Using Trained Inmate Observers for Suicide Watch in a Federal Correctional Setting: A Win-Win Solution

This study examined the impact of using inmate observers for suicide watch within a federal correctional-mental health setting. Results indicate a significant decrease in the mean number of hours inmates remained on suicide watch ( p =.036) following the implementation of the Inmate Observer Program (IOP). Overall, suicidal inmates with a diagnosis of psychotic disorder remained on suicide watch significantly longer ( p =.004) than did inmates in other diagnostic groups. The psychotic group, however, had a significant decrease in mean hours on suicide watch ( p =.001) following the implementation of the IOP. Also, individuals with personality disorders had significantly fewer watches ( p =.033) when inmate observers were used. Initial findings suggest that the use of inmate observers reduces the length of time that suicidal peers remain on watch without compromising standard of care.