continue to have an in-depth discussion with the Federal Ministry of
the Interior on dealing with language barriers in the medical area.
In the course of commenting on the proposals of the NPM, the Federal
Ministry of the Interior proposed the use of an (additional) working
group with experts from the NPM and the Ministry to engage in a joint
dialogue on the topic of suicide prevention in police detention. The
NPM accepted the invitation and nominated its representatives, most
of which have medical or psychological expertise. Employees of the
Federal Ministry of the Interior, the police departments of Vienna and
Lower Austria, the medical head of the association Verein Dialog and
outside experts take part in the working group on behalf of the
Ministry. The composition of the group is interdisciplinary; the
members are psychiatrists, neurologists, police (department)
physicians, psychologists and attorneys.
Ministry proposes
working group
The primary aim of the working group established in June 2015 is to
jointly develop uniform guidelines for suicide prevention in police
detention, which the Federal Ministry of the Interior can issue in the
form of a decree. The topics are identification of suicidal tendencies at
the initial examination and assessment of fitness to undergo detention
as well as dealing with persons who are suicidal and caring for them
during continued detention. This has led to numerous additional
questions, e.g. relating to the design of the medical history sheet, the
use of interpreters at medical examinations and consultations,
medical documentation, structural preventive measures, the creation
of a suicide-preventive environment, the furnishings in the inmate
cells, the acceptance of dangerous items and detention in single cells.
Regular training sessions for medical staff and law enforcement
officers are of great importance to suicide prevention (e.g. recognition
of warning signals and signs of potential suicide risk, ability to lead
conversations).
Responsibilities of the
working group
As of the editorial deadline for this report, the working group has held
three meetings and the first results have already been achieved. The
working group examined the completeness, comprehensibility and
suitability of the medical history sheet and revised the questions
regarding the state of the detainee’s health. The participants agreed
that the medical history sheet can only be one instrument to assist in
assessing any risk for suicide. Direct communication with detainees –
through an interpreter, if necessary – is the best and most important
instrument for assessing the warning signals, apart from ongoing
surveillance of inmates.
The discussions also included the topic of establishing suitable
auxiliary structures. The members of the working group considered,
for example, whether clinical psychologists or even crisis intervention
teams can be systematically involved and, if so, how. This would have
an advantage where there is a lack of psychiatrists – i.e. mainly
outside of Vienna. Technically trained staff can jump in for necessary
crisis interventions and support police physicians in police detention
centres and police stations. As of the editorial deadline for this report,
the form in which psychologists or crisis intervention teams could be
used in a meaningful way for suicide prevention remained an open
Lack of psychiatrists
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