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Self-inflicted deaths numbered 36 1.1 per 1000 prisoner-years (95% CI 0.75-1.48). Of 47 deaths from natural causes, cardiovascular disease accounted for 23 (49%, 95% CI 34-63%); liver disease was implicated in 10 of 47. To support pharmacovigilance, submissions were made to Medicines and Healthcare Regulatory Agency for eight deaths (10%, 95% CI 4-19%). FAIs into prisoner deaths in Scotland are too long-awaited given that four (5%) identified precautions that could have prevented death. FAIs into prisoner deaths in Scotland are too long