on 2 December 2014 the prisoner had the last consultation with the psychiatrist, was diagnosed with the organic delusional disorder and was recommended to undergone a psychiatric examination. It should be noted that despite a number of conclusions of the Psychiatric Commission, the convict D.Ph. could not be subjecte to the sufficient psychiatric treatment. The medical documentation of the prisoner reveal that despite a number of proposals throughout 2015, the prisoner refuses to receive medical assistance.182 The documentation also demonstrates that the convict refused the consultation with the multidisciplinary group. According to the letter received from the Ministry of Correction on 25 September 2015, on 11 August 2015 the convict was subjected to the forensic psychiatric examination in the penitentiary establishment N7. It is noted in the examination report that the results of the forensic examination should be assessed as a clinically complex forensic case. It is impossible to reach the solution or answer the questions set in the resolution, in the outpatient forensic psychiatric examination format. Therefore, it is necessary to subject D.Ph. to the in-patient forensic psychiatric examination in the LEPL Levan Samkharauli National Forensic Bureau. It is indicated in the letter that the penitentiary establishment N7 has to apply to the Tbilisi City Court regarding the involuntary psychiatric examination of the convict.   The Tbilisi City Court has refused to receive the petition of the penitentiary establishment N7 on D.Ph.’s involuntary psychiatric examination since found that there were no grounds for accepting the petition. 2.5.5.2. Cases of Death, Suicide In 2015, 12 prisoners died in the penitentiary system. Sharp decline of the death cases in the penitentiary system should be positively assessed.183 According to the information received from the medical department, the reason of death was multiple organ failure, suicide, heart failure, hepatic encephalopathy, cerebral blood circulation disorder (ischemic type), paralysis of the vital centres. As in the previous year, the majority of prisoners died of cardiovascular failure. It is necessary to draw special attention to the screening and early detection of the cardiovascular and respiratory system diseases in order to provide timely and adequate medical assistance. 182 Relevant protocols are drafted on this matter. The last time the convict was offered a medical assistance was on 19 August 2015. 183 In 2014, 27 prisoners died in the penitentiary system. NATIONAL PREVENTIVE MECHANISM (NPM), 2015 117