Anti-ligature fixture
An anti-ligature fixture or fitting (or ligature resistant fitting) is an element of architecture or furnishing that is designed to prevent or hinder the attaching of ligatures. They are used in environments such as prisons and secure healthcare settings where there is a risk of suicide or self-harm.[1]
Design principles
Attachment of ligatures can be hindered by eliminating hooked shapes railings, and similar design elements, as well as by making potential attachment points weak enough to break away if weighted.[1] Experiments have been attempted with using weight sensors to trigger an alarm if unusual behavior is detected, but these have not been found to be effective.[2]
In contexts where care is being provided for children or adolescents, a potential consideration in anti-ligature design is whether the designs will cause harm due to creating an institutionalize, non-homelike living environment.[3]
Applications
In England, the NHS mandates that all fixtures in adult acute mental health facilities be anti-ligature[4]
Results
A literature review from Cardiff University found that removal of ligature points in the environment helped prevent suicide in hospital settings.[5]
See also
References
- 1 2 "Health Building Note 03-01: Adult acute mental health units". NHS England. 20 March 2013. Retrieved 27 July 2026.
- ↑ Hayes, Lindsay M. (1 May 2013). "Suicide prevention in correctional facilities: Reflections and next steps". International Journal of Law and Psychiatry. Special Issue on Prisons and Mental Health. 36 (3): 188–194. doi:10.1016/j.ijlp.2013.04.010. ISSN 0160-2527. PMID 23664363.
- ↑ "Health Building Note 03-02: Facilities for child and adolescent mental health services (CAMHS)". NHS England. 21 May 2021. Retrieved 27 July 2026.
- ↑ "Health Building Note 03-01: Adult acute mental health units". NHS England. 20 March 2013. Retrieved 27 July 2026.
- ↑ Evans, Nicola; Edwards, Deborah; Chick, Phill (2022). "Managing suicidality in inpatient care: a rapid review". Journal of Mental Health Training, Education and Practice. 17 (6): 479–494. doi:10.1108/JMHTEP-05-2020-0023. ISSN 1755-6228.