[ ]

[ ]

**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: 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 sychological observation when he returned from court yesterday evening 7/8/19 for precautionary reasons. He is t 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 R&D staff, as well as the Lieutenant's Office, to immediately notify
psychology department when he returned from court. Inmate Epstein returned from court after duty hours and denied from court. Inmate Epstein returned from court after duty hours
suicidality. The aforementioned staff notified the on-call psychologist and inmate Epstein was placed on a precautionary the on-call psychologist and inmate Epstein was placed on a
psychological observation status until psychology could interview him this morning to conduct a suicide risk assessment. could interview him this morning to conduct a suicide

the victim and/or perpetrator of physical or sexual abuse.

Amendment

## 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 high school diploma and attended some graduate classes in the
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 in Palm Beach County jail on sex offense charges (soliciting
the past. He is now being charged with sex trafficking, on a federal level. 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 health treatment, either on an inpatient or outpatient basis.
denied any treatment in the past or present with psychotropic medication. He also denied any acute mental health with psychotropic medication. He also denied any acute
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 suicidal ideation, intention or plan. He denied ever engaging
attempts or self-injurious behavior in the past. 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 (or a suicide risk assessment in an abundance of caution.

Current Mental Status
Level of Consciousness: Alert and Oriented

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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: Chief Psychologist

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: 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 orsuicide 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

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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: [REDACTED]/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 isnot warrantedat thistime

| Field | Value |
|---|---|
| Completed by | [redacted] (name blacked out) |
| Role | Chief Psychologist |
| Date | 07/09/2019 |
| Time | 10:36 |
| Watermark | "See Amendment" (large diagonal)

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# 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 Chief Psychologist on 07/10/2019 09:20.

Bureau of Prisons - NYM

EFTA00024685

[ ]

**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: [REDACTED]/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-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.

## 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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EFTA00024686

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: 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 rormal rate, tone, and volume. His thoughts were organized and coherent, with no loosening of associations or tangential, cir 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. 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 staffimmediately 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 suici e:WIfingness 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 a this time including a high profile case with extensive media attention, sex offense/trafficking charges, pre-trial status, a d 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. I

Despite these risk factors, inmate Epstein possesses a number of protective factors at this time. Inmate Epst (i!,in adamantly denied any suicidal ideation, intention or plan. He was very future oriented and requested a phone call, to m et 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 fu " 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, initiate 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 suicidaliJy. He has a positive outlook regarding his legal case, demonstrates no psychiatric symptoms, has no psychiatric or suici e history, and verbalized a desire to be alive at this time and future orientation.

DIAGNOSIS:
No Diagnosis, No Dx - Current

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Inmate Name: EPSTEIN, JEFFREY EDWARD
Date of Birth: 01/20/1953 
Sex: M
Date: 07/09/2019 08:41 
Provider:<empty>

Reg #: 76318-054
Facility: NYM
Unit Team: A&O
Chief Psychologist

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 rent sex offense charges and extensive media coverage on the television, he will need to be confined in a suitable housing un 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 s, or follow-up. He has been classified as a CC1-IMI-I inmate at this time. CARE1-MH is indicative of an inmate who shows significant level of functional impairment associated with a mental illness and demonstrates no need for regular mental health teNention.

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

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

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Bureau of Prisons - NYM

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**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: N <empty> Chief

## 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 suicide attempts or self-injurious behavior in the ast. Inmate Epstein denied any alcohol or substance abuse. He said it is well-known that he does not even drink

## 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 court after duty hours yesterday evening and staff notified
psychologist. Inmate Epstein was placed on a precautionary psychological observation status until psychology could a precautionary psychological observation status until
interview him this morning to conduct a formal suicide risk assessment to determine whether he is currently at-risk for suicide risk assessment to determine whether he is currently
suicidality.

## Diagnostic Formulation

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

No Diagnosis, No Dx - Current

## Care Level Formulation

CARE 1-MH is indicative of an inmate who shows no significant level of functional impairment associated with a mental shows no significant level of functional impairment associated
illness and demonstrates no need for regular mental health intervention. mental health intervention.

## Diagnosis:

No Diagnosis, No Dx - Current
Completed by Chief Psychologist on 07/09/2019 10:32

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Bureau of Prisons NYM -

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EFTA00024689

# 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 Chief Psychologist on 07/09/2019 10:40.

Bureau of Prisons - NYM

EFTA00024690

# Bureau of Prisons
Psychology Services

**SENSITIVE BUT UNCLASSIFIED**

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> /Chief

## 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 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 alcohol.

## Presenting Problem/Symptom

Inmate Epstein was seen by this writer for suicide risk assessment today, 7/9/19 at 7:30 a.m. for precautions reasons. He returned from court yesterday evening. He did not mark any mental health items or symptoms on his Psychology Questionnaire (PSI0) 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 in order to determine whether he is curen0y 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 sulcidality. 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 ntifiable 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

Chief Psychologist on 07/09/2019 10:40

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