• Keramet Reiter, Joseph Ventura, David Lovell, Dallas Augustine, Melissa Barragan, Thomas Blair, Kelsie Chesnut, Pasha Dashtgard, Gabriela Gonzalez, Natalie Pifer, and Justin Strong.
• Keramet Reiter is with the Department of Criminology, Law, and Society and the School of Law, University of California, Irvine. Joseph Ventura is with the Department of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles. David Lovell is with the School of Nursing, University of Washington, Seattle. Dallas Augustine, Melissa Barragan, Kelsie Chesnut, and Gabriela Gonzalez are doctoral candidates in the Department of Criminology, Law, and Society, University of California, Irvine. Thomas Blair is with the Department of Psychiatry, Southern California Permanente Medical Group, Downey. Pasha Dashtgard is a doctoral student in the Department of Psychological Science, University of California, Irvine. Natalie Pifer is with the Department of Criminology and Criminal Justice, University of Rhode Island, Kingston. Justin Strong is a doctoral student in the Department of Criminology, Law, and Society, University of California, Irvine.
• Am J Public Health. 2020 Jan 1; 110 (S1): S56-S62.

AbstractObjectives. To specify symptoms and measure prevalence of psychological distress among incarcerated people in long-term solitary confinement.Methods. We gathered data via semistructured, in-depth interviews; Brief Psychiatric Rating Scale (BPRS) assessments; and systematic reviews of medical and disciplinary files for 106 randomly selected people in solitary confinement in the Washington State Department of Corrections in 2017. We performed 1-year follow-up interviews and BPRS assessments with 80 of these incarcerated people, and we present the results of our qualitative content analysis and descriptive statistics.Results. BPRS results showed clinically significant symptoms of depression, anxiety, or guilt among half of our research sample. Administrative data showed disproportionately high rates of serious mental illness and self-harming behavior compared with general prison populations. Interview content analysis revealed additional symptoms, including social isolation, loss of identity, and sensory hypersensitivity.Conclusions. Our coordinated study of rating scale, interview, and administrative data illustrates the public health crisis of solitary confinement. Because 95% or more of all incarcerated people, including those who experienced solitary confinement, are eventually released, understanding disproportionate psychopathology matters for developing prevention policies and addressing the unique needs of people who have experienced solitary confinement, an extreme element of mass incarceration.

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