Suicide Prevention and Intervention. Terminal Illness, Advanced Directives and Death Security and Control 22. Contraband 23. Detention Files 24. Disciplinary Policy 25. Emergency Plans
Suicide Prevention and Intervention. This Detention Standard protects detainees’ health and well being by training staff to prevent suicide by recognize potential signs and situations of risk and to intervene with appropriate sensitivity, supervision, referral, and treatment. Components Meets Standard Does Not Meet Standard N/A Remarks
5. A health-care provider or specially trained officer screens all detainees for suicide potential as part of the admission process. • Screening does not occur later than one working day after the detainee’s arrival. • Documentation exists that “specially trained officers” have completed training in accordance with a syllabus approved by the medical authority. All detainees are screened for suicide potential by medical staff during admission. A review of the intake screening form reflected appropriate questions to ascertain the potential for suicide.
6. Written procedures contain when and how to refer at- risk detainees to medical staff and procedures are followed. Written procedures include information on how to refer at-risk detainees to medical staff. A review of two medical files for detainees who were on watch reflected that referral procedures are being followed.
7. Written procedures include returning a previously suicidal detainee to the general population, upon written authorization of the clinical director or appropriate health care professional. The clinical director provides written authorization to release the detainee back to the general population.
8. The facility has a designated isolation room for evaluation and treatment. The detainee is placed on the "short stay" unit or infirmary.
9. The designated isolation room does not contain any structures or smaller items that could be used in a suicide attempt. A review of the designated cells revealed that there were no structures that could be used in a suicide attempt.
10. Medical staff have approved the room for this purpose. The cells have been approved by the medical authority for this purpose.
11. Staff observe and document the status of a suicide- watch detainee at least once every 15 minutes/constant observation. During the inspection, there was one detainee on suicide watch and documentation was being recorded every 15 minutes. The detainee was under direct and constant staff supervision.
12. At facilities with twenty-four-hour medical staff, observation of imminently suicidal detainees by medical or detention staff shall occur no less than every 15 minutes. The Clinical Director (CD) may re...
Suicide Prevention and Intervention. This Detention Standard protects detainees’ health and well being by training staff to prevent suicide by recognize potential signs and situations of risk and to intervene with appropriate sensitivity, supervision, referral, and treatment. Components Meets Standard Does Not Meet Standard N/A Remarks
13. In CDFs or IGSAs, and/or at facilities where there is not twenty-four hour medical staff, the facility administrator shall report to ICE/DRO any detainee who has been identified as suicidal. ICE/DRO, shall consult with the CD or designated medical authority for immediate evaluation (with constant observation until evaluation), or for transfer to a local psychiatric facility or emergency room by ambulance There is twenty-four hour medical coverage. ICE is notified of any detainee who has been placed on suicide watch.
14. Every completed suicide and serious suicide attempt shall be subject to a mortality review process. A critical incident debriefing shall be provided to all affected staff and detainees. A mortality/morbidity review is required and a critical incident debriefing is made available to staff and detainees. Since there have been no suicides in the past year, this practice was not reviewed.
Suicide Prevention and Intervention. This Detention Standard protects detainees’ health and well being by training staff to prevent suicide by recognize potential signs and situations of risk and to intervene with appropriate sensitivity, supervision, referral, and treatment. Components Meets Standard Does Not Meet Standard N/A Remarks 11. Staff observes and document the status of a suicide- watch detainee at least once every 15 minutes/constant observation. In all suicide watch cases, a detention officer constantly observes the suicide-watch detainee. The officer's observations are documented at least every 15 minutes.
12. At facilities with twenty-four-hour medical staff, observation of imminently suicidal detainees by medical or detention staff shall occur no less than every 15 minutes. The Clinical Director (CD) may recommend constant direct supervision. If a detainee is clinically evaluated and determined to be at risk for suicide, medical staff shall document the status of the detainee in the medical record at least every two hours, unless otherwise directed by the CD. In all suicide watch cases, a detention officer constantly observes the suicide-watch detainee The officer's observations are documented at least every 15 minutes
13. In CDFs or IGSAs, and/or at facilities where there is not twenty-four hour medical staff, the facility administrator shall report to ICE/DRO any detainee who has been identified as suicidal. ICE/DRO, shall consult with the CD or designated medical authority for immediate evaluation (with constant observation until evaluation), or for transfer to a local psychiatric facility or emergency room by ambulance Medical staff reports all detainees on suicide watch to ICE personnel.
14. Every completed suicide and serious suicide attempt shall be subject to a mortality review process. A critical incident debriefing shall be provided to all affected staff and detainees. Completed suicides or serious suicide attempts are subject to a mortality review. Critical incident debriefing is provided to affected staff and detainees.
Suicide Prevention and Intervention. This Detention Standard protects detainees’ health and well being by training staff to prevent suicide by recognize potential signs and situations of risk and to intervene with appropriate sensitivity, supervision, referral, and treatment. Components Meets Standard Does Not Meet Standard N/A Remarks
5. A health-care provider or specially trained officer screens all detainees for suicide potential as part of the admission process. • Screening does not occur later than one working day after the detainee’s arrival. • Documentation exists that “specially trained officers” have completed training in accordance with a syllabus approved by the medical authority. A nurse screens all detainees on admission for suicide potential.
6. Written procedures contain when and how to refer at- risk detainees to medical staff and procedures are followed. Staff is aware of how to refer detainees to medical staff, as evidenced in interview and documented in medical records.
7. Written procedures include returning a previously suicidal detainee to the general population, upon written authorization of the clinical director or appropriate health care professional. The medical director authorizes the detainee's return to the general population.
8. The facility has a designated isolation room for evaluation and treatment. There are two designated isolation rooms located on the Short Stay Unit (SSU). One is a "soft" walled room (padded) with no protrusions and a floor grate. The other is a room with sink/toilet and some protrusions on the wall and ceiling.
9. The designated isolation room does not contain any structures or smaller items that could be used in a suicide attempt. One of the designated isolation rooms has protrusions on the wall and other grated surfaces that could be used in a suicide attempt. Mitigating factors are that detainees on suicide watch are on constant observation and are given suicide resistant bedding and clothing.
10. Medical staff have approved the room for this purpose. Medical staff has approved the rooms for this purpose.
11. Staff observe and document the status of a suicide- watch detainee at least once every 15 minutes/constant observation. Staff keeps constant observation on the suicide watch and documents that observation every 15 minutes.
12. At facilities with twenty-four-hour medical staff, observation of imminently suicidal detainees by medical or detention staff shall occur no less than every 15 minutes. The Clinical Director (CD) may recomme...
