Correctional institutions communication processes within the framework of the update of the suicide prevention concepts is considered expedient. XX  Suicide prevention concepts should be regularly evaluated. XX  It shall be ensured that the exchange of specialist information necessary for effective suicide prevention functions between the professional services and the prison. 2.5.3.2 Bottlenecks in acute psychiatric care Acute psychiatric care continues to pose an unsolved problem. On almost every visit, the prison wardens complain that there is no adequate acute psychiatric care for detainees awaiting trial and convicts. What is desirable is the establishment of a forensic therapeutic centre for eastern Austria, comparable to the former Asten Centre for Forensic Therapeutic Science that is now operated as a correctional institution (see Annual Report 2018, p. 159 et seq.). Structural deficit The NPM receives recurrent reports that there are problems and long delays in admitting psychotic patients, as the hospitals are often full and badly prepared for such patients. Not enough beds Clinics see themselves as being partially incapable of treating acute psychiatric detainees on an in-patient basis. They merely carry out an assessment and usually refer the patient to Mauer-Öhling Regional Clinic. There, patients are only admitted if there are sufficient grounds that the delinquent was unaccountable for their actions at the time of the deed and, due to their mental disorder, a precautionary measure that deprives liberty will be imposed (Section 429 of the Austrian Code of Criminal Procedure). In the remaining cases, patients are sent to the University Clinic in Linz or Pavilion 23/2 of Otto Wagner Hospital in Vienna. As the capacity of Pavilion 23/2 is usually fully utilised, the patients are often transported to Linz. The escorting prison officers report that there have been “challenging scenes” during the drive there. Dangerous transport Just how critical the impact of bottlenecks can be became evident at the beginning of 2020. An inmate attempted to hang himself in his cell at Wels correctional institution. The prisoner was due to be transferred to the Neuromed Campus in Linz. As there was no free bed there, he had to stay in Wels correctional institution. A fellow inmate saved his life by intervening in time. The injured man was taken to Wels hospital. Suicide prevention at the last minute 112

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