Long-term deprivation of liberty 7 years. Castellón de la Plana is one of nine prisons in Spain to have recorded no cases of suicide since 2004. In keeping with the usual strategies for detecting cases, the staff from the health services who interview new inmates assess the risk profiles to identify those that should be included in the suicide watch programme. At the time of the inspection, 4 inmates had been included in this scheme and had been recommended to a psychiatrist for assessment. Table 35. Death of inmates at Fontcalent psychiatric prison hospital (Alicante) in 2009, 2010 and 2011 Cause of death Place of death 2011 Respiratory failure, asystole, ischaemic heart disease (1) Hanging (2) Overdose (1) Hospital (0) Cell (4) 2010 Respiratory failure, asystole, ischaemic heart disease (5) Hanging (1) Hospital (1) Cell (5) 2009 Respiratory failure, asystole, ischaemic heart disease (3) pulmonary embolism (2) Sepsis (1) Cancer of the larynx (1) Hanging (2) Hospital (3) Cell (4) Unspecified (2) Source: authors, based on data gathered during the visit. During the inspection visit to Fontcalent psychiatric prison hospital in Alicante we analysed the files on deaths in confinement for the last three years. As shown in the table above, the majority of deaths occurred in the facility itself and not in an external hospital. Particularly striking is the death in confinement of one inmate from cancer. The psychiatrists on the inspection team examined all the files on suicides for the last 4 years, including classified reports and post-mortems. They noted that the Suicide Prevention Programme had not managed to reduce the number of suicides; indeed, none of the patients who had committed suicide had been included in the scheme. The files show that all suicides were caused by hanging, with 80% using the power cord on the television in their room or a cable from their own stereo systems. This was tied to the horizontal bars on the windows, as shown in the photograph below. THE OMBUDSMAN OF SPAIN  None of the inmates who committed suicide at Fontcalent psychiatric prison hospital was on the Suicide Prevention Programme  153