Annual report 2011: Spain’s National Preventive Mechanism Horizontal bars on the window of one of the cells at Fontcalent psychiatric Photo 53 prison hospital, Alicante Following a suicide, the psychiatrist should use indirect methods of investigation to determine the circumstances, framed within a bereavement therapy programme Specific drug and addiction programmes are organised. However other programmes, such as those related to the treatment of prisoners sentenced for sexual assault, are not applied 154 The suicides match a pattern known as “opportunity suicide”, in which the most important factor is not the severity of the clinical condition but the easy availability of the means. In other words, people without a real death wish make suicide attempts that might otherwise not be fatal, but become so because of the availability of necessarily lethal means. We also found that after a suicide had been committed, an internal committee of enquiry was set up to question any possible witnesses, including cellmates and nearby inmates. This practise concerned the psychiatrists on the inspection team, who felt it might provoke serious feelings of guilt by leading the inmates in question to fantasise as to what they could or should have done to prevent the suicide. In many cases these sessions do not provide really substantial information. Therefore, apart from cases in which other patients are eye witnesses or have key information that helps shed light on the facts, investigations should be carried out using indirect methods that do not require direct interrogation of patients regarding matters related to the suicide or their role in the incident. In all cases, such enquiries should be made by the psychiatrist treating them, as part of a programme of bereavement therapy. 135. With regard to other specific programmes implemented by prison authorities, Alcala de Guadaíra prison (Seville) applies the Andalusian Drug and Addiction Plan, which involves creating a basic drug addiction treatment file and a programme for the prevention of infectious and contagious diseases. Seville Incarcerated Mothers’ Unit also promotes healthcare education and public children’s health programmes, specifically the Infant Nutrition Programme and the programme for vaccination and prevention of infectious diseases. Barcelona men’s prison has two detoxification programmes, the Intensive Detoxification Programme (PID) and the Intermediary Detoxification Programme (MID), depending on each inmate’s specific circumstances. Management at the prison report that there are also a number of programmes run by the Catalan prison authorities. These include SAC (dealing with crimes against sexual liberty), DEVI THE OMBUDSMAN OF SPAIN