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Background Rates of self‐harm are high among prisoners. Most research focuses on the vulnerable prisoner, and there is little on the impact of these behaviours on staff. Aims To investigate staff perceptions of self‐harming behaviours by prisoners, including their views on its causes, manifestation, prevention in institutions, and impact on them. Methods Semistructured interviews were conducted with 20 administrative and 21 therapeutic prison staff who are responsible in various ways for prisoners who self‐harm. Their narratives were explored using interpretative phenomenological analysis. Results Despite prison staff being experienced with prisoners' self‐harming behaviours, including severe acts of self‐harm, they were apt to reject any negative impact on their own mental health or well‐being. This denial of negative impact was accompanied by perceptions of the inmate's actions being manipulative and attention seeking. Prison staff also perceived institutional responses to self‐harming behaviours by prisoners as being mixed, ambiguous, or showing preference for relying on existing suicide protocols rather than task‐specific guidance. Conclusions Although staff gave explanations of prisoner self‐harm in terms of “manipulative behaviour,” prisoners' self‐harm is, in fact, complex, challenging, and often severe. This staff perception may reflect denial of impact of often distressing behaviours on them personally and their own coping mechanisms. This could be feeding in to a perceived lack of clear and effective institutional responses to the self‐harm, so further research is needed to determine how staff could broaden their views, and respond more effectively to prisoners. Psychologically informed group work and/or reflective practice are among the candidates for such help for staff.

Nonsuicidal self-injury (NSSI) is a complex behavior that is not uncommon in the general population, yet little is known about the prevalence of this behavior among incarcerated women. Two studies were conducted to determine the prevalence and incidence of NSSI in federally sentenced Canadian women. In Study 1, a mixed-methods design that included a qualitative interview and a written questionnaire with a sample of 150 incarcerated women was used. In Study 2, archival data were analyzed for a random sample of 400 incarcerated women. Results indicated lifetime prevalence rates of NSSI ranging from 24% to 38%. Incidence of self-injury in a federal institution over a 1-year period was found to be 3.6 per 27.4 person-years (i.e., number of years incarcerated). Both studies indicated that for the majority of women in both samples, NSSI was first initiated in the community, prior to incarceration in a federal correctional institution.

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