the case, the reasons for resorting to the measure, the name of the doctor who ordered or approved it, and an account of any injuries sustained by patients or staf. Reducing recourse to the use of restraint to a viable minimum requires a change of culture in the unit. The role of management is crucial in this regard. Unless the management encourages staf and ofers them alternatives, an established practice of frequent recourse to means of restraint is likely to prevail. Psychiatric care after discharge For persons who had been undergoing psychiatric treatment, steps should be taken to assure their continued care. Although no longer requiring place‑ ment in a psychiatric unit, a patient may nevertheless still need treatment or may beneft from a protected environment.17 It is necessary to provide for continuity of treatment when prisoners are transferred back to their custodial setting. 2.5 Suicide prevention Given the high incidence of mental disorders in prisons, the prison medi‑ cal services should be concerned about mental hygiene issues, including prevention of the harmful psychological effects of certain aspects of detention. It is well known that effective prevention can reduce the risk of mental disorders.18 Organisational approach to suicide prevention Suicide prevention requires intervention also from outside the health sector.19 In its 3rd General Report20 the CPT made several recommendations in this respect. Prison management, including the head of the prison health service, should ensure that there is an adequate awareness of suicide prevention throughout the establishment and that appropriate procedures are in place. 17. CPT/Inf (98)12. 18. Prevention of mental disorders: efective interventions and policy options. A report of the World Health Organization. Department of Mental Health and Substance Abuse in collaboration with the Prevention Research Centre of the Universities of Nijmegen and Maastricht, WHO (2004). 19. Public health action for the prevention of suicide, WHO (2012). 20. CPT/Inf (93)12. Prison health care and medical ethics Page 38