Describe the suicide prevention protocol you would follow when an inmate is identified as at risk.

• A. Isolate inmate in a isolated cell to prevent contact.
• B. Assess lethality; remove hazards; maintain constant observation; notify medical staff; document risk level and actions; and implement a safety/security plan.
• C. Do nothing until a medical professional arrives.
• D. Notify only the inmate's family.

Answer: (B)

When an inmate is identified as at risk, the goal is to prevent self-harm through a coordinated, safety-focused response that engages medical and security teams. Begin with assessing lethality and intent to determine how imminent the danger is and what level of supervision and intervention is needed. This helps tailor the immediate actions to the individual’s current risk.

Next, remove hazards from the inmate’s environment. Take away items that could be used for self-harm, such as belts, shoelaces, cords, sharp objects, and unsecured materials. Clearing the area reduces the chance of impulsive actions while a plan is set in motion.

Maintain constant observation to ensure continuous safety. Depending on risk level, this may involve one-to-one monitoring or other heightened supervision until a formal assessment and safety plan are in place.

Notify medical staff or mental health professionals right away. A timely clinical evaluation is essential to determine risk level, discuss mental health needs, and decide on any therapeutic interventions or treatment orders.

Document everything: the assessed risk level, the actions taken, observations, and the planned course of monitoring and care. Proper records support ongoing safety, legal compliance, and continuity of treatment.

Implement a safety and security plan within the facility. This often includes housing adjustments, restricted access to certain areas, and coordination among security, medical, and mental health staff to keep the inmate safe while evaluations and treatments are arranged.

The combination of assessment, hazard control, vigilant supervision, professional involvement, documentation, and a structured safety plan makes the response effective and comprehensive.