mirror-epstein-docs/results/IMAGES009/DOJ-OGR-00024978.json

{
  "document_metadata": {
    "page_number": "2 of 3",
    "document_number": "76318-054",
    "date": "08/01/2019",
    "document_type": "Psychological Evaluation",
    "has_handwriting": false,
    "has_stamps": false
  },
  "full_text": "Page 521\nInmate Name: EPSTEIN, JEFFREY EDWARD\nDate of Birth: 01/20/1953 Sex: M Facility: NYM\nDate: 08/01/2019 13:29 Provider: (b)(6); (b)(7)(C) Reg #: 76318-054\nUnit Team: 5\ncoherent, with no loosening of associations or tangential, circumstantial or irrelevant speech. Auditory and visual hallucinations were denied, and delusions were not elicited. He did not engage in any bizarre or inappropriate behavior. He denied current suicidal or self harm ideation and he agreed to immediately tell staff if he starts to have suicidal or self harm thoughts. He was future oriented. He did not appear to be an immediate danger to self. He denied thoughts of hurting others and he agreed to tell staff if he has these thoughts.\nRISK AND PROTECTIVE FACTORS ASSESSED:\nThis writer screened the inmate for a variety of empirically validated factors commonly associated with risk for self-harm and suicide.\nThe following STATIC risk factors were assessed to be present and increase the inmate's risk for engaging in suicide related behaviors: High Profile Crime, Lack of family connections, Sex offender status\nThe following DYNAMIC risk factors were assessed to be present and increase the inmate's risk for engaging in suicide related behaviors: Current physical pain, Sleep problems\nThe following PROTECTIVE factors were assessed to be present and may decrease the inmate's risk of suicide:Able to identify reasons to live, Denial of suicidal ideation/intention/plans, Future orientation, Religious beliefs against suicide, Supportive family relationships, View of death as negative, Willingness to engage in treatment\nRisk Factors (b)(7)(A)\n(b)(7)(A) He has a high profile sex offense case. He stated his lower back hurts and he stated Medical is aware of this. He stated he has difficulty sleeping even with his cpap machine because he stated his cellmate talks at night.\nProtective Factors: He denied current suicidal or self harm thoughts and agreed to tell staff if he starts to have these thoughts. He had denied a history of self harm and suicide attempts. He had denied a family history of suicidal and self harm attempts. He had denied having any chronic medical conditions. He denied feeling hopeless. He had denied a history of childhood abuse. He denied fearing for his safety at this time. He denied feeling like a burden to anyone. He stated he lives for and plans to finish this case and to go back to his normal life. He said his friends and Lawyers are emotionally supportive. He said he is Jewish and he said in his religion suicide is against the religion.\nOverall, his current protective factors override his risk factors for suicidality. He is currently psychologically stable. He denied feeling hopeless. He is reporting positive future plans and reasons to live for. He said he has social supports in the community and his Lawyers visit him often. He denied any current suicidal or self harm ideation, intention or plan. Suicide Watch is not indicated at this time.\nDIAGNOSIS:\nNo Diagnosis, No Dx - Current\nCONCLUSIONS\nThe Overall Acute Suicide Risk for this Inmate is: Low\nOverall Chronic Suicide Risk for this Inmate is: Absent\nRECOMMENDATIONS\n1. Suicide Watch is not indicated at this time.\n2. Supportive and educative interventions were provided.\n3. He was educated about both routine and emergency procedures for contacting Psychology staff.\n4. He will be seen in follow up by Psychology next week to monitor his mental status and to provide further intervention if needed.\n5. In the meantime, he was encouraged to self-refer to Psychology if needed to which he agreed and seems capable of doing.\n6. If he remains in SHU, he will be seen by Psychology in SHU Rounds and in SHU Reviews.\nSuicide Watch: A suicide watch is not warranted at this time\nGenerated 08/01/2019 16:21 by (b)(6); (b)(7)(C) PsyD Bureau of Prisons - NYM Page 2 of 3\nDOJ-OGR-00024978",
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      "type": "printed",
      "content": "Page 521\nInmate Name: EPSTEIN, JEFFREY EDWARD\nDate of Birth: 01/20/1953 Sex: M Facility: NYM\nDate: 08/01/2019 13:29 Provider: (b)(6); (b)(7)(C) Reg #: 76318-054\nUnit Team: 5",
      "position": "header"
    },
    {
      "type": "printed",
      "content": "coherent, with no loosening of associations or tangential, circumstantial or irrelevant speech. Auditory and visual hallucinations were denied, and delusions were not elicited. He did not engage in any bizarre or inappropriate behavior. He denied current suicidal or self harm ideation and he agreed to immediately tell staff if he starts to have suicidal or self harm thoughts. He was future oriented. He did not appear to be an immediate danger to self. He denied thoughts of hurting others and he agreed to tell staff if he has these thoughts.",
      "position": "top"
    },
    {
      "type": "printed",
      "content": "RISK AND PROTECTIVE FACTORS ASSESSED:\nThis writer screened the inmate for a variety of empirically validated factors commonly associated with risk for self-harm and suicide.",
      "position": "top"
    },
    {
      "type": "printed",
      "content": "The following STATIC risk factors were assessed to be present and increase the inmate's risk for engaging in suicide related behaviors: High Profile Crime, Lack of family connections, Sex offender status\nThe following DYNAMIC risk factors were assessed to be present and increase the inmate's risk for engaging in suicide related behaviors: Current physical pain, Sleep problems\nThe following PROTECTIVE factors were assessed to be present and may decrease the inmate's risk of suicide:Able to identify reasons to live, Denial of suicidal ideation/intention/plans, Future orientation, Religious beliefs against suicide, Supportive family relationships, View of death as negative, Willingness to engage in treatment",
      "position": "middle"
    },
    {
      "type": "handwritten",
      "content": "(b)(7)(A)",
      "position": "margin"
    },
    {
      "type": "printed",
      "content": "Risk Factors (b)(7)(A)\n(b)(7)(A) He has a high profile sex offense case. He stated his lower back hurts and he stated Medical is aware of this. He stated he has difficulty sleeping even with his cpap machine because he stated his cellmate talks at night.",
      "position": "middle"
    },
    {
      "type": "printed",
      "content": "Protective Factors: He denied current suicidal or self harm thoughts and agreed to tell staff if he starts to have these thoughts. He had denied a history of self harm and suicide attempts. He had denied a family history of suicidal and self harm attempts. He had denied having any chronic medical conditions. He denied feeling hopeless. He had denied a history of childhood abuse. He denied fearing for his safety at this time. He denied feeling like a burden to anyone. He stated he lives for and plans to finish this case and to go back to his normal life. He said his friends and Lawyers are emotionally supportive. He said he is Jewish and he said in his religion suicide is against the religion.",
      "position": "middle"
    },
    {
      "type": "printed",
      "content": "Overall, his current protective factors override his risk factors for suicidality. He is currently psychologically stable. He denied feeling hopeless. He is reporting positive future plans and reasons to live for. He said he has social supports in the community and his Lawyers visit him often. He denied any current suicidal or self harm ideation, intention or plan. Suicide Watch is not indicated at this time.",
      "position": "middle"
    },
    {
      "type": "printed",
      "content": "DIAGNOSIS:\nNo Diagnosis, No Dx - Current",
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    {
      "type": "printed",
      "content": "CONCLUSIONS\nThe Overall Acute Suicide Risk for this Inmate is: Low\nOverall Chronic Suicide Risk for this Inmate is: Absent",
      "position": "middle"
    },
    {
      "type": "printed",
      "content": "RECOMMENDATIONS\n1. Suicide Watch is not indicated at this time.\n2. Supportive and educative interventions were provided.\n3. He was educated about both routine and emergency procedures for contacting Psychology staff.\n4. He will be seen in follow up by Psychology next week to monitor his mental status and to provide further intervention if needed.\n5. In the meantime, he was encouraged to self-refer to Psychology if needed to which he agreed and seems capable of doing.\n6. If he remains in SHU, he will be seen by Psychology in SHU Rounds and in SHU Reviews.",
      "position": "bottom"
    },
    {
      "type": "printed",
      "content": "Suicide Watch: A suicide watch is not warranted at this time",
      "position": "bottom"
    },
    {
      "type": "printed",
      "content": "Generated 08/01/2019 16:21 by (b)(6); (b)(7)(C) PsyD Bureau of Prisons - NYM Page 2 of 3\nDOJ-OGR-00024978",
      "position": "footer"
    }
  ],
  "entities": {
    "people": [
      "JEFFREY EDWARD EPSTEIN"
    ],
    "organizations": [
      "Bureau of Prisons"
    ],
    "locations": [
      "NYM"
    ],
    "dates": [
      "01/20/1953",
      "08/01/2019"
    ],
    "reference_numbers": [
      "76318-054",
      "DOJ-OGR-00024978"
    ]
  },
  "additional_notes": "The document is a psychological evaluation of inmate Jeffrey Edward Epstein. It includes an assessment of his mental state, risk factors, and protective factors related to suicidality. The evaluation concludes that Epstein's overall acute suicide risk is low and his overall chronic suicide risk is absent. The document contains redactions, indicated by (b)(6) and (b)(7)(C), which suggest that some information has been withheld for privacy or security reasons."
}