Police detention centres
If there is a death, the place where the body was found should be immediately
closed off and left unaltered. The police and the public prosecutors’ office
should be informed right away, and the police should secure the place where
the body was found until the coroner’s commission arrives.
On-site reflection
After a suicide attempt or suicide, an internal reflection with experts (from
outside the police station) must be quickly initiated. Police officers and medical
staff who were affected by the suicide should be invited to the reflection.
Case analys
In the future, the police department’s Office of Quality and Knowledge
Management must make a case analysis after every suicide or (thwarted)
suicide attempt. This analysis should examine the medical, psychological and
organisational aspects of the case in a standardised manner. The employees
of the affected police station should be involved as should outside experts,
if necessary. The goal of the analysis is to obtain a learning experience to
optimise future prevention work.
The final item in the standards for suicide prevention formulated by the
working group was a guideline for documenting indicators of suicide risk.
Accordingly, information that raises the suspicion that a person presents a
danger to himself/herself must be suitably documented. It is irrelevant whether
this information comes from internal or external sources.
In the future, every police officer should be required to document this
information and pass it on. The police officer will also be required to ensure
that the necessary (emergency) measures are initiated. This includes a
medical assessment of the suspected suicide risk, suitable surveillance and the
prevention of access to dangerous objects.
The working group agreed to attach a multi-page “list of indicators”, which was
prepared by an NPM psychiatric expert, to the text of the adopted standards as
an appendix. The list contains illness-related, personal and situational factors
for suicidal tendencies in detainees. The knowledge of these factors should aid
in identifying the danger of suicide.
The NPM will recommend that the Federal Ministry of the Interior implements
the suicide prevention standards it has developed as quickly as possible.
Flow of information
among Ministries
The working group also addressed possible measures to ensure the flow of
information between the Federal Ministry of Justice (now the Federal Ministry
of Constitutional Affairs, Reforms, Deregulation and Justice) and the Federal
Ministry of the Interior. The working group agreed that information should
be exchanged through a standardised, electronic process in the future. The
working group will formulate an appropriate recommendation to avoid gaps
in the information on suicide-prone detainees.
In addition, the working group will address the following matters: medical
evaluation of threatened suicides, NPM suggestions to change the form
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