**SENSITIVE BUT UNCLASSIFIED**

# Bureau of Prisons Psychology Services Suicide Risk Assessment

| Inmate Name: | EPSTEIN, JEFFREY EDWARD | | | Reg #: 76318-054 |
| :--- | :--- | :--- | :--- | :--- |
| Date of Birth: | 01/20/1953 | Sex: M | Facility: NYM | Unit Team: A&O |
| Date: | 07/09/2019 08:41 | Provider: | PhD/Chief Psychologist | |

Type of Housing: Other Psychological Observation

Cell Accommodation: Single Cell

## FINDINGS

This assessment and the resulting recommendations are based on the following sources of information: Clinical Interview, Medical Record

Inmate Epstein was placed on psychological observation when he returned from court yesterday evening 7/8/19 for precautionary reasons. He is not on a suicide watch at this time.

## Reason for Referral

Inmate Epstein is being seen for suicide risk assessment today for precautionary reasons. Inmate Epstein has various risk factors for suicidality at this time including a high profile case with media attention, sex offense/trafficking charges, pre-trial status, and he had a court proceeding yesterday which could have given him bad news regarding his legal situation. As such, this writer instructed R&D staff, as well as the Lieutenant’s Office, to immediately notify the psychology department when he returned from court. Inmate Epstein returned from court after duty hours and denied suicidality. The aforementioned staff notified the on-call psychologist and inmate Epstein was placed on a precautionary psychological observation status until psychology could interview him this morning to conduct a suicide risk assessment.

## Developmental History

Inmate Epstein denied any history of being the victim and/or perpetrator of physical or sexual abuse.

## Educational History/Cognitive Impairment

Inmate Epstein reported he obtained his high school diploma and attended some graduate classes in the area of mathematics.

## Arrest History and Experience of Incarceration

Inmate Epstein reported he has served time in Palm Beach County jail on sex offense charges (soliciting prostitution) in the past. He is now being charged with sex trafficking, on a federal level.

## Mental Health History

Inmate 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.

## Self-Harm History

Inmate 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.

## Substance Abuse History

Inmate Epstein denied any alcohol or substance abuse. He said it is well-known that he does not even drink alcohol.

## Medical Concerns

Inmate Epstein denied any significant medical problems, other than a history of high triglycerides. He reported feeling constipated at this time.

Inmate Epstein is currently on psychological observation due to his having multiple risk factors associated with suicidality. He denies any suicidality at this time and has no mental health or suicide history. He is being seen for a suicide risk assessment in an abundance of caution.

## Current Problem

## Current Mental Status

Level of Consciousness: Alert and Oriented

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EFTA00134905

<table border="1"><tr><td>Inmate Name:</td><td colspan="4">EPSTEIN, JEFFREY EDWARD</td><td>Reg #:</td><td>76318-054</td></tr><tr><td>Date of Birth:</td><td>01/20/1953</td><td>Sex:</td><td>M</td><td>Facility:</td><td>NYM</td><td>Unit Team:</td><td>A&amp;O</td></tr><tr><td>Date:</td><td>07/09/2019</td><td>08:41</td><td>Provider:</td><td></td><td>PhD/Chief Psychologist</td><td></td><td></td></tr><tr><td colspan="8">Psychomotor Activity: Normal</td></tr><tr><td colspan="8">General Appearance: Normal</td></tr><tr><td colspan="8">Behavior: Cooperative</td></tr><tr><td colspan="8">Mood: Appropriate to Content</td></tr><tr><td colspan="8">Thought Process: Goal Directed</td></tr><tr><td colspan="8">Thought Content: Normal</td></tr></table>

Inmate Epstein did not exhibit any acute psychopathology and exhibited a clear mental status.

Current Mental Status: Mr. EPSTEIN was alert and oriented. He was polite, calm, and cooperative in demeanor. He exhibited a neutral affect with appropriate range. Eye contact and hygiene were appropriate. The inmate spoke with normal rate, tone, and volume. His thoughts were organized and coherent, with no loosening of associations or tangential, circumstantial, or irrelevant content. There was no evidence of perceptual disturbance, delusional ideation, or a formal thought disorder. He did not engage in any bizarre or inappropriate behavior. He noted having normal sleeping and eating habits. Mr. EPSTEIN explicitly denied recent and current suicidal ideation, planning, and intent. He was future-oriented and expressed a commitment to life and safety, agreeing to contact staff immediately should he experience suicidal ideation.

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

Of the DYNAMIC risk factors assessed, none were found to be present.

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

As noted above, Inmate Epstein is a 66-year-old Caucasian male. He has various risk factors for suicidality at this time including a high profile case with extensive media attention, sex offense/trafficking charges, pre-trial status, and he had a court proceeding yesterday which may have given him bad news regarding his legal situation. Inmate Epstein also informed this writer that his only family at this time is his brother, with whom he does not have a close relationship with.

Despite these risk factors, inmate Epstein possesses a number of protective factors at this time. Inmate Epstein adamantly denied any suicidal ideation, intention or plan. He was very future oriented and requested a phone call, to meet with his attorney, to take a shower, and to brush his teeth. He was eating his cereal when this writer arrived and said "I have my paper spoon here." He reported he is going to have a bail hearing on Monday and believes he is going to be released from jail. Inmate Epstein reported he is a Banker and has a "big business" in the community and that "being alive is fun." He also revealed he enjoys learning and teaching. He has confidence in his attorney and described him as "competent." Inmate Epstein denied any mental health history or history of suicidality. He also reported none of his family members have mental health histories. Inmate Epstein stated he is a mathematician and took post graduate classes in this area of study. Inmate Epstein stated he has a support system in the community, including friends and other associates. Finally, inmate Epstein demonstrated a good sense of humor and did not appear dysphoric, agitated or anxious. No acute psychopathology was noted.

Overall, inmate Epstein has numerous protective factors at this time that outweigh his risk factors for suicidality. He has a positive outlook regarding his legal case, demonstrates no psychiatric symptoms, has no psychiatric or suicide history, and verbalized a desire to be alive at this time and future orientation.

## DIAGNOSIS:

No Diagnosis, No Dx - Current

## CONCLUSIONS

<table border="1"><tr><td>The Overall Acute Suicide Risk for this Inmate is:</td><td>Low</td></tr><tr><td>Overall Chronic Suicide Risk for this Inmate is:</td><td>Absent</td></tr></table>

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EFTA00134906

| Inmate Name: | EPSTEIN, JEFFREY EDWARD | | | Reg #: 76318-054 |
| :--- | :--- | :--- | :--- | :--- |
| Date of Birth: | 01/20/1953 | Sex: M | Facility: NYM | Unit Team: A&O |
| Date: | 07/09/2019 08:41 | Provider: | PhD/Chief Psychologist | |

## RECOMMENDATIONS

Inmate Epstein is currently on psychological observation pending suitable housing placement. In light of his current sex offense charges and extensive media coverage on the television, he will need to be confined in a suitable housing unit. Inmate Epstein will be seen daily while on psychological observation and will be seen for a psychological observation follow-up session once he is released from observation. Inmate Epstein denied the need for psychological intervention, self-help materials, or follow-up. He has been classified as a CC1-MH inmate at this time. CARE1-MH is indicative of an inmate who shows no significant level of functional impairment associated with a mental illness and demonstrates no need for regular mental health intervention.

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

Completed by

PhD/Chief Psychologist on 07/09/2019 10:36

Generated 07/09/2019 10:36 by

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| PhD/Chief | Bureau of Prisons - NYM |
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SDNY_00006408


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EFTA00134907

Bureau of Prisons
Health Services
See Amendment

Inmate Name: EPSTEIN, JEFFREY EDWARD
Date of Birth: 01/20/1953
Sex: M
Race: WHITE
Encounter Date: 07/09/2019 08:41
Facility: NYM

Amendment made to this note by PhD/Chief Psychologist on 07/10/2019 09:20.

**SENSITIVE BUT UNCLASSIFIED**

# Bureau of Prisons Psychology Services Suicide Risk Assessment

| Inmate Name: | EPSTEIN, JEFFREY EDWARD | | | Reg #: 76318-054 |
| :--- | :--- | :--- | :--- | :--- |
| Date of Birth: | 01/20/1953 | Sex: M | Facility: NYM | Unit Team: A&O |
| Date: | 07/09/2019 08:41 | Provider: | a PhD/Chief Psychologist | |

Type of Housing: Other Psychological Observation

Cell Accommodation: Single Cell

## FINDINGS

This assessment and the resulting recommendations are based on the following sources of information:

Medical Record, Clinical Interview

Inmate Epstein was placed on psychological observation when he returned from court yesterday evening 7/8/19 for precautionary reasons. He is not on a suicide watch at this time. He was seen this morning for a psychological observation contact and suicide risk assessment this morning, 7/9/19, at 7:30 a.m. as it was determined he possessed some at-risk factors for suicidality.

## Reason for Referral

Inmate Epstein is being seen for suicide risk assessment today for precautionary reasons. Inmate Epstein has various risk factors for suicidality at this time including a high profile case with media attention, sex offense/trafficking charges, pre-trial status, and he had a court proceeding yesterday which could have given him bad news regarding his legal situation. As such, this writer instructed R&D staff, as well as the Lieutenant's Office, to immediately notify the psychology department when he returned from court. Inmate Epstein returned from court after duty hours and denied suicidality. The aforementioned staff notified the on-call psychologist and inmate Epstein was placed on a precautionary psychological observation status until psychology could interview him this morning to conduct a suicide risk assessment.

## Developmental History

Inmate Epstein denied any history of being the victim and/or perpetrator of physical or sexual abuse.

## Educational History/Cognitive Impairment

Inmate Epstein reported he obtained his high school diploma and attended some graduate classes in the area of mathematics.

## Arrest History and Experience of Incarceration

Inmate Epstein reported he has served time in Palm Beach County jail on sex offense charges (soliciting prostitution) in the past. He is now being charged with sex trafficking, on a federal level.

## Mental Health History

Inmate 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.

## Self-Harm History

Inmate Epstein denied any past or present suicidal ideation, intention or plan. He denied ever engaging in any suicide attempts or self-iniurious behavior in the past.

## Substance Abuse History

Inmate Epstein denied any alcohol or substance abuse. He said it is well-known that he does not even drink alcohol.

## Medical Concerns

Inmate Epstein denied any significant medical problems, other than a history of high triglycerides. He reported feeling constipated at this time.

## Current Problem

Inmate Epstein is currently on psychological observation due to his having multiple risk factors associated with suicidality. He denies any suicidality at this time and has no mental health or suicide history. He is being seen for a suicide risk assessment in an abundance of caution.

## Current Mental Status

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| Inmate Name: EPSTEIN, JEFFREY EDWARD | Reg #: 76318-054 |
| :--- | :--- |
| Date of Birth: 01/20/1953 | Sex: M Facility: NYM Unit Team: A&O |
| Date: 07/09/2019 08:41 Provider: PhD/Chief Psychologist |

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

Inmate Epstein did not exhibit any acute psychopathology and exhibited a clear mental status.

Current Mental Status: Mr. EPSTEIN was alert and oriented. He was polite, calm, and cooperative in demeanor. He exhibited a neutral affect with appropriate range. Eye contact and hygiene were appropriate. The inmate spoke with normal rate, tone, and volume. His thoughts were organized and coherent, with no loosening of associations or tangential, circumstantial, or irrelevant content. There was no evidence of perceptual disturbance, delusional ideation, or a formal thought disorder. He did not engage in any bizarre or inappropriate behavior. He noted having normal sleeping and eating habits. Mr. EPSTEIN explicitly denied recent and current suicidal ideation, planning, and intent. He was future-oriented and expressed a commitment to life and safety, agreeing to contact staff immediately should he experience suicidal ideation.

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: Sex offender status, Lack of family connections, High Profile Crime

Of the DYNAMIC risk factors assessed, none were found to be present.

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

As noted above, Inmate Epstein is a 66-year-old Caucasian male. He has various risk factors for suicidality at this time including a high profile case with extensive media attention, sex offense/trafficking charges, pre-trial status, and he had a court proceeding yesterday which may have given him bad news regarding his legal situation. Inmate Epstein also informed this writer that his only family at this time is his brother, with whom he does not have a close relationship with.

Despite these risk factors, inmate Epstein possesses a number of protective factors at this time. Inmate Epstein adamantly denied any suicidal ideation, intention or plan. He was very future oriented and requested a phone call, to meet with his attorney, to take a shower, and to brush his teeth. He was eating his cereal when this writer arrived and said "I have my paper spoon here." He reported he is going to have a bail hearing on Monday and believes he is going to be released from jail. Inmate Epstein reported he is a Banker and has a "big business" in the community and that "being alive is fun." He also revealed he enjoys learning and teaching. He has confidence in his attorney and described him as "competent." Inmate Epstein denied any mental health history or history of suicidality. He also reported none of his family members have mental health histories. Inmate Epstein stated he is a mathematician and took post graduate classes in this area of study. Inmate Epstein stated he has a support system in the community, including friends and other associates. Finally, inmate Epstein demonstrated a good sense of humor and did not appear dysphoric, agitated or anxious. No acute psychopathology was noted.

Overall, inmate Epstein has numerous protective factors at this time that outweigh his risk factors for suicidality. He has a positive outlook regarding his legal case, demonstrates no psychiatric symptoms, has no psychiatric or suicide history, and verbalized a desire to be alive at this time and future orientation.

## DIAGNOSIS:

No Diagnosis, No Dx - Current

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| PhD/Chief | Bureau of Prisons - NYM |
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EFTA00134910

<table><tr><td>Inmate Name:</td><td colspan="4">EPSTEIN, JEFFREY EDWARD</td><td>Reg #: 76318-054</td></tr><tr><td>Date of Birth:</td><td>01/20/1953</td><td>Sex: M</td><td>Facility:</td><td>NYM</td><td>Unit Team: A&amp;O</td></tr><tr><td>Date:</td><td>07/09/2019</td><td>08:41</td><td>Provider:</td><td>PhD/Chief Psychologist</td><td></td></tr><tr><td colspan="6">CONCLUSIONS</td></tr><tr><td colspan="3">The Overall Acute Suicide Risk for this Inmate is:</td><td>Low</td><td></td><td></td></tr><tr><td colspan="3">Overall Chronic Suicide Risk for this Inmate is:</td><td>Absent</td><td></td><td></td></tr></table>

## RECOMMENDATIONS

Inmate Epstein is currently on psychological observation pending suitable housing placement. In light of his current sex offense charges and extensive media coverage on the television, he will need to be confined in a suitable housing unit. Inmate Epstein will be seen daily while on psychological observation and will be seen for a psychological observation follow-up session once he is released from observation. Inmate Epstein denied the need for psychological intervention, self-help materials, or follow-up. He has been classified as a CC1-MH inmate at this time. CARE1-MH is indicative of an inmate who shows no significant level of functional impairment associated with a mental illness and demonstrates no need for regular mental health intervention.

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

Completed by PhD/Chief Psychologist on 07/10/2019 09:20

Generated 07/10/2019 09:20 by

PhD/Chief

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