# Suicide Watch Chronological Log

## Inmate Companions Log

Name of inmate on watch:

Epstein



Register #:

74318.054



Institution:

Date Watch Began / Ended

7 | 23 | 19

ONLY ITEMS ALLOWED:

To be completed by Chief Psychologist at conclusion of watch:

Booklet ___ of ___

Sack Meal

Suicide Smock/Slippers

Suicide Sleeping Bag

Suicide Mattress

Paper Cup



Soap



Tampons or

Foam Sanitary Belt/Napkin



SWCL - INMATE


EFTA00120189

# STAPLE LOCAL PROCEDURES HERE

Check one of the following:

$$\Box $$ This is the initial log book for this suicide watch.

Enter date and time watch began: ___

$$\Box $$ This is a continuation log book for this watch.

Enter date and time this watch book was initiated: ___

Instructions to Observer:

Document your observations every ___ minutes.

Legibly print **and** sign your name at the beginning of your shift.





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# Suicide Watch Observation Log

| Name of Inmate on watch: | Eustein | Reg #: 74318054 | Date: 72 |

| :--- | :--- | :--- | :--- |

| Time | Observations: Briefly note your observations. Initial all entries. |

| :--- | :--- |

| 1:40 AM | I m Brought down to Suicide call #4 |

| 1:45 AM | I m Trying on Bed |

| 2:00 AM | I m Sitting on Bed talking |

| 2:15 AM | I m Stalks his cellmate tried to kill him |

| 2:30 AM | I m Sitting on Bed trying to remember what Happen |

| 2:45 AM | I m Sitting on Bed |

| 3:00 AM | I m Sitting on Bed |

| 3:15 AM | takes pictures of me |

| 3:30 AM | I m Sitting on Bed |

| 3:45 AM | I m Sitting on Bed |

| 4:00 AM | I m Sitting on Bed |

| 4:15 AM | I m Sitting on Bed |

| 4:30 AM | I m Standing at Door talking |

| 4:45 AM | I m Standing at Door talking |

| 5:00 AM | I m Sitting out bed |

| 5:15 AM | I m Standing at Door |

| 5:30 AM | I m Standing at Door |

| 5:45 AM | I m Standing at Door |

| 6:00 AM | I m Standing at Door |

Note to all observers: Legibly print and sign your name at the beginning of your shift.

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# Suicide Watch Chronological Log

## Staff Suicide Watch Observers Only

Name of inmate on watch:

Epstein, J.



Register #:



76318-054

Institution:

MCC New York

Date Watch Began / Ended

July 23,2019 - July 24,2019

To be completed by Chief Psychologist at conclusion of watch:

Booklet ___ of ___



SWCL - STAFF


EFTA00120192

# STAPLE LOCAL PROCEDURES HERE

Check one of the following:

This is the initial log book for this suicide watch.

Enter date and time watch began:

July 23, 2019 at 1:40AM



□ This a continuation log book for this watch.

Enter date and time this watch book was initiated:

___



Instructions to Observer:

Document your observations every ___ minutes.

Legibly print **and** sign your name at the beginning of your shift.

EFTA00120193

<table border="1"><tr><td colspan="3">Epstein Suicide Watch Observation Log</td></tr><tr><td colspan="3">Name of Inmate on watch: Reg #: 76318-054 Date: 712319</td></tr><tr><td>Time</td><td>Observations: Briefly note your observations. Initial all entries.</td><td>Initials</td></tr><tr><td>1:40AM</td><td>Inmate brought down to suicide cell#4</td><td></td></tr><tr><td>1:45AM</td><td>Inmate lying on bed</td><td></td></tr><tr><td>2:00AM</td><td>Inmate sitting on bed talking</td><td></td></tr><tr><td>2:15AM</td><td>Inmate states his cellmate tried to kill him</td><td></td></tr><tr><td>2:30AM</td><td>Inmate sitting on bed trying to remember what happened</td><td></td></tr><tr><td>2:45AM</td><td>Inmate sitting on bed</td><td></td></tr><tr><td>3:00AM</td><td>Inmate sitting on bed</td><td></td></tr><tr><td>3:15AM</td><td>takes pictures of inmate</td><td></td></tr><tr><td>3:30AM</td><td>Inmate sitting on bed</td><td></td></tr><tr><td>3:45AM</td><td>Inmate sitting on bed</td><td></td></tr><tr><td>4:00AM</td><td>Inmate sitting on bed</td><td></td></tr><tr><td>4:15AM</td><td>Inmate sitting on bed</td><td></td></tr><tr><td>4:30AM</td><td>Inmate standing at door talking</td><td></td></tr><tr><td>4:45AM</td><td>Inmate standing at door talking</td><td></td></tr><tr><td>5:00AM</td><td>Inmate sitting on bed</td><td></td></tr><tr><td>5:15AM</td><td>Inmate standing at door</td><td></td></tr><tr><td>5:30AM</td><td>Inmate standing at door</td><td></td></tr><tr><td>5:45AM</td><td>Inmate standing at door</td><td></td></tr><tr><td>6:00AM</td><td>Inmate standing at door</td><td></td></tr><tr><td>6:15AM</td><td>Inmate standing at door</td><td></td></tr><tr><td>6:30AM</td><td>Inmate standing at door</td><td></td></tr><tr><td>6:45AM</td><td>Inmate standing at door</td><td></td></tr><tr><td>7:00AM</td><td>Inmate standing at door</td><td></td></tr></table>

Note to all observers: Legibly print and sign your name at the beginning of your shift.

1

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