
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