EFTA00132299

Bureau of Prisons
Psychology Services
Suicide Risk Assessment

Inmate Name: EPSTEIN, JEFFREY EDWARD
Date of Birth: 01/20/1953
Date: 07/23/2019 10:09
Provides: PsyD
Reg #: 76318-054
Unit Team: 5

Type of Housing: SHU-Administrative Segregation
Cell Accommodation: Double-Cell

FINDINGS
This assessment and the resulting recommendations are based on the following sources of information:
Clinical Interview, Medical Record, Psychology Data System, Sentry

Reason for Referral
The On Call Psychologist, Dr. Epstein had been contacted by the Operations Lt. at about 2 AM on 7/23/19 to inform her that Mr. Epstein was being placed on Suicide Watch because he was with a string around his neck. Mr. Epstein was seen by this writer for a Suicide Risk Assessment at about 9:10 AM on 7/23/19.

This note is being entered at about 3:35 PM on 7/23/19.

Mental Health History
According to a Suicide Risk Assessment dated 7/09/19 by Dr. Epstein, he denied any history of mental health treatment, either on an inpatient or outpatient basis. Inmate Epstein denied any treatment in the past or present with psychotropic medication. He also denied any acute mental health symptoms at this time."

Self-Harm History
According to a Suicide Risk Assessment dated 7/09/19 by Dr. Epstein, he denied any past or present suicidal ideation, intention or plan. He denied ever engaging in any suicide attempts or self-injurious behavior in the past."

Substance Abuse History
According to a Suicide Risk Assessment dated 7/09/19 by Dr. Epstein, he denied any alcohol or substance abuse. He said it is well-known that he does not even drink alcohol."

Current Problem
Earlier this morning Mr. Epstein was found by SHU staff in his cell with a string loosely tied around his neck. It is unclear at this time if Mr. Epstein had placed the string around his own neck.

When Mr. Epstein was asked by this writer how he ended up on Suicide Watch, he denied remembering. He stated he got a drink of water last night in his cell and went back to bed. He said the next thing he remembered is hearing himself snore. He said he wants to know why he is on Suicide Watch. He was informed that staff stated he was found in his cell with a string on his neck. According to Medical records, he had been seen by Medical for this and had a rule out of self inflicted injuries.

When this writer reviewed the Staff Suicide Watch Log, it noted that Mr. Epstein told the staff watching him that his cellmate tried to kill him, which Mr. Epstein did not tell this writer when this writer had interviewed Mr. Epstein. This writer was unable to ask Mr. Epstein about this, since Mr. Epstein was now in Legal. The Captain was notified about this notation and the Captain stated they were already aware of this statement.

Current Mental Status
Level of Consciousness: Alert and Oriented
Psychomotor Activity: Normal
General Appearance: Normal
Behavior: Cooperative
Mood: Appropriate to Content

Generated 07/23/2019 15:38
Bureau of Prisons - NYM

EFTA00132300

INmale Name: EPSTEIN, JEFFREY EDWARD
Date of Birth: 01/20/1953
Sex: M
Facility: NYM
Unit Team: 5
Date: 07/23/2019 10:09
Provider: PayD

Thought Process: Goal Directed

Thought Content: Normal

RISK AND PROTECTIVE FACTORS ASSESSED:
This writer screened the inmate for a variety of empirically validated factors commonly associated with risk for self-harm and suicide.

The following STATIC risk factors were assessed to be present and increase the inmate's risk for engaging in suicide related behaviors: High Profile Crime, Lack of family connections, Sex offender status.

The following DYNAMIC risk factors were assessed to be present and increase the inmate's risk for engaging in suicide related behaviors: Current physical pain.

The following PROTECTIVE factors were assessed to be present and may decrease the inmate's risk of suicide: Able to identify reasons to live, Adequate problem solving skills, Denial of suicidal ideation/intention plans, Future orientation, View of death as negative, Willingness to engage in treatment

Risk Factors:
He was found by staff in his cell in SHU with a string loosely tied around his neck, which Mr. Epstein stated he did not remember anything about. It is unclear at this time if Mr. Epstein had placed the string around his own neck or if someone else did. According to Medical, he had a circular line around the base of his neck, which he denied knowing how he obtained.

He stated his throat hurts which was reported to Medical. He has a high profile sex offense case and recently was denied bail. When asked if he has any friend or family that are emotionally supportive, he stated he does not know what that means. When emotional supportures were explained to him and then again asked if he as any family or friends that are emotionally supportive, he was vague and said he has a lot of people.

Protective Factors:
He denied current suicidal or self harm thoughts or ever having these thoughts. He denied history of self harm and suicide attempts. He denied a family history of suicidal and self harm attempts. He denied having any chronic medical conditions. He denied feeling hopeless. He denied a history of childhood abuse. He denied fearing for his safety. He denied feeling like a burden to anyone. He reported he is sleeping adequately. He stated he lives to have fun, to enjoy life, and to learn. He said his future plans include fighting his case and going back to his normal life.

Whereas, he is denying suicide and self harm thoughts and has a lot of protective factors, he is denying that he remembers how he ended up on Suicide Watch and has marks encircling his neck. It is unclear at this time if he had placed the string around his neck or if someone else did. He will remain on Suicide Watch for further observation and safekeeping.

DIAGNOSIS:
No Diagnosis, No Dx - Current

CONCLUSIONS:
The Overall Acute Suicide Risk for this Inmate is: Moderate
Overall Chronic Suicide Risk for this Inmate is: Absent

RECOMMENDATIONS:
1. Mr. Epstein will remain on Suicide Watch for further observation and safekeeping.
2. While on Suicide Watch, he will be continuously observed by Inmate Companions.
3. While on Suicide Watch, he will be seen daily by Psychology.
4. Supportive and educative interventions were provided.
5. Medical was informed that he reported his throat hurts.

Suicide Watch: A suicide watch was initiated on: 07/23/2019 10:40

Generated on 07/23/2019 16:38 PM
Bureau of Pensions - NYM

EFTA00132301

| Inmate Name: EPSTEIN, JEFFREY EDWARD | Reg #: 76318-054 |
| :--- | :--- |
| Date of Birth: 01/20/1953 | Unit Team: 5 |
| Date: 07/23/2019 10:09 | Provider: PayD |

Completed by PayD on 07/23/2019 15:38

Generated 07/23/2019 15:38 by Bureau of Prisons - NYM