Deaths in prisons
Corrections has a duty of care to all people in prison, which we take very seriously. While our prison population has fluctuated in recent years, the complexity of people coming into our management has changed. Our staff are managing a growing number of people, including a greater proportion of defendants remanded in custody, who often have mental health and disability needs. Our research shows that people in prison have higher rates of complex personality traits, and mental health and substance use disorders than the general population. It is estimated that 62 percent of those in prison have met the diagnostic criteria for either a mental health or substance use disorder within the last 12 months, and 91 percent will meet these diagnostic criteria at some time over the course of their lives. Our research also suggests that these psychological disorders can go undetected and untreated prior to prison.
For a variety of reasons, both individual and systemic, people in prison may not have had their health needs detected or addressed in the community. When a person enters prison, they undergo an induction process by custodial and health services. This includes a reception health assessment undertaken by health staff, which assesses each person’s physical and mental health needs, including whether they may be at risk of self-harm or suicide and whether they require a referral to a prison doctor or other services to address immediate general and/or mental and addictions health care needs. Staff also assess people for a risk of self-harm and suicide whenever they become aware that a person’s circumstances have changed, or their behaviour is a cause for concern.
Our Health Services staff work hard to ensure all people in prison receive a standard of healthcare that is reasonably equivalent to that available to the public. Every New Zealand prison has a range of health services available. This includes General Practitioner services, nursing, basic dentistry, physiotherapy, disability and mental health and addictions services. Where secondary or tertiary healthcare services are required, referrals are made on the same basis as any person in the community.
Corrections is committed to preventing unnatural deaths and incidents of self-harm in prisons. The causes of suicide are complex and people in prison are a known high-risk group. We make every effort to ensure people’s mental wellbeing and physical safety during their time in custody.
As we have become more aware of the level of significant mental health issues for people in prison, our role has expanded to strengthen our response to support the needs of this group. This includes substantial investment in the infrastructure of Intervention and Support Units, in staff training, and in mental health and addiction support.
We also have our own Suicide Prevention and Postvention Action Plan 2022-2025. This plan has been a key enabler of our suicide prevention efforts to date and represents Corrections’ genuine commitment to addressing suicide and self-harm. A number of the actions from the Action Plan have been completed or are in progress including:
- Additional training for staff that includes providing pre-recorded training on the Columbia Suicide Severity Rating Scale so that it is available to staff anytime and developing withdrawal management training package for nursing staff.
- Working progressively across our infrastructure to remove or minimise existing ligature points (anything which could be used to attach a cord, rope, or other material for the purpose of hanging or strangulation),
- Developing a comprehensive mental health operation manual for staff, and
- Working on the refurbishment of Intervention and Support Units.
Data set for deaths in prison – national and by prison
Quarterly statistics for deaths in prison are available to view below. The data provided for the current financial year is as at 31 March 2025, and is subject to change until the full-year process has been completed.
Corrections classifies deaths in custody by the following definitions:
- Unnatural deaths – deaths found by the coroner to be caused by homicide, suicide, accidental causes or a drug overdose, or where there is sufficient evidence to suggest to Corrections that this is the most likely cause of death.
- Natural deaths – where a prisoner has died of natural causes.
All deaths in prison are subject to an internal incident review, investigation by the independent Corrections Inspectorate, and are also referred to the Coroner. The Inspectorate and Coroner both complete a robust independent assessment of each incident providing commentary and recommendations regarding the care and treatment of individuals. In addition, the Coroner confirms the cause of death.