EFTA00032174.pdf

OS, Bureau of Prisons Psychology Services Suicide Risk Assessment "SENSITIVE BUT UNCLASSIFIED" Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Facility. NYM I 'nit Team: A&O Date: 07/09/2019 08:41 Provider: 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 sychological observation when he returned from court yesterday evening 7/8/19 for precautionary reasons. He is1 a suicide watch at this time. Reason for Referral Inmate Epstein is being seen de risk assessment today for precautionary reasons. Inmate Epstein has various risk factors for suicidality at this ing a high profile case with media attention, sex offense/trafficking charges, pre-trial status, and he had a court ing yesterday which could have given him bad news regarding his legal situation. As such, this writer instruc &D staff s well as the Lieutenant's Office, to immediately notify the psychology department when he returned f . Inmate Epstein returned from court after duty hours and denied suicidality. The aforementioned staff notifi -call psychologist and inmate Epstein was placed on a precautionary psychological observation status until psycho • terview him this moming to conduct a suicide risk assessment. Develintmental History Inmate Epstein denied any history of being the victim etrator of physical or sexual abuse. PraucatIonal HIstnry/CrignItIve Impairment Inmate Epstein reported he obtained his high school diploma ed 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 nse charges (soliciting prostitution) in the past. He is now being charged with sex trafficking, on a federal level. Mental Health History 4) Inmate Epstein denied any history of mental health treatment, either on an inpab tient basis. Inmate Epstein denied any treatment in the past or present with psychotropic medication. He also d ' cute mental health symptoms at this time. Self-Harm History Inmate Epstein denied any past or present suicidal ideation, intention or plan. He denied ever e ging 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 Covens Inmate Epstein denied any significant medical problems, other than a history of high triglycerides. He reported feeling constipated at this lime. 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 Level of Consciousness: Alert and Oriented Generated 07109/2019 10:36 by Bureau of Prisons - NYM Page 1 of 3 EFTA00032174 - Inmate Name: Date of Birth: Date: EPSTEIN, JEFFREY EDWARD 01/20/1953 Sex: M 07/09/2019 08:41 Provider: Reg #: 76318-054 Fm ‘IYM Unit Team: A&O at 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. EP a neutral affect with approp 'a and volume. His thoughts irrelevant content. There not engage in any bizarre or Map explicitly denied recent and curre commitment to life and safety, agree N was alert and oriented. He was polite, calm, and cooperative in demeanor. He exhibited e. Eye contact and hygiene were appropriate. The inmate spoke with normal rate, tone, anized and coherent, with no loosening of associations or tangential, circumstantial, or ce of perceptual disturbance, delusional ideation, or a formal thought disorder. He did to behavior. He noted having normal sleeping and eating habits. M EPSTEIN eation, planning, and intent. He was future-oriented and expre ed a tact staff immediately should he experience suicidal ideation. RISK AND PROTECTIVE FACTO SSED* This writer screened the inmate for a variety o suicide. The following STATIC risk factors were assessed t behaviors: High Profile Crime, Lack of family connecti Of the DYNAMIC risk factors assessed, none were foun y validated factors commonly associated with risk for self-harm and The following PROTECTIVE factors were assessed to be pres reasons to live, Adequate problem solving skills, Denial of suici negative, Willingness to engage in treatment As noted above, Inmate Epstein is a 66-year-old Caucasian male. He including a high profile case with extensive media attention, sex offensenr proceeding yesterday which may have given him bad news regarding his leg writer that his only family at this time is his brother, with whom he does not hav and increase the inmate's risk for engaging in ender status nt. suicide related may decrease the inmate's risk of suicide:Able to identify tention/plans, Future orientation, View of death as k factors for suicidality a this time arges, pre-trial status, and he had a court Inmate Epstein also informed this atlonship with. Despite These risk factors, inmate Epstein possesses a number of protective factors a Inmate Epstein adamantly denied any suicidal ideation, intention or plan, He was very future oriented and requeste n call, to meet with his attorney, to take a shower, and to brush his teeth. He was eating his cereal when this writ d said ' I have my paper spoon here? He reported he is going to have a bail hearing on Monday and believes he is go sed from jail. Inmate Epstein reported he is a Banker and has a "big business" in the community and that "bei un " He also revealed he enjoys learning and teaching. He has confidence in his attorney and described him as mpete t." Inmate Epstein denied any mental health history or history of suicidality. He also reported none of his family member have mental health histories. Inmate Epstein stated he is a mathematician and took post graduate classes In this area of s udy. Inmate Epstein stated he has a support system in the community, including friends and other associates. Finally, Inrrate 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 suicidalitty. 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 The Overall Acute Suicide Risk for this Inmate Is: Low Overall Chronic Suicide Risk for this Inmate is: Absent Generated 87/0912019 10:36 by Bureau of Prisons NYM Page 2 of 3 EFTA00032175 Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01120/1953 Sex: M Facili NYM Unit Team: A&O Date: 07/09/2019 08:41 Provider: RECOMMENDATIONS Inmate Epstein is currently on psychological observation pending suitable housing placement. In light of his c9rrent sex offense charges and extensive media coverage on the television, he will need to be confined in a suitable housing unitt Inmate Epstein will be seen daily while on psychological observation and will be seen f