Using Trained Inmate Observers for Suicide Watch in a Federal Correctional Setting: A Win-Win Solution.

Abstract

This study examined the impact of using inmate observers for suicide watch within a federal correctional–mental health setting. Results indicate a significant decrease in the mean number of hours inmates remained on suicide watch ( p .036) following the implementation of the Inmate Observer Program (IOP). Overall, suicidal inmates with a diagnosis of psychotic disorder remained on suicide watch significantly longer ( p .004) than did inmates in other diagnostic groups. The psychotic group, however, had a significant decrease in mean hours on suicide watch ( p .001) following the implementation of the IOP. Also, individuals with personality disorders had signifi-cantly fewer watches ( p .033) when inmate observers were used. Initial findings suggest that the use of inmate observers reduces the length of time that suicidal peers remain on watch without compromising standard of care.