Chapter 2, Part 2 of the OIG report into Jeffrey Epstein’s death examines the events following his alleged suicide attempt on July 23, 2019, and the failures in response and supervision at the Metropolitan Correctional Center (MCC). After being found semi-conscious with marks on his neck, Epstein was briefly placed on suicide watch, but within 24 hours, he was downgraded to psychological observation without a comprehensive mental health evaluation. The report highlights serious lapses in communication and documentation, with MCC staff failing to properly log observations, missing required mental health follow-ups, and ignoring warnings from other inmates that Epstein was distressed. Instead of being assigned a cellmate for added supervision, as per policy, Epstein was left alone in his cell on multiple occasions, further increasing his vulnerability. The chapter also outlines bureaucratic mismanagement, including delays in updating records, failure to relay crucial mental health concerns, and staffing shortages that contributed to the overall breakdown in Epstein’s supervision in the weeks leading up to his death.
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