obvious and substantial risk, failure to communicate the action taken to other providers or to custody and jail staff, failure to adequately monitor an inmate on suicide watch and maintain an appropriate observation log, discontinuation of suicide watch despite prior knowledge of suicidal behavior of the inmate and potential continued risk, failure to follow policies and procedures related to suicide risk assessment, intervention, and prevention, failure to provide training to correctional staff, abrupt discontinuation of psychotropics in an inmate who is known to have made a serious suicide attempt in the recent past, and grossly inadequate treatment by professional standards or the lack of treatment plans, policies, procedures, or staff, creating a grossly inadequate mental health care system, and repeated examples of delayed or denied medical treatment. One criticism of the current case law is that prison officials are incentivized to avoid screening inmates for suicidal tendencies, because if the screening is ineffective, or the jail fails to deter the suicidal attempt of a prisoner it knows is suicidal, the governmental entity and the jailer may be at greater risk of being held liable than if they had conducted no screening. Nonetheless, some jails screen anyway, since jail suicides are difficult on staff and on the municipality and often lead to legal action, and because some states mandate screening procedures and impose tort liability for failure to follow them. Elected officials may face political ramifications if they become the scapegoat for a prisoner suicide. Another factor that has led to more screening of inmates for suicide is that research has shown that suicide tends to be the result of a plan rather than impulsive, which makes the suicide potentially more foreseeable if proper screening is done. See also Death in custody Death row phenomenon Estelle v. Gamble Guantanamo Bay detention camp suicide attempts List of prison deaths Philip Markoff Jeffrey Epstein References Suicide types Suicide Suicides