AUCTORES
Research Article
*Corresponding Author: Agesin Bamikole Emmanuel, Department of Pure and Applied Psychology, Adekunle Ajasin University, Akungba-Akoko, Akungba-Akoko, Ondo State.
Citation: Agesin Bamikole Emmanuel, (2023), Interplay Between Prison Environment and Self-Harm Urge: The Mediatory Role of Resilience Among Inmates in South-West Nigeria, Psychology and Mental Health Care, 7(1): DOI:10.31579/2637-8892/203
Copyright: © 2023, Agesin Bamikole Emmanuel. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Received: 20 January 2023 | Accepted: 31 January 2023 | Published: 10 February 2023
Keywords: prison environment; resilience; self-harm urge; inmates
The prevalence of Self-harm urge is frightening and disturbing in our world today. Unfortunately, there is a higher number of incidences of self-harm urge among prison inmates in our correctional facilities in Nigeria. This problem is under-reported in common place within the Nigerian correctional Service. This study examined the interplay between prison environment and self-harm urge: the mediating role of resilience among inmates in south-west Nigeria. This study was a correlational survey design. The population of study comprised representative of all prisoners from the six prison facilities in the south west part of Nigeria. Three major instruments were used to collect data from the respondents. They include; Prison Environment Inventory, Resilience scale and Self-Harm Urge Scale. Six prison institutions were randomly selected from the south western zone in Nigeria based on balloting. Eighty (80) prisoners were randomly selected through simple balloting from each of the chosen prison. Hence, a total of four hundred and eighty (480) prisoners were used for the study. Descriptive statistics was used to analyze the socio-demographic variables. The study hypotheses were tested using multiple regression analysis. The result showed that Prison environment significantly predicted prisoners’ self-harm urge (β -.13, t 2.94, p< .01). Also, resilience significantly predicted self-harm urge (β -.22, t -4.95, p< .01). Finally, the test on the strength of mediation between Prison Environment and self-harm urge by resilience was significant (Z = -3.15, p <. 01), thus confirming the formulated hypothesis. Based on the findings of the study, the researcher recommended that, government may need to take into consideration the significant roles of prison environment when designing programme toward providing a prison environment for psychologically well-adjusted prison inmates and reduce self-harm among them.
The need to meet the challenges of reducing the reported incidence of self-harm and self-harm tendency within prison populations has become a matter of necessity among prison facilities (Beasley, 2000).
The current global level of suicide and self-harm in prisons could not be accurately described as anything other than a crisis (United Nations Prison Statistics Bureau, 2016). Prison staffs, policy makers, charity and non-governmental organisations, religious bodies and various stakeholders have condemned these shameful and extremely shocking circumstances (Hawton, et al., 2007). To buttress this claim, official global data published in January 2016, showed that 119, 976 prisoners died by self-mutilation. There are more self-inflicted injuries and deaths in prison last year than in any other since records began over 25 years ago. The rate has doubled in the past five years alone (United Nations Prison Statistics Bureau, 2016). Global statistics suggest that someone takes their own life in prison every three days and people in custody are 8.6 times more likely to die by suicide than those in the general population. Self-harm has also reached a record high of nearly 40,000 incidents up nearly 7,000 compared to the previous year. (Fazel, Cartwright, Norman-Nott & Hawton, 2008).
The occurrence of self-harm within a correctional setting is a significant problem that poses various risks and challenges for all involved (Fazel et al., 2008). Self-harm behaviours threaten the mental and physical health of both offenders and staff, and results in staggering personal costs on the individual, their family, and health services and other allied institutions. In addition to the strong associations with mortality and morbidity, self-harm is costly to society, with excess costs being accrued through both increased health service use and the loss of productivity (Hawton, et al., 2007).
The pains of jail confinement affect all prisoners in different ways (Jeff, Levin & Amit, 2010). Prisoners are exposed to a new culture of deprivation, solitude and alienation which may elicit varying outcomes on the prisoner’s adjustment pattern (Jimoh, 2007). The combined influences of solitude, the emotional imbalance of prison life, and the separation from loved ones often lead to state of depression among incarcerated individuals (Ashkar & Kenny, 2008). There are few and limited social or proactive activities in which prisoners can engage and interact with other prisoners. These and many more circumstances pervading prisoners may lead to a myriad of behavioral concerns in the lives of these individuals and those of their significant other. (Humber, Webb, Piper, Appleby, & Shaw, 2013). The increase in the number of cases self-mutilation in prison communities has agitated research interest and global concern (Africa Centre for the Prevention of Crime, 2010). Therefore, it becomes imperative that understanding behavioral mechanisms that underlie Self-harm tendencies in prison populations calls for research attention.
In the Nigeria correctional facilities, amenities have been described as debasing and dehumanizing (Soyinka 1972), and regardless of the public outcry by human rights organizations, most correctional facilities in Nigeria are underfunded and overcrowded (Jimoh, 2007). The implication of these is that, prisoners often confront life threatening situations and self-harm becomes a coping behavior for many of the inmates. However, self-harm among inmates in Nigerian prison has been grossly under reported and understudied. This became evident through paucity of research work and nearly non- existing indigenous literature on the subject matter (Ineme & Osinowo, 2015). For example, having to be forcefully placed in the same cell with hardened criminals and being prevented from seeing loved ones, which may lead to low self-esteem and poor prisoner’s sense of belonging may result to self-harm tendencies (Hinz A, et al 2017.). Since previous studies has been on the prevalence of self-harm among Prison inmates, its therefore becomes imperative to investigate self-harm urge which is a precursor to self-harm in order to bring it under control or prevent its occurrence if need be.
Self-harm urge is an important issue associated with self-harm. Self-harm urge is the thought about injuring oneself but without actually doing so, which may be regarded as a precursor to actual self-injurious behaviour (Hawton et al., 2007). The term self-harm covers a spectrum of behaviours and the most serious forms relate to suicide, while behaviours at the milder end of the spectrum merge with other reactions to emotional pain (Kenny, Lennings & Munn, 2008). Skegg (2008) defined self-harm as the deliberate destruction or alteration of body tissue without conscious suicidal intent. However, it is apparent that there is a lack of consistency in how self-harm is defined.
The phenomenon of self-harm is also known as self-injury, self-injurious behaviour, self-mutilation, deliberate self-harm, deliberate self-injury, self-mutilating behaviour and para-suicide (Kapur, 2005). The rate of self-harm among prison inmates tends to be on the increase globally, often resulting in ultimate self-harm if not checked (Ineme & Osinowo, 2015). Such behaviours are often premeditated and may have been nursed as tendency in the mind for some time. It is a negative and self-destructive response to situations, experiences and conditions of the length of sentence by prison inmates. Self-harm is a behaviour could also include injury sustained either by hunger strike, burning, hanging, strangulation, scratching, banging, hitting or mutilating body parts or interfering with wound healing ‘Self-poisoning or injury, done without suicidal intent (Finn, 2000).
More often more than none, it is believed that, the motive behind people’ self-harm is mostly to relieve negative emotions (Gray, S. G et al 2003). This is consistent with the few population-based studies, which have suggested that young people who self-harm may have limited coping strategies to deal with emotional difficulties or may be exposed to elevated stress levels (Kirchner, Forns & Mohino, 2008). Most recent studies have investigated the role of stress-full life events in the etiology of NSSI (Cerutti, R. et al 2016). Among Chinese adolescents, for instance, Tang et al. (2016) found that adverse life experiences were associated with moderate and severe NSSI and a lesser risk of engaging NSSI in those who are resilient. Self-harm remains an important public health problem and one of the most common reasons for admission to hospitals. (Kapur, 2005). Non-suicidal self-injury (NSSI) no doubt, is a serious health concern for prison inmates. As a result of the growing concern researchers have conjectured that several factors may be responsible and one of such variables, is prison environment.
Prison environment is a possible significant issue associated with prisoners ‘self-harm Urge. The Nigerian prison environment with regard to amenities have been characterized as dehumanizing (Soyinka, 1972), and in spite of the public outcry by human rights organizations, most prison yards in Nigeria are overcrowded beyond capacity (Jimoh, 2007). Prisoners often face life threatening challenges and environmental situations such as overcrowding; having to be forcefully placed in the same cell with hardened criminals, being prevented from seeing loved ones which inevitably may lead to poor prisoner’s adjustment that may result to self-harm tendencies (Jeff et al., 2010). The potential importance of measuring prison climate is central to understanding both what happens in prison, and what may happen on release. The statement that people are sent to prison as punishment, not for punishment, reflects the moral view that incarceration in and of itself is sufficient punishment for an offence. However, such a position tends to view prison as a kind of “black box” which is punitive just by virtue of the deprivation of liberty, and as such relatively equivalent in its impact across institutions for any given period of custodial sentence.
However, actual prison conditions will vary in terms of the physical fabric of the institution, the harshness of the regime, and its social organization, by jurisdiction and the political perception of offenders, and by the perceptions of those associated with the prison. Thus, it is reasonable to assume that variation in prison climate (or perception of prison climate) may also influence the impact of imprisonment on self-harm urges during incarceration. While conditions may be relatively favorable given the low incarceration rate, there have been various austerity measures in recent years, as well as a differentiation in privilege levels. Considering prison environment, budget cuts involved the closure of many prisons and an increase in double cell capacity from 2,500 (number of beds, 20% of total capacity) in 2013 to 6,146 (52% of total capacity) in 2017, of which 1,460 beds were actually occupied in their double cell capacity (De Looff J., Van de Haar M., Van Gemmert N., Bruggeman M. 2018). With reference to previous research, it was found that psychological well-being, in general, is lower among individuals incarcerated than among the general population (Fazel S., Ramesh T., Hawton K. (2017).
The issue has received attention from Lanza-Kaduce, Parker & Thomas (1999) who argued (in the context of differences in recidivism outcomes between private and public prisons in the US) that it is reasonable to expect, given the stated objectives of many correctional programs to reduce self-harm and improve inmates’ adjustment to prison. From a theoretical perspective, studies of prison climate rely on Murray’s (1938) Environmental Press theory, which holds that environmental conditions, in interaction with individual characteristics, will influence behavior.
Prison environment is equally characterized, with victimization, within the context of a prison environment where little or no programming exists; incarcerated individuals are often unable to immerse themselves in meaningful and productive activities. Inmates no longer feel purposeful and that can lead to a diminished sense of self over time (Haney, 2001). Inmates often utilize hyper-masculinity to victimize and exploit others in order to validate themselves and to gain control over something in their environment (Haney, 2001). Hyper-masculine prisoners affirm their existence by dominating others who are equally vulnerable. Similarly, Kupers (2005) discusses the notion of toxic masculinity in prison as a combination of domination, wanton violence, and a non-display of emotion. This type of masculinity manifests itself in a tough-guy posture, outbursts of temper, and poor impulse control. Despite the fact that the majority of inmates are incarcerated for non- violent crimes, Kupers (2005) study of several hundred prisoners in 15 states showed that even men who were not especially aggressive and misogynistic when they entered prison confided that they believe they must become versed in hyper-masculine posturing and violence merely to stay alive and protect their honour. However, Shuwei Hao, Wei Hong, Honghong Xu, Lili Zhou, Zhongyao Xe (2015) reported that resilience played a partial mediating role between work stress and burnout, that is, work stress had both a direct and an indirect, via resilience, impact on burnout. Work stress played a partial mediating role between resilience and burnout; thus, resilience could prevent the development of burnout by relieving work stress, in addition to directly relieving it. Hence, its believed that resilience if introduced as mediating variable could mitigate the negative impact of prison environment on self-harm urge among inmates.
Statement of Hypotheses
Research Design and Participants
The study adopted correlational survey design. The researcher is interested in knowing the predictive effect of the independent variables (prison environment) on the dependent variables (self-harm urge). And the mediating role of resilience.
The population of study comprised representative of all prisoners from the six prison facilities in the south west part of Nigeria. They are as follows, Akure Medium Prison Olokuta Akure, Ondo State, Ilesha Prison, Osun State, Abeokuta Prison, Ogun State, Agodi prison, Ibadan, Oyo State, Kirikiri Maximum prison, Apapa Lagos State, and Ado-Ekiti Prison, Ekiti State.
Measures
Three major instruments were used to collect data from the respondents. They include;
Biographic Information Questionnaire: This contains the personal details of participants such as gender, age, religion, academic qualification, marital status, length of sentence.
Prison Environment Inventory: I consider multiple dimensions of prison climate as opposed to one score, using a questionnaire with high psychometric validity. This is made up of self-reported 48- items developed by Wright (1985). It has eight (8) sections namely, activities (1-6), emotional feedback (7-13), freedom (14-19), privacy (20-25), safety (26-31), social (32-37), structure (38-42) and support (43-48). The PEI-48 is a 4- item Likert format scale ranging from (that 0 = Never, 1 = Seldom, 2 = Often, and 3 = Always.) and some of the sample items include (1) There is at least one movie each week, (2) An inmate obtains training if he wants (3) Inmates have something to do every night. (4) The guards tell inmates when they do well. (5) The guards ask inmates about their personal feelings. The pilot study shows Cronbach alpha (α) = 83, but Cronbach (α) =.83 was reported for the present study. Composite scores above the mean score means supportive Prison While scores below the mean indicate non-supportive prison.
Resilience scale: This was assessed using a resilience scale (RS-25) developed by Wagnild & Young (1993) to provide clinicians and researchers a shorter instrument to reduce participant burden. The RS-14 is a 7- item Likert format scale ranging from (1- strongly disagrees to 7- strongly Agree) and some of the sample question include (1.) I usually manage one way or another. (2) I feel proud that I have accomplished things in life (5.) I feel that I can handle many things at a time. Wagnild and Young (1993) reported reliability co-efficient of .91 the original RS. A Cronbach Alpha of (α)= .78 was reported for the present study. The scores above the mean indicate resilient Prisoners, while scores below indicate non-resilient Prisoners.
Self-Harm Urge Scale: This is a 19-item scale – IS-HUS developed by Ineme and Osinowo (2015). It is made up of three sub-scales: Sub-scale 1 (items 1 to 11) measuring urges for physical harm with Cronbach’s coefficient of .93, Sub-scale 2 (items 12 to 15) measuring urges for verbal harm with Cronbach’s coefficient of .84, and Sub-scale 3 (items 16 to 19) measuring urges to transfer harms to others with Cronbach’s coefficient of .76. This implies that at end, 19 items were valid and reliable with the general Cronbach’s coefficient of the scale is .83. The mean score of the scale is 35; norm was established at standard deviations above the mean; scores below the norm show low self-harm urges while scores above the norm showed high self-harm urges. Specifically, scores from 1 to 37 show low self-harm while scores from 38 to 76 shows high self-harm. Ineme and Osinowo, reported a Cronbach Alpha of .91 and obtained a Cronbach Alpha of (α ) = .94 for the present study.
Procedure
Six prison formations were randomly selected from the south western zone in Nigeria based on balloting. The choice of even numbers was arrived at via the ballot technique. That is odd and even were wrapped differently and all put together in a box. Individual prisoners were asked to pick one and he or she picked a wrapped paper upon which even numbers were written. Prisons facilities labeled even numbers on the list were selected. Approval was earlier obtained from the department of Psychology, Ekiti State University; that introduced me to the Prison facilities for the research purpose, with this approval; I was able to visit different prisons that were selected in the study. With permission and approval obtained from the respective prison authorities, the researcher used systematic sampling technique (i.e., odd and even numbers) on the list of prison inmates provided by each prison officials of the selected prisons to choose participants among the inmates that were involved in the research work.
Eighty (80) prisoners were randomly selected through simple balloting from each of the chosen prison. Hence, four hundred and eighty (480) prisoners were used for the study. However, two (2) questionnaires were not adequately completed, hence the reason for not including them in the processing of the result. Finally, four hundred and sixty-eight (478) questionnaires were adequately completed and returned questionnaire were used for the processing of the result of this study. Male=249 (52.1), Female =229(47.9), Christianity 397(83.1) Islam 81(16.9), Age mean=23.55, SD=3.49, N=478 Gender= mean=1.52, SD=500, N=478, Sentence Period mean=9.44, SD=12.68, N=460, Religion mean=1.17, SD=376, N=478, Prison Environment mean=60.61, SD=16.557, N=478, Religiosity mean=69.04, SD=18.094, N=478, Resilience mean=79.09, SD=13.254, N=478, Prisoner’s Adjustment mean=43.89, SD=9.667,
N=478, Self-Harm Urges mean=33.29, SD=12.767, N=478.The three instruments were packaged together as a questionnaire with 3 sections where section A seeks demographic information, Section B while section C, centers on Self-Harm and section F focus on prison Adjustment scale. These were administered to the participants by the researcher after necessary permissions have been sought which will give the researcher access into the yards. The instruments were collected immediately after completion. The exercise lasted for the period of six weeks with a week allocated for each prison. However, only one day in the week was used for each prison but no one could predict the very day permission would be granted to interact with the prisoners in the yards, possibly for security reasons.
Statistical Analysis
Descriptive statistics was used to analyze the socio-demographic variables. The study hypotheses were tested using multiple regression analysis
Test of Relationship among the Study Variables
Pearson Product Moment correlation (PPMC) was used to inter-correlate the study variables in order to ascertain the extent and direction of relationships among them. The result is presented below.
1. Age | 1 | ||||||
2. Gender | -.34** | 1 | |||||
3. Sentence Period | -.01 | -.19** | 1 | ||||
4. Prison Environment | .07 | .15** | .05 | 1 | |||
5. Prison Adjustment | -.01 | -.07 | -.09 | .29** | .19** | 1 | |
6. Self-Harm Urge | -.10* | .16** | -.04 | -.19** | -.19** | -.35** | 1 |
Mean | 23.55 | - | 9.44 | 60.61 | 59.04 | 43.89 | 33.29 |
SD | 3.49 | - | 13.68 | 16.56 | 18.09 | 9.67 | 12.77 |
Table 1.1: Correlation Matrix showing the mean, SD and the Relationship among the Study Variables.
Perceived religious af. = Perceived religious affiliation **. Note: * p<.01, * <. 0.5, N 478. Gender was coded male 0 female 1.
The result in table 1.1 shows that age significantly correlated with self-harm urges [r = (476) =-.10*, p <.05]. This means that as age increases, self-harm urges decrease and vice versa. Gender also significantly correlated with self-harm urge [r = (476) =.16**, p <.01]. Sentenced period significantly correlates with self-harm urge [r = (476) = -.04, p <.01].
Also, Prisoners environment significantly correlated with Inmates’ adjustment [r = (476) =.29**p <.01], such that, when the prison
environment is supportive the prisoner is better adjusted vice versa and equally correlated with self-harm urges [r = (476) =.19**, p <.01], such that when prison environment is supportive the, the prisoners less experience self-harm urge. Also significantly correlated with self-harm urge [r = (476) = -19, p <.01] and significantly negatively correlated with self-harm urge [r = (476) = -22**, p <.01].
Variables | β | t | R | R2 | df | F |
Prison Environment | -.13 | -2.94** | .29 | .08 | 3, 474 | 14.35** |
Resilience | -.15 | -3.26** |
Showing Prison Environment, Resilience Predicting Self-Harm Urge
p< 0 N=478>
Prison environment significantly predicted prisoners’ self-harm urge (β -.13, t 2.94, p< .01) such that, the prisoners who perceived prison environment to be conducive and supportive do not have self-harm urge or are less likely to have self-harm urge. Resilience significantly predicted prisoners’ self-harm urges β-.15, t 3.26, p< .01 such that, resilient prisoners do not have self-harm urges or are less likely to have self-harm urges, than those who are less resilient.
Dependent Factor | Predictors | β | t | R | R2 | df | F |
Self-Harm Urge | Prison Environment | -.19 | -4.10** | .19 | .03 | 1, 476 | 16.80** |
Self-Harm Urge | Resilience | -.22 | -4.95** | .22 | .05 | 1, 476 | 24.51** |
Resilience | Prison Environment | .22 | 4.86** | .22 | .05 | 1, 476 | 23.63** |
Self-Harm Urge | Prison Environment | -.14 | -3.16** | .26 | .07 | 2, 475 | 17.47** |
Resilience | -.19 | -4.19** |
Table Showing Resilience mediating the relationship between Prison Environment and Self-Harm Urge
** p< 0 N=478>
Prison environment significantly predicted self-harm urge (β -.19, t -4.10, p< .01) resilience significantly predicted self-harm urge (β -.22, t -4.95, p< .01). Prison environment significantly predicted Resilience (β .22, t 4.86, p< .01). Prison environment significantly predicted self-harm urge (β -.14, t -3.16, p< .01). When Resilience was introduced, the β reduce to β -.14, why the resilience is -.19. From the result of the analysis, it is therefore clear that there is partial mediation of resilience in the predictive influence of prison environment on the self-harm urge in the study. From these findings, hypothesis 2 is confirmed.
Variables | Ƶ | Std. Error | p |
Predictors Prison Environment | |||
Mediator Resilience | -3.15 | .010 | <. 01 |
Dependent self-Harm Urge |
Sobel Summary Showing the Strength of Mediation between Prison Environment and Self-Harm Urge by Resilience
The test on the strength of mediation between Prison Environment and self-harm urge by resilience was significant (Z = -3.15, p <. 01). This confirmed the observed findings from Baron and Kenny procedures, thus confirming the formulated hypothesis.
The result of the study revealed some connection to previous studies, yet different results were equally established. The result of hypothesis one which state that, prison environments will significantly predict self-harm urge among inmates in South-West Nigeria was confirmed. One explanation for this may be due to the massive influx of inmates that begun in recent times as a result of delay occasioned by bureaucracy in judiciary process which has produced high rate of growth in the nation’s inmate’s population that scholars and legal commentators have repeatedly described and characterized as unprecedented (Awopetu, 2014). Reports emanating from Nigeria suggests that the environment of most prisons in Nigeria can best be described as deplorable, the capacity of Nigerian prisons has remained effectively the same for the past two decades notwithstanding the disturbing increase in prison population (Ayade, 2010). The conditions of these prisons are in an alarming state of despair with no sense of maintenance or renovation reflective of long neglect by the Nigeria government. In fact, most of the prisons constructed at this period are old, in bad shape and at the brinks of collapse. The present finding is in agreement with previous research, which reported that psychological well-being, in general, is lower among individuals incarcerated than among the general population (Fazel S., Ramesh T., Hawton K. (2017).
The result of hypothesis two which state that resilience will significantly mediate the relationships between prison environment and self-harm urge among prisoners was confirmed. Results from the Sobel analysis showed that resilience has a significant mediatory role between prison environment and self-harm Urge. This result was convergent with the report of Shuwei Hao, Wei Hong, Honghong Xu, Lili Zhou, Zhongyao Xe (2015) that reported that resilience played a partial mediating role between work stress and burnout, that is, work stress had both a direct and an indirect, via resilience, impact on burnout. Work stress played a partial mediating role between resilience and burnout, thus, resilience could prevent the development of burnout by relieving work stress, in addition to directly relieving it. The result of the present study is also consistent with the findings of Murphy & Moriarty (2012), which asserted that resilient individual escapes psychological dysfunction in spite of being in difficult circumstances. While less resilient individuals get worn out and negatively impacted by stressors in life, those high on resilience display dynamic self-renewal when faced with similar stressors.
This mediation relationship shows that resilience mitigates the effects of the direct relationship. In other words, the fact of being resilient leads to inmates to have less self-harm urge. The results of the present study evidenced the important role of resilience
These results show that prison environment and resilience have a significant effect on self-harm Urge among inmates. In trying to understand the plights of inmates with focus on the prison environment, it is important to be cognizant of the varying circumstances that exist within prisons environment. These circumstances characterized by prison environment dimensions (structure, privacy, support, activities, emotional support, freedom, social relations, and safety) such give rise to unpredictable environmental dimensions. Additionally, the function of the prison and its impact on both inmate and guard contributes greatly to problems associated with these dimensions. The difficulties encountered with inmate concerns is heightened by the demands of society which argues for the barest of housing conditions, little or no recreational activities, and for stiffer, longer sentences while asking that those who are released be rehabilitated in hopes of reducing recidivism.
To potentially better the prison ideal of rehabilitation and reduce inmate concerns, effort and resources should be tailored to individual inmates rather than the total inmate population. This can start when offenders enter the prison by using sensitive psychological battery testing to help in profiling inmates who require specialized needs and placing them into the needed programmes. These programs would contain the proper resources needed to specifically deal and address unique inmate problems. Inmates who receive specific treatment regimen may feel as if the criminal justice system views them as an individual rather than a number, and by so doing reducing self-harm tendencies.
Recommendation
On the basis of the above, the following recommendations were made, government may need to take into consideration the significant roles of prison environment when designing programme toward promoting or providing a prison environment for psychologically well-adjusted prison inmate and reduce self-harm. The implication of this finding is such that, new correctional policies, better operational and security procedures, with the ultimate goal of advancing an environment that is better equipped to accommodate the varying behaviors inmates’ exhibit as well as incorporating their life experiences to better fit the prison environment and by extension reducing self–harm tendency among prison inmates should be put in place. In addition to using the prison environment scale across countries, attention should be given to studying the effects of the prison environment on some crowd behaviors among inmates.
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International Journal of Clinical Case Reports and Reviews. I strongly recommend to consider submitting your work to this high-quality journal. The support and availability of the Editorial staff is outstanding and the review process was both efficient and rigorous.
Thank you very much for publishing my Research Article titled “Comparing Treatment Outcome Of Allergic Rhinitis Patients After Using Fluticasone Nasal Spray And Nasal Douching" in the Journal of Clinical Otorhinolaryngology. As Medical Professionals we are immensely benefited from study of various informative Articles and Papers published in this high quality Journal. I look forward to enriching my knowledge by regular study of the Journal and contribute my future work in the field of ENT through the Journal for use by the medical fraternity. The support from the Editorial office was excellent and very prompt. I also welcome the comments received from the readers of my Research Article.
Dear Erica Kelsey, Editorial Coordinator of Cancer Research and Cellular Therapeutics Our team is very satisfied with the processing of our paper by your journal. That was fast, efficient, rigorous, but without unnecessary complications. We appreciated the very short time between the submission of the paper and its publication on line on your site.
I am very glad to say that the peer review process is very successful and fast and support from the Editorial Office. Therefore, I would like to continue our scientific relationship for a long time. And I especially thank you for your kindly attention towards my article. Have a good day!
"We recently published an article entitled “Influence of beta-Cyclodextrins upon the Degradation of Carbofuran Derivatives under Alkaline Conditions" in the Journal of “Pesticides and Biofertilizers” to show that the cyclodextrins protect the carbamates increasing their half-life time in the presence of basic conditions This will be very helpful to understand carbofuran behaviour in the analytical, agro-environmental and food areas. We greatly appreciated the interaction with the editor and the editorial team; we were particularly well accompanied during the course of the revision process, since all various steps towards publication were short and without delay".
I would like to express my gratitude towards you process of article review and submission. I found this to be very fair and expedient. Your follow up has been excellent. I have many publications in national and international journal and your process has been one of the best so far. Keep up the great work.
We are grateful for this opportunity to provide a glowing recommendation to the Journal of Psychiatry and Psychotherapy. We found that the editorial team were very supportive, helpful, kept us abreast of timelines and over all very professional in nature. The peer review process was rigorous, efficient and constructive that really enhanced our article submission. The experience with this journal remains one of our best ever and we look forward to providing future submissions in the near future.
I am very pleased to serve as EBM of the journal, I hope many years of my experience in stem cells can help the journal from one way or another. As we know, stem cells hold great potential for regenerative medicine, which are mostly used to promote the repair response of diseased, dysfunctional or injured tissue using stem cells or their derivatives. I think Stem Cell Research and Therapeutics International is a great platform to publish and share the understanding towards the biology and translational or clinical application of stem cells.
I would like to give my testimony in the support I have got by the peer review process and to support the editorial office where they were of asset to support young author like me to be encouraged to publish their work in your respected journal and globalize and share knowledge across the globe. I really give my great gratitude to your journal and the peer review including the editorial office.
I am delighted to publish our manuscript entitled "A Perspective on Cocaine Induced Stroke - Its Mechanisms and Management" in the Journal of Neuroscience and Neurological Surgery. The peer review process, support from the editorial office, and quality of the journal are excellent. The manuscripts published are of high quality and of excellent scientific value. I recommend this journal very much to colleagues.
Dr.Tania Muñoz, My experience as researcher and author of a review article in The Journal Clinical Cardiology and Interventions has been very enriching and stimulating. The editorial team is excellent, performs its work with absolute responsibility and delivery. They are proactive, dynamic and receptive to all proposals. Supporting at all times the vast universe of authors who choose them as an option for publication. The team of review specialists, members of the editorial board, are brilliant professionals, with remarkable performance in medical research and scientific methodology. Together they form a frontline team that consolidates the JCCI as a magnificent option for the publication and review of high-level medical articles and broad collective interest. I am honored to be able to share my review article and open to receive all your comments.
“The peer review process of JPMHC is quick and effective. Authors are benefited by good and professional reviewers with huge experience in the field of psychology and mental health. The support from the editorial office is very professional. People to contact to are friendly and happy to help and assist any query authors might have. Quality of the Journal is scientific and publishes ground-breaking research on mental health that is useful for other professionals in the field”.
Dear editorial department: On behalf of our team, I hereby certify the reliability and superiority of the International Journal of Clinical Case Reports and Reviews in the peer review process, editorial support, and journal quality. Firstly, the peer review process of the International Journal of Clinical Case Reports and Reviews is rigorous, fair, transparent, fast, and of high quality. The editorial department invites experts from relevant fields as anonymous reviewers to review all submitted manuscripts. These experts have rich academic backgrounds and experience, and can accurately evaluate the academic quality, originality, and suitability of manuscripts. The editorial department is committed to ensuring the rigor of the peer review process, while also making every effort to ensure a fast review cycle to meet the needs of authors and the academic community. Secondly, the editorial team of the International Journal of Clinical Case Reports and Reviews is composed of a group of senior scholars and professionals with rich experience and professional knowledge in related fields. The editorial department is committed to assisting authors in improving their manuscripts, ensuring their academic accuracy, clarity, and completeness. Editors actively collaborate with authors, providing useful suggestions and feedback to promote the improvement and development of the manuscript. We believe that the support of the editorial department is one of the key factors in ensuring the quality of the journal. Finally, the International Journal of Clinical Case Reports and Reviews is renowned for its high- quality articles and strict academic standards. The editorial department is committed to publishing innovative and academically valuable research results to promote the development and progress of related fields. The International Journal of Clinical Case Reports and Reviews is reasonably priced and ensures excellent service and quality ratio, allowing authors to obtain high-level academic publishing opportunities in an affordable manner. I hereby solemnly declare that the International Journal of Clinical Case Reports and Reviews has a high level of credibility and superiority in terms of peer review process, editorial support, reasonable fees, and journal quality. Sincerely, Rui Tao.
Clinical Cardiology and Cardiovascular Interventions I testity the covering of the peer review process, support from the editorial office, and quality of the journal.
Clinical Cardiology and Cardiovascular Interventions, we deeply appreciate the interest shown in our work and its publication. It has been a true pleasure to collaborate with you. The peer review process, as well as the support provided by the editorial office, have been exceptional, and the quality of the journal is very high, which was a determining factor in our decision to publish with you.
The peer reviewers process is quick and effective, the supports from editorial office is excellent, the quality of journal is high. I would like to collabroate with Internatioanl journal of Clinical Case Reports and Reviews journal clinically in the future time.
Clinical Cardiology and Cardiovascular Interventions, I would like to express my sincerest gratitude for the trust placed in our team for the publication in your journal. It has been a true pleasure to collaborate with you on this project. I am pleased to inform you that both the peer review process and the attention from the editorial coordination have been excellent. Your team has worked with dedication and professionalism to ensure that your publication meets the highest standards of quality. We are confident that this collaboration will result in mutual success, and we are eager to see the fruits of this shared effort.
Dear Dr. Jessica Magne, Editorial Coordinator 0f Clinical Cardiology and Cardiovascular Interventions, I hope this message finds you well. I want to express my utmost gratitude for your excellent work and for the dedication and speed in the publication process of my article titled "Navigating Innovation: Qualitative Insights on Using Technology for Health Education in Acute Coronary Syndrome Patients." I am very satisfied with the peer review process, the support from the editorial office, and the quality of the journal. I hope we can maintain our scientific relationship in the long term.
Dear Monica Gissare, - Editorial Coordinator of Nutrition and Food Processing. ¨My testimony with you is truly professional, with a positive response regarding the follow-up of the article and its review, you took into account my qualities and the importance of the topic¨.
Dear Dr. Jessica Magne, Editorial Coordinator 0f Clinical Cardiology and Cardiovascular Interventions, The review process for the article “The Handling of Anti-aggregants and Anticoagulants in the Oncologic Heart Patient Submitted to Surgery” was extremely rigorous and detailed. From the initial submission to the final acceptance, the editorial team at the “Journal of Clinical Cardiology and Cardiovascular Interventions” demonstrated a high level of professionalism and dedication. The reviewers provided constructive and detailed feedback, which was essential for improving the quality of our work. Communication was always clear and efficient, ensuring that all our questions were promptly addressed. The quality of the “Journal of Clinical Cardiology and Cardiovascular Interventions” is undeniable. It is a peer-reviewed, open-access publication dedicated exclusively to disseminating high-quality research in the field of clinical cardiology and cardiovascular interventions. The journal's impact factor is currently under evaluation, and it is indexed in reputable databases, which further reinforces its credibility and relevance in the scientific field. I highly recommend this journal to researchers looking for a reputable platform to publish their studies.
Dear Editorial Coordinator of the Journal of Nutrition and Food Processing! "I would like to thank the Journal of Nutrition and Food Processing for including and publishing my article. The peer review process was very quick, movement and precise. The Editorial Board has done an extremely conscientious job with much help, valuable comments and advices. I find the journal very valuable from a professional point of view, thank you very much for allowing me to be part of it and I would like to participate in the future!”
Dealing with The Journal of Neurology and Neurological Surgery was very smooth and comprehensive. The office staff took time to address my needs and the response from editors and the office was prompt and fair. I certainly hope to publish with this journal again.Their professionalism is apparent and more than satisfactory. Susan Weiner
My Testimonial Covering as fellowing: Lin-Show Chin. The peer reviewers process is quick and effective, the supports from editorial office is excellent, the quality of journal is high. I would like to collabroate with Internatioanl journal of Clinical Case Reports and Reviews.
My experience publishing in Psychology and Mental Health Care was exceptional. The peer review process was rigorous and constructive, with reviewers providing valuable insights that helped enhance the quality of our work. The editorial team was highly supportive and responsive, making the submission process smooth and efficient. The journal's commitment to high standards and academic rigor makes it a respected platform for quality research. I am grateful for the opportunity to publish in such a reputable journal.
My experience publishing in International Journal of Clinical Case Reports and Reviews was exceptional. I Come forth to Provide a Testimonial Covering the Peer Review Process and the editorial office for the Professional and Impartial Evaluation of the Manuscript.