Suicide risk assessment for Jeffrey Epstein at MCC New York, Aug. 1, 2019

EFTA00132317¶

SENSITIVE BUT UNCLASSIFIED¶

Bureau of Prisons Psychology Services Suicide Risk Assessment¶

Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Facility: NYM Unit Team: 5 Date: 08/01/2019 13:29 Provider: PsyD¶

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 R & D staff reported to this writer this morning at about 8:30 AM on 8/01/19 that yesterday when Mr. Epstein was brought back from court the US Marshals asked him to sign a form that noted Mr. Epstein has “suicidal tendencies.” Mr. Epstein was seen for a Suicide Risk Assessment at about 1:00 PM on 8/01/19 in Attorney Conference.¶

This note is being entered at about 4:20 PM on 8/01/19.¶

Mental Health History According to a Suicide Risk Assessment dated 7/09/19 by Dr. Emmanuel Epstein 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.Ӧ

Self-Harm History According to a Suicide Risk Assessment dated 7/09/19 by Dr. Emmanuel Epstein 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.Ӧ

According to this writer’s Suicide Risk Assessment dated 7/23/19, “It is unclear at this time if he had placed the string around his neck or if someone else did.”¶

Current Problem R & D staff reported to this writer this morning at about 8:30 AM on 8/01/19 that yesterday when Mr. Epstein was brought back from court the US Marshals asked him to sign a form that noted Mr. Epstein has “suicidal tendencies.” This is likely due to the incident on 7/23/19, but as a precaution another Suicide Risk Assessment was conducted.¶

Mr. Epstein seemed surprised that there was a form noting suicidal tendencies. He denied stating he was suicidal.¶

He said he saw the DHO today and he said his incident report for the marks on his neck was expunged. He stated even though he has his cap machine now, he said his cellmate talks at night and he stated this keeps him up. This writer offered to talk to the SHU Lt. to have him housed with a different cellmate, but he stated he wants to give it 3 to 4 days to see if he wants a different cellmate. He complained about the noise in SHU.¶

Current Mental Status Level of Consciousness: Alert and Oriented Psychomotor Activity: Normal General Appearance: Normal Behavior: Cooperative Mood: Appropriate to Content Thought Process: Goal Directed Thought Content: Normal Current Mental Status: He exhibited a neutral mood with a mildly restricted range of affect. His speech was logical and¶

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EFTA00132318¶

Inmate Name:	EPSTEIN, JEFFREY EDWARD				Reg #: 76318-054
Date of Birth:	01/20/1953	Sex: M	Facility: NYM	Unit Team: 5
Date:	08/01/2019 13:29	Provider		PsyD

coherent, with no loosening of associations or tangential, circumstantial or irrelevant speech. Auditory and visual hallucinations were denied, and delusions were not elicited. He did not engage in any bizarre or inappropriate behavior. He denied current suicidal or self harm ideation and he agreed to immediately tell staff if he starts to have suicidal or self harm thoughts. He was future oriented. He does not appear to be an immediate danger to self. He denied thoughts of hurting others and he agreed to tell staff if he has these thoughts.¶

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, Sleep problems¶

The following PROTECTIVE factors were assessed to be present and may decrease the inmate’s risk of suicide: Able to identify reasons to live, Denial of suicidal ideation/intention/plans, Future orientation, Religious beliefs against suicide, Supportive family relationships, View of death as negative, Willingness to engage in treatment¶

Risk Factors: He was found by staff in his cell in SHU on 7/23/19 with a string loosely tied around his neck, which Mr. Epstein stated he did not remember anything about. It is still unclear at this time if Mr. Epstein had placed the string around his own neck or if someone else did. He has a high profile sex offense case. He stated his lower back hurts and he stated Medical is aware of this. He stated he has difficulty sleeping even with his cpap machine because he stated his cellmate talks at night.¶

Protective Factors: He denied current suicidal or self harm thoughts and agreed to tell staff if he starts to have these thoughts. He had denied a history of self harm and suicide attempts. He had denied a family history of suicidal and self harm attempts. He had denied having any chronic medical conditions. He denied feeling hopeless. He had denied a history of childhood abuse. He denied fearing for his safety at this time. He denied feeling like a burden to anyone. He stated he lives for and plans to finish this case and to go back to his normal life. He said his friends and Lawyers are emotionally supportive. He said he is Jewish and he said in his religion suicide is against the religion.¶

Overall, his current protective factors override his risk factors for suicidality. He is currently psychologically stable. He denied feeling hopeless. He is reporting positive future plans and reasons to live for. He said he has social supports in the community and his Lawyers visit him often. He denied any current suicidal or self harm ideation, intention or plan. Suicide Watch is not indicated at this time.¶

DIAGNOSIS:¶

No Diagnosis, No Dx - Current¶

CONCLUSIONS¶

The Overall Acute Suicide Risk for this Inmate is: Low¶

Overall Chronic Suicide Risk for this Inmate is: Absent¶

RECOMMENDATIONS¶

1. Suicide Watch is not indicated at this time.

2. Supportive and educative interventions were provided.

3. He was educated about both routine and emergency procedures for contacting Psychology staff.

4. He will be seen in follow up by Psychology next week to monitor his mental status and to provide further intervention if needed.

5. In the meantime, he was encouraged to self-refer to Psychology if needed to which he agreed and seems capable of doing.

6. If he remains in SHU, he will be seen by Psychology in SHU Rounds and in SHU Reviews.

Suicide Watch: A suicide watch is not warranted at this time¶

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Bureau of Prisons - NYM¶

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EFTA00132319¶

Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Date: 08/01/2019 13:29 Provider: DayD¶

Completed b dayD on 08/01/2019 16:21¶

Generated 08/01/2019 16:21 Bureau of Prisons - NYM¶