Active suicide‑prevention eforts are needed through the provision of sup‑ portive monitoring and the development of a relationship of trust between inmates and staf. Measures should be taken to ensure that prevention eforts are adequately co‑ordinated, in particular by regular and frequent meetings of the multidisciplinary team and by adequate input from specialist staf such as psychiatrists and educators. In the case of high suicide rates, alternative suicide‑prevention measures should be introduced, such as increased and varied activities, opportunities for association, contacts with the outside world and efective, multidisciplinary addiction treatment. Identifying suicide risk In addition to medical screening on admission, the reception and frst‑night procedures as a whole have an important role to play. Performed properly, they can identify at least certain of those at risk of self‑harm and relieve some of the anxiety experienced by all newly‑arrived prisoners. The periods immediately before and after trial and, in some cases, the pre‑release period are associated with an increased risk of suicide.21 Training staf to recognise suicide risk The prevention of suicide, including the identifcation of those at risk, should not rest with the health‑care service alone. All prison staf in contact with inmates – and, as a priority, staf who work in the reception and admission units – should be trained in recognising indications of suicidal risk.22 Assessing the risk of suicide A standard screening algorithm should be introduced to assess the risk of suicide (and self‑harm) in prison. Such a tool should, in particular, ensure that drug and/or alcohol dependency are adequately taken into account in the screening process as factors potentially heightening the risk of suicide. Steps should be taken to ensure that information on an inmate at risk of suicide or self‑harm is transmitted in full and promptly to all those who 21. CPT/Inf (2012)1. 22. The CPT Standards 2002 (rev. 2011). Psychiatric care and treatment plans Page 39