BOP Program Statement 5332.01 § 6

a. Newly Assigned and Transferred Inmates. As outlined in the Program Statement

Psychology Services Manual, provisions are in place for psychological intake screenings of

newly assigned and transferred inmates within 14 or 30 days of arrival, respectively. Prior to the

inmate leaving the screening area, the staff member (i.e., ordinarily, a staff member from Unit

Management or designee) responsible for conducting the initial screening reviews the PSIQ to

determine if the inmate has answered “yes” to item #7, “Are you thinking of harming or killing

yourself now?” or if there is any other information suggestive of suicide or SDV risk. If the

answer to item #7 is yes, or if there is any other information suggestive of suicide or risk of

SDV, the staff member conducting the screening will notify Psychology Services immediately

via telephonic communication or in person. Email or voicemail/other telephonic message

notification for this is never acceptable.

When information suggestive of suicide risk or SDV is communicated to Psychology Services

(e.g., via Health Services intake screening, social screening, self-referral, or other staff or inmate

referral) prior to the completion of the psychological intake screening, a formal SRA is required,

and completion of the intake screening is prioritized.

b. Inmates in Restrictive Housing. Inmates in restrictive housing, particularly those requesting

protective custody (PC) or requesting to be celled alone, are at increased risk for SDV and

suicide. Correctional Services staff must carefully observe inmates for suicide risk factors and

warning signs. Psychology Services works closely with Correctional Services staff to monitor

inmates for signs of hopelessness, anxiety, agitation, depression, psychosis, or any mental health

symptom suggesting a need for an increased level of psychology services. If a SHU inmate

exhibits emotional distress or warning signs of suicide, Correctional Services will notify

Psychology Services immediately.

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c. Inmates Requiring Special Precautions. The Psychology Advisory List (PAL) in

TRUSCOPE provides information about inmates who may become unstable, dangerous, self-injurious, or suicidal when placed in restrictive housing due to a mental health condition. The

Chief Psychologist will ensure the PAL is updated as needed with current, accurate information.

When an inmate on the PAL is placed into restrictive housing, a Lieutenant will notify

Psychology Services immediately, in person or telephonically. Psychology Services will see an

inmate on the PAL within the time frames outlined in the Program Statement Special Housing

Units. Information regarding that inmate may be copied from TRUSCOPE into the SHU

Program for local review during SHU meetings.

d. Special Populations. Certain populations, including women, inmates who are aging or

elderly, or inmates who have a disability, may present with unique risk factors and warning signs

for suicide and may require special considerations and accommodations related to the

assessment, management, and treatment of suicide risk. Psychologists involved in the care of

inmates who belong to any special population will consult with an appropriate subject matter

expert in the Women and Special Populations Branch to ensure ethical practice. Upon

consultation, appropriate accommodations must be provided in accordance with Program

Statements Female Offender Manual and Management of Inmates with Disabilities.

In accordance with the Program Statement Female Offender Manual, the needs of women

placed on suicide watch will be addressed in a manner responsive to the needs of women.

Women on suicide watch are always authorized undergarments unless there are a clear clinical

rationale and evidence to support withholding these items in the current suicide watch (e.g.,

current or past documentation of SDV attempts using these items). Staff will afford women

placed on suicide watch access to feminine hygiene products to include regular-size tampons,

super-size tampons, regular-size maxi pads with wings, super-size maxi pads with wings, and

panty liners. These are not limited to a one-to-one exchange. Staff are required to offer these

products daily and deliver these products upon request. Unless exigent circumstances arise,

constant visual observation of women on suicide watch will always be provided by staff or

Suicide Watch Companions of the same sex. For institutions using contract beds at non-Bureau

facilities to place women offenders on suicide watch, the standards described above are required

as well.

e. § 552.41 Program procedures.

(c) Identification of at risk inmates.

(2) Staff (whether medical or non-medical) may make an identification at any

time based upon the inmate's observed behavior.

(d) Referral. Staff who identify an inmate to be at risk for suicide will have the inmate

placed on suicide watch.

f. Safety Precautions and Referral. Any staff member may identify an inmate as potentially

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suicidal at any time based upon the inmate’s verbal or written communication or observed

behavior. Whenever staff determine there is concern related to current suicide potential,

Psychology Services will be notified immediately in person or by telephone call. Email and

voicemail messages are not acceptable under such circumstances. Safety precautions (i.e.,

constant visual observation or suicide watch) must be implemented immediately and until

Psychology Services conducts a formal SRA. Documentation must be completed in accordance

with the Program Statement Psychology Services Manual. Ordinarily, when Psychology

Services is at the institution during day watch hours, an inmate will be kept under constant visual

observation until Psychology Services arrives to assess the individual and determine if suicide

watch is necessary. The inmate must be seen within 24 hours of referral. During non-business

hours, notification will be made to the on-call psychologist, ordinarily by the Operations

Lieutenant.