Controversies
Suicide watch regimes, particularly in prisons, have been criticized for being too restrictive and dismissive of privacy, socially functioning as a form of legal torture rather than being in the interest of the detainee.[citation needed] Inmates are often placed naked in suicide cells, which are usually bare concrete, often without bedding (to prevent hanging by using bed sheets), and under frequent or continuous observation by guards. Unsanitary conditions are also common since toilet paper, underwear, and tampons (all potential means of choking) are restricted. Being exposed without any way of covering oneself, coupled with being under constant observation can aggravate mental distress, particularly if the inmate has been a victim of sexual abuse in the past. These harsh conditions came to light in 1998 when Elizabeth B., an inmate of Framingham prison in Massachusetts, USA, called a radio talk show to describe how she had been treated while on suicide watch:
I was ... put on eyeball status, stripped of belongings, clothing, placed naked in a room with nothing but a plastic mattress on the floor. Watched 24 hours a day by a man or woman. I was on my period but because of my status not allowed to have tampons or underwear. I was very humiliated, degraded. Being on eyeball status with male officers, my depression intensified. I didn't want to be violated any more than I already was, so I put the mattress up against the window. When I did that I was in violation because they couldn't see me. The door was forced open, I was physically restrained in four point restraints - arms, legs spreadeagled, tied to the floor, naked, helmet on head, men and women in the room.[3]
Being on suicide watch does not guarantee an individual won't kill themselves. Ashley Smith, a female inmate at a facility in Canada, killed herself while under suicide watch in October of 2007. The circumstances surrounding her death were the subject of the Ashley Smith inquest.