Suicide Watch

Suicide Watch Chronological Log Inmate Companions Log Name of inmate on watch: Register #: GSLI Institution: Date Watch Began / Ended ONLY ITEMS ALLOWED: 2 U co b.O co cci tw C a C) C) tn To be completed by Chief Psychologist at conclusion of watch: Booklet of Suicide Mattress L b it C er• O. E ▪ E rc mons c c ▪ sn SWCL - INMATE EFTA00106353 STAPLE LOCAL PROCEDURES HERE Check one of the following: K This is the initial log book for this suicide watch. Enter date and time watch began: K This is a continuation log book for this watch. Enter date and time this watch book was initiated: Instructions to Observer: Document your observations every minutes. Legibly print and sign your name at the beginning of your shift. EFTA00106354 Suicide Watch Observation Log Name of Inmate - on watch: ‘ eff5Ae'n Reg*: 1,p5i ta (64 Date: 1 23I e Time Observations: Briefly note your observations. Initial all entries. Initials : LICA' 1M & -"A 5