Purpose Without exception, research on the contribution of the Prison Listener Scheme as a form of peer support for those who self-harm in custody has focussed on men in prison. Women's experience of custody is shaped by their experiences of hegemonic masculinity that also mediate through women's roles as mothers and caregivers. Women's self-harm is similarly influenced by these gendered experiences. The purpose of this paper is to explore how the Listener Scheme as a form of peer-to-peer support for women contributes to women managing their self-harm in a female prison. Design/methodology/approach The paper used a case study design with a mixed-methods approach using a quantitative questionnaire with prison staff (n = 65) and women in custody who had self-harmed (n = 30). Qualitative methods included a focus group with Prison Listeners (n10) and semi-structured interviews with women who self-harm (n10) and prison staff (n10). Four days were also spent observing the prison environment. Findings Findings suggest that women seek support from other women as peer Listeners for three main reasons; their previous difficult experiences with men, a displacement of the mother role and their attachment needs in custody. Research suggests that women often have significant addictions and mental health concerns and are more likely than their male counterparts to engage in self-harm (Prison Reform Trust, 2017). In addition, women's self-harm acts as a coping method for "intrapersonal issues" which documents self-harm as a result of frustration and lack of control in custody as opposed to "interpersonal issues" which documents self-harm as a result of relationship difficulties with partners (Walker et al., 2017). This paper suggests that peer support schemes internationally should be tailored to providing support for these types of gendered experience to support women who self-harm in custody. This has implications for the training and support of Listeners in women's prisons. Research limitations/implications This exploratory research was conducted in one female prison and while can be considered to test proof of concept is limited in its generalisability. Originality/value This paper suggests that Listeners providing peer-to-peer support for women in custody who self-harm may encounter triggers for this behaviour based on women's experiences including; how women relate to men; women's experience of the way custody displaces their role as mothers and women's need for safe attachments in custody. These gendered experiences have implications for the training and development of peer support schemes in women's prisons, such as the Listener scheme. Further research is needed to compare the gendered types of support Prison Listeners provide depending on whether they are in male or female prisons.
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Univ Bradford, Ctr Psychol Studies, Sch Social & Int Studies, Bradford, W Yorkshire, EnglandUniv Bradford, Ctr Psychol Studies, Sch Social & Int Studies, Bradford, W Yorkshire, England
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Med Univ South Carolina, Dept Publ Hlth Sci, 135 Cannon St,Suite CS303D, Charleston, SC 29425 USAMed Univ South Carolina, Dept Publ Hlth Sci, 135 Cannon St,Suite CS303D, Charleston, SC 29425 USA
Williams, Edith M.
Egede, Leonard
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Med Coll Wisconsin, Dept Med, 8701 Watertown Plank Rd, Milwaukee, WI 53226 USAMed Univ South Carolina, Dept Publ Hlth Sci, 135 Cannon St,Suite CS303D, Charleston, SC 29425 USA
Egede, Leonard
Oates, Jim C.
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Med Univ South Carolina, Div Rheumatol & Immunol, 96 Jonathan Lucas St, Charleston, SC 29425 USA
Ralph H Johnson VA Med Ctr, Rheumatol Sect, 109 Bee St, Charleston, SC 29401 USAMed Univ South Carolina, Dept Publ Hlth Sci, 135 Cannon St,Suite CS303D, Charleston, SC 29425 USA
Oates, Jim C.
Dismuke, Clara L.
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VA Palo Alto Med Care Syst, HERC, 795 Willow Rd 152 MPD, Menlo Pk, CA 94025 USAMed Univ South Carolina, Dept Publ Hlth Sci, 135 Cannon St,Suite CS303D, Charleston, SC 29425 USA
Dismuke, Clara L.
Ramakrishnan, Viswanathan
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Med Univ South Carolina, Dept Publ Hlth Sci, 135 Cannon St,Suite CS303D, Charleston, SC 29425 USAMed Univ South Carolina, Dept Publ Hlth Sci, 135 Cannon St,Suite CS303D, Charleston, SC 29425 USA
Ramakrishnan, Viswanathan
Faith, Trevor D.
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Med Univ South Carolina, Div Rheumatol & Immunol, 96 Jonathan Lucas St, Charleston, SC 29425 USAMed Univ South Carolina, Dept Publ Hlth Sci, 135 Cannon St,Suite CS303D, Charleston, SC 29425 USA
Faith, Trevor D.
Johnson, Hetlena
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Lupus Columbia SC, 1900 Kathleen Dr, Columbia, SC 29210 USAMed Univ South Carolina, Dept Publ Hlth Sci, 135 Cannon St,Suite CS303D, Charleston, SC 29425 USA
Johnson, Hetlena
Rose, Jillian
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Hosp Special Surg, Dept Social Work Programs, 535 East 70th St, New York, NY 10021 USAMed Univ South Carolina, Dept Publ Hlth Sci, 135 Cannon St,Suite CS303D, Charleston, SC 29425 USA
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Brown Univ, Sch Publ Hlth, Providence, RI 02912 USABrown Univ, Sch Publ Hlth, Providence, RI 02912 USA
Collins, Alexandra B.
McNeil, Ryan
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Yale Sch Med, Program Addict Med, New Haven, CT USA
Yale Sch Med, Gen Internal Med, New Haven, CT USABrown Univ, Sch Publ Hlth, Providence, RI 02912 USA
McNeil, Ryan
Czechaczak, Sandra
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British Columbia Ctr Subst Use, Vancouver, BC, CanadaBrown Univ, Sch Publ Hlth, Providence, RI 02912 USA
Czechaczak, Sandra
Boyd, Jade
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British Columbia Ctr Subst Use, Vancouver, BC, Canada
Univ British Columbia, Dept Med, Vancouver, BC, CanadaBrown Univ, Sch Publ Hlth, Providence, RI 02912 USA
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Amrita Vishwa Vidyapeetham, Amrita Inst Med Sci & Res Ctr, Dept Community Med, Kochi, Kerala, India
Amrita Vishwa Vidyapeetham, Amrita Inst Med Sci & Res Ctr, Ctr Publ Hlth, Kochi, Kerala, India
Harvard Univ, Harvard TH Chan Sch Publ Hlth, Dept Global Hlth & Populat, Boston, MA 02115 USAAmrita Vishwa Vidyapeetham, Amrita Inst Med Sci & Res Ctr, Dept Community Med, Kochi, Kerala, India
Suseela, Rakesh P.
Ambika, Renjini Balakrishnan
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Amrita Vishwa Vidyapeetham, Amrita Inst Med Sci & Res Ctr, Dept Community Med, Kochi, Kerala, India
Amrita Vishwa Vidyapeetham, Amrita Inst Med Sci & Res Ctr, Ctr Publ Hlth, Kochi, Kerala, IndiaAmrita Vishwa Vidyapeetham, Amrita Inst Med Sci & Res Ctr, Dept Community Med, Kochi, Kerala, India
Ambika, Renjini Balakrishnan
Mohandas, Sreelakshmi
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Amrita Vishwa Vidyapeetham, Amrita Inst Med Sci & Res Ctr, Dept Community Med, Kochi, Kerala, India
Amrita Vishwa Vidyapeetham, Amrita Inst Med Sci & Res Ctr, Ctr Publ Hlth, Kochi, Kerala, IndiaAmrita Vishwa Vidyapeetham, Amrita Inst Med Sci & Res Ctr, Dept Community Med, Kochi, Kerala, India
Mohandas, Sreelakshmi
Menon, Jaideep C.
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Harvard Univ, Harvard TH Chan Sch Publ Hlth, Dept Global Hlth & Populat, Boston, MA 02115 USA
Amrita Vishwa Vidhyapeetham, Amrita Inst Med Sci, Dept Prevent Cardiol, Kochi, Kerala, IndiaAmrita Vishwa Vidyapeetham, Amrita Inst Med Sci & Res Ctr, Dept Community Med, Kochi, Kerala, India
Menon, Jaideep C.
Numpelil, Mathews
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Natl Hlth Mission, Kochi, Kerala, IndiaAmrita Vishwa Vidyapeetham, Amrita Inst Med Sci & Res Ctr, Dept Community Med, Kochi, Kerala, India
Numpelil, Mathews
Vasudevan, Beena K.
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Amrita Vishwa Vidyapeetham, Amrita Inst Med Sci & Res Ctr, Dept Community Med, Kochi, Kerala, India
Amrita Vishwa Vidyapeetham, Amrita Inst Med Sci & Res Ctr, Ctr Publ Hlth, Kochi, Kerala, IndiaAmrita Vishwa Vidyapeetham, Amrita Inst Med Sci & Res Ctr, Dept Community Med, Kochi, Kerala, India
Vasudevan, Beena K.
Ved, Rajani
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Harvard Univ, Harvard TH Chan Sch Publ Hlth, Dept Global Hlth & Populat, Boston, MA 02115 USA
Natl Hlth Syst Resource Ctr, New Delhi, IndiaAmrita Vishwa Vidyapeetham, Amrita Inst Med Sci & Res Ctr, Dept Community Med, Kochi, Kerala, India
Ved, Rajani
Danaei, Goodarz
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Harvard Univ, Harvard TH Chan Sch Publ Hlth, Dept Global Hlth & Populat, Boston, MA 02115 USA
Harvard Univ, Harvard TH Chan Sch Publ Hlth, Dept Epidemiol, Boston, MA USAAmrita Vishwa Vidyapeetham, Amrita Inst Med Sci & Res Ctr, Dept Community Med, Kochi, Kerala, India
Danaei, Goodarz
Spiegelman, Donna
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Harvard Univ, Harvard TH Chan Sch Publ Hlth, Dept Epidemiol Biostat Nutr & Global Hlth, Boston, MA USA
Yale Univ, Yale Sch Publ Hlth, Ctr Methods Implementat & Prevent Sci, New Haven, CT USAAmrita Vishwa Vidyapeetham, Amrita Inst Med Sci & Res Ctr, Dept Community Med, Kochi, Kerala, India