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.