[x] 2 2

[ ]

# 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
Unit Team: A&O

Date: 07/09/2019 08:41 
Provider: <empty>

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.

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

## 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

## 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 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

<table><tr><th>Inmate
Date of
Date:</th><th>Name: EPSTEIN, JEFFREY
Birth: 01/20/1953
07/09/2019 08:41</th><th>EDWARD
Sex: M
Provider:</th><th></th><th>Reg #: 76318-054
Facility: NYM Unit Team: A&amp;O</th><th></th><th></th></tr><tr><td colspan="7">Psychomotor Activity: Normal</td></tr><tr><td>General</td><td>Appearance: Normal</td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>Behavior:</td><td>Cooperative</td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>Mood:</td><td>Appropriate to Content</td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>Thought</td><td>Process: Goal Directed</td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>Thought</td><td>Content: Normal</td><td></td><td></td><td></td><td></td><td></td></tr><tr><td colspan="7">Inmate Epstein did not exhibit any acute psychopathology and exhibited a clear mental status.</td></tr><tr><td>Current
a neutral
and
irrelevant
not engage
explicitly
commitment</td><td>Mental Status: Mr. EPSTEIN
affect with appropriate range.
volume. His thoughts were organized
content. There was no evidence
in any bizarre or inappropriate
denied recent and current
to life and safety, agreeing</td><td>was alert
Eye contact
and
of
behavior.
suicidabideation,
to contact</td><td>and</td><td>oriented. He was polite, calm, and cooperative in demeanor.
and hygiene were appropriate. The inmate spoke with
coherent, with no loosening of associations or tangential,
perceptual disturbance, delusional ideation, or a formal thought
He noted having normal sleeping and eating habits. Mr.
planning, and intent. He was future-oriented and expressed
staff immediately should he experience suicidal ideation.</td><td></td><td>He exhibited
normal rate, tone,
circumstantial, or
disorder. He did
EPSTEIN
a</td></tr><tr><td>RISK AND</td><td>PROTECTIVE FACTORS</td><td>ASSESSED:</td><td></td><td></td><td></td><td></td></tr><tr><td>This writer
suicide.</td><td>screened the inmate for a</td><td>variety of</td><td></td><td>empirically validated factors commonly associated with risk for</td><td></td><td>self-harm and</td></tr><tr><td colspan="7">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</td></tr><tr><td>Of the</td><td>DYNAMIC risk factors assessed,</td><td>none were</td><td></td><td>found to be present.</td><td></td><td></td></tr><tr><td colspan="7">men
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</td></tr><tr><td colspan="7">As noted above, Inmate Epstein is a 66-year-old Caucasian male. He has various fisk 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.</td></tr><tr><td>Despite
denied any
attorney,
spoon here."
Inmate
revealed
Epstein
health
Epstein
demonstrated</td><td>these risk factors, inmate Epstein
suicidal ideation, intention or
to take a shower, and to brush
He reported he is going to
Epstein reported he is a Banker
he enjoys learning and teaching.
denied any mental health history
histories. Inmate Epstein stated
stated he has a support system
a good sense of humor and</td><td>possesses
plan. He
his teeth.
have a bail
and has a
He has
or history
he is a
in the
did not</td><td>was
He

"big

of</td><td>a number of protective factors at this time Inmate Epstein
very future oriented and requested a phone call, to meet
was eating his cereal when this writer arrived and said
hearing on Monday and believes he is going to be released
business" in the community and that "being alive is fun"
confidence in his attorney and described him as "competent."
suicidality. He also reported none of his family members
mathematician and took post graduate classes in this area of
community, including friends and other associates. Finally,
appear dysphoric, agitated or anxious. No acute psychopathology</td><td></td><td>adamantly
with his
"I have my paper
from jail.
He also
Inmate
have mental
study. Inmate
inmate Epstein
was noted.</td></tr><tr><td>Overall,
positive
verbalized
DIAGNOSIS:</td><td>inmate Epstein has numerous
outlook regarding his legal case,
a desire to be alive at this time</td><td>protective
demonstrates
and future</td><td>factors</td><td>at this time that outweigh his risk factors for suicidality.
no psychiatric symptoms, has no psychiatric or suicide
orientation.</td><td>t</td><td>He has a
history, and</td></tr><tr><td>No</td><td>Diagnosis, No Dx - Current</td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>CONCLUSIONS</td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>The Overall
Overall</td><td>Acute Suicide Risk for this
Chronic Suicide Risk for this Inmate</td><td>Inmate Is:
is:</td><td></td><td>Low
Absent</td><td></td><td></td></tr><tr><td>Generated</td><td>87/0912019 10:36 by</td><td></td><td>Bureau</td><td>ofPrisons - NYM</td><td></td><td>Page 2 of 3</td></tr></table>

EFTA00032175

[ ]

| inmate Name:   | EPSTEIN, JEFFREY EDWARD   | 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:                 |           |     |                   |

## 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

Key entities on the document include:
*   Completed by: [redacted] on 07/09/2019 10:36
*   Document contains "See Amendment" diagonally
*   Generated: 07/09/2019 10:36 by [redacted], Bureau of Prisons - NYM

Page 3 of 3

EFTA00032176

[ ]

[ ]

# Bureau of Prisons
Health Services
See Amendment

Inmate Name: EPSTEIN, JEFFREY EDWARD
Reg #: 76318-054
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: <empty>
last on 07/10/2019 09:20.

Bureau or Prisons - NYM

EFTA00032177

[ ]

# 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 
Unit Team: A&O

Date: 07/09/2019 08:41 
Provider: <empty>

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/ 119 for precautionary reasons. He is not on a suicide watch at this time. He was seen this morning for a psychol ical observation contact and suicide risk assessment this morning, 7/9/19, at 7:30 a.m. as it was determined he possessed spore at-risk factors for suicidality.

## Reason for Referral

Inmate Epstein is being seen for suicide risk assessment today for precautionary reasons. Inmate Epstei has various risk factors for suicidality at this time including a high profile case with media attention, sex offenseJtraffi ng charges, pre-trial status, and he had a court proceeding yesterday which could have given him bad news regardin his legal situation. As such, this writer instructed R&D staff, as well as the Lieutenant's Office, to immediately not the psychology department when he returned from court. Inmate Epstein returned from court after duty hour and denied suicidality. The aforementioned staff notified the on-call psychologist and Inmate Epstein was placed on precautionary psychological observation status until psychology could interview him this morning to conduct a suicide ri 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 rea 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 ostitution) 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. I mate Epstein denied any treatment in the past or present with psychotropic medication. He also denied any acute men al health symptoms at this time.

## Self-Harm History

Inmate Epstein denied any past or present suicidal ideation, intention or plan. He denied ever engaging 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 d nk 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 associates 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

Generated 07/10/2019 09:20 by Bureau of Prisons - NYM

Page 1 of 3

EFTA00032178

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: <empty> of <empty> st

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 dem or. He exhibited a neutral affect with appropriate range. Eye contact and hygiene were appropriate. The Inmate spoke with ormal rate, tone, and volume. His thoughts were organized and coherent, with no loosening of associations or tangential, dr mstantial, or irrelevant content. There was no evidence of perceptual disturbance, delusional ideation, or a formal though disorder. He did not engage in any bizarre or inappropriate behavior. He noted having normal sleeping and eating habits. M EPSTEIN explicitly denied recent and current suicidal ideation, planning, and intent. He was future-oriented and exp 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 elf-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 su e:Willingness to engage in treatment, View of death as negative, Future orientation, Denial of suicidal ideation/intention/plans, dequate 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 a this time including a high profile case with extensive media attention, sex offense/trafficking charges, pm-trial status, a d he hada court proceeding yesterday which may have given him bad news regarding his legal situation. Inmate Epstein also formed 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 Epstjuin adamantly denied any suicidal ideation, intention or plan. He was very future oriented and requested a phone call, to m t 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 ball hearing on Monday and believes he Is going to be releas from Jail. Inmate Epstein reported he Is a Banker and has a "big business" in the community and that "being alive is " He also revealed he enjoys learning and teaching. He has confidence in his attorney and described him as "compete t." Inmate Epstein denied any mental health history or history of suicidality. He also reported none of his family membe have mental health histories. Inmate Epstein stated he is a mathematician and took post graduate classes in this area of tudy. Inmate Epstein stated he has a support system in the community, including friends and other associates. Finally, In ate Epstein demonstrated a good sense of humor and did not appear dysphoric, agitated or anxious. No acute psychop hology 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

Generated 07/10/2019 09:20 by Bureau of Prisons - NYM Page 2 of 3

EFTA00032179

[ ]

(

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: <empty>

CONCLUSIONS
The Overall Acute Suicide Risk for this Inmate is: Low
Overall Chronic Suicide Risk for this Inmate is: Absent

## RECOMMENDATIONS

Inmate Epstein is currently on psychological observation pending suitable housing placement. In light of his rrent sex offense charges and extensive media coverage on the television, he will need to be confined in a suitable housing uni . Inmate Epstein will be seen daily while on psychological observation and will be seen for a psychological observation follow-u session once he is released from observation. Inmate Epstein denied the need for psychological intervention, self-help materi ls, 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 ntervention.

*   **Suicide Watch:** Not warranted
*   **Completed by:** [Blacked out] on 07/10/2019 09:20
*   **Generated:** 07/10/2019 09:20 by [Blacked out], Bureau of Prisons - NYM

Page 3 of 3

EFTA00032180

[ ]

# Bureau of Prisons

-SENSITIVE BUT UNCLASSIFIED"

# Psychology Services

# Diagnostic and Care Level Formulation

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 10:13
Provider: <empty>

## Relevant Historical Information

Inmate, Epstein is a 66-year-old Caucasian male, currently incarcerated on sex trafficking charges. He denied any history, of mental health treatment, either on an inpatient or outpatient basis. Inmate Epstein denied any trea men/ in the past or present with psychotropic medication. He also denied any acute mental health symptoms at this time. 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. Inmate Epstein denied any alcohol or substance abuse. He said it is well-known that he does not even drink ol.

## Presenting Problem/Symptom

Inmate Epstein was seen for suicide risk assessment today for precautionary reasons. He did not mark any mental health items or symptoms on his Psychology Questionnaire (PSIQ) when he entered the institution. Nonetheless, Inmate Epstein has various risk factors for suicidality 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. Inmate Epstein returned from court after duty hours yesterday evening and staff notified the on-call psychologist. Inmate Epstein was placed on a precautionary psychological observation status until psychology could interview him this morning to conduct a formal suicide risk assessment to determine whether he is currently at-risk for suicidality.

## Diagnostic Formulation

Amendment
on 07/09/2019 10:32

Inmate Epstein has no history of mental health problems and does not exhibit suicidality at this time. He has never received inpatient or outpatient mental health treatment and denied any history of suicidality. Currently, he does not exhibit any acute psychopathology, is currently psychologically stable and is in no psychological distress. As such, he is being classified as a CC1-MH inmate at this time. CARE1-MH is indicative of an inmate who either has no identifiable mental illness (Axis I "No Diagnosis") or is mildly ill and requires clinical intervention on an as-needed basis.

## Care Level Formulation

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.

## Diagnosis:

No Diagnosis, No Dx - Current

Completed by: <empty> on 07/09/2019 10:32

Generated 07/09/2019 10:32 by [REDACTED] Bureau of Prisons - NYM

Page 1 of 1

EFTA00032181

# Bureau of Prisons
Health Services
See Amendment

Inmate Name: EPSTEIN, JEFFREY EDWARD
Reg #: 76318-054
Date of Birth: 01/20/1953
Sex: M
Race: WHITE
Encounter Date: 07/09/2019 10:13
Facility: NYM

Amendment made to this note by <empty> st on 07/09/2019 10:40.

Bureau of Prisons - NYM

EFTA00032182

[ ]

**SENSITIVE BUT UNCLASSIFIED**

# Bureau of Prisons
Psychology Services

# Diagnostic and Care Level Formulation

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 10:13
Provider: <empty>

## Relevant Historical Information

Inmate Epstein is a 66-year-old Caucasian male, currently incarcerated on sex trafficking charges. He 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. Inmate Epstein denied any past or present suicidal ideation, intention or plan. He denied ever engaging in any sui e attempts or self-injurious behavior in the past. Inmate Epstein denied any alcohol or substance abuse. He said it is i-known that he does not even drink alcohol.

## Presenting Problem/Symptom

Inmate Epstein was seen by this writer for suicidelisk assessment today, 7/9/19 at 7:30 a.m. for precautlona reasons. He returned from court yesterday evening. He did not mark any mental health items or symptoms on his Ps chology Questionnaire (PSIO) when he entered the institution. Nonetheless, Inmate Epstein has various risk factors f f r suicidality including a high profile case with media attention, sex offense/trafficking charges, pre-trial status, nd he had a court proceeding yesterday which could have given him bad news regarding his legal situation. Inmate Ep tein returned from court after duty hours yesterday evening and staff notified the on-call psychologist Inmate Epstein was placed on a precautionary psychological observation status until psychology could interview him this momin to conduct a formal suicide risk assessment in order to determine whether he is currently at-risk for suicidality.

## Diagnostic Formulation

Inmate Epstein has no history of mental health problems and does not exhibit suicidality at this time. He has never received inpatient or outpatient mental health treatment and denied any history of suicidality. Currently, he d es not exhibit any acute psychopathology, is currently psychologically stable and Is in no psychological distress. A such. he is being classified as a CC1-MH inmate at this time. CARE1-MH is indicative of an inmate who either has no i entifiable mental illness (Axis I "No Diagnosis") or is mildly ill and requires clinical intervention on an as-needed basis.

## Care Level Formulation

CARE1-MH is indicative of an inmate who shows no significant level of functional impairment associated wi a mental illness and demonstrates no need for regular mental health intervention.

## Diagnosis:

No Diagnosis. No Dx - Current

Completed by: <empty> on 07/09/2019 10:40

Generated 07/09/2019 10:40 by [REDACTED] Bureau of Prisons - NYM

Page 1 of 1

EFTA00032183