-56 should be a specific procedure to deal with detainees at risk of suicide or who commit acts of self-harm; also, more support should be given in such cases along with more opportunities of contacts with others instead of depriving the patient of other human contacts. One NPM pointed out the difficulty of monitoring the way visits of health personnel are carried out because there are no specific guidelines to establish what form the visit should adopt, how much time they should take or what questions they should ask. The doctor’s visit should surely be a meaningful social contact because it is the only way to assess the health of another person. Doctors also need to take time to speak properly with isolated detainees and should not only open the door, ask how they are doing and leave. Since interaction with some prisoners may take longer than the norm, it is not possible to give a minimum time for a visit. Monitoring medical visits of isolated detainees: • Did a visit take place before the application of the solitary confinement measure? • Do doctors conduct daily visits? • Do visits take place in the cell? • Do smooth cells exist? • Do doctors prescribe confinement in smooth cell as a way to prevent self-harm or suicide? • Were the visits long enough? 4.3.8. Meaningful social contacts and contact with the outside world A further aspect to be monitored concerns the possibility for isolated people to have meaningful social contacts. Meaningful social contact is a real conversation that takes place between two people and the two people remember what they told each other. The two people are on the same eye-level and the conversation is a real interaction. The records of the isolation section usually show who enters and for how long. Cross-interviews with detainees and staff allow further verification. The problem has emerged of foreign prisoners who do not speak a common language with staff members, and who therefore hardly can have meaningful social contacts. It is necessary for the administration to find appropriate solutions, for example through translators or video or phone