On 31 May 2015, at 7:10, the doctor on duty was summoned in the cell. The accused was lying on back in the corridor, in front of the cell. Constriction foramen was on the front and side surfaces of the neck. Pulse could not be found on the spoke and carotid arteries, eye pupils were areactive. Suicide by hanging was reported. The doctor on duty did not consider it necessary to take reanimation measures. According to the report N N003157915 received from the forensic examination bureau, the reason of death of the accused I.S. is the mechanical asphyxia developed as a result of loop pressure on the neck organs. The body of the accused had injuries received during life: multiple incisions on the middle third of the shin’s front surface and around the outer spans of the left ankle that were developed as a consequence of pressure with a dense-blunt object in the nearest past before the death. In case of examination of a living person, the above injuries are light and have no causal link with death. It is important to conduct an effective investigation on each fact of suicide and to find out whethere the prisoners were incited to suicide. RECOMMENDATIONS TO THE MINISTER OF CORRECTIONS: • To ensure screening of health conditions of the inmates and provide those with mental health problems with the adequate and timely psychiatric support • To ensure the treatment of the inmates diagnosed with severe psychosis in a mental health facility and develop adequate out-patient services • To take all necessary measures in order to prevent isolation of inmates with mental health problems in a solitary confinement cells; • To implement opioid replacement therapy • To implement suicide prevention programme in all penitentiary facilities • To develop normative framework for the involvement in the suicide prevention programme and set rules of working of the multidisciplinary team involved in the programme PROPOSAL TO THE CHIEF PROSECUTOR OF GEORGIA • To ensure independent and impartial investigation of all cases of suicide. NATIONAL PREVENTIVE MECHANISM (NPM), 2015 121