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to cultivate a large social and professional network, he was estranged from his only brother.
Indeed, his identity appeared to be based on his wealth, power, and association with other high-
profile individuals. (b)(7)(A)
(b)(7)(A)
In the weeks
before his death, he made statements that he was “a coward” and was having difficulty adapting
to his diminished circumstances. He also frequently referenced poor sleep and an inability to
tolerate the noise of prison. On the day before his death, a number of documents in his case were
unsealed, further eroding his previously-enjoyed elevated status and potentially implicating some
of his associates. The lack of significant interpersonal connections, a complete loss of his status
in both the community and among associates, and the idea of potentially spending his life in
prison were likely factors contributing to Mr. Epstein’s suicide.

The following recommendations concern institution operations:

1. Single Celling: (b)(5)
(b)(5)

2. Rounds: 30-minute rounds are required by P5500.14, Correctional Services Procedures
Manual.

3. Cellmate Assignments: When Mr. Epstein was placed in SHU on July 7, 2019.
(b)(7)(A)

(b)(6); (b)(7)(C)

(b)(7)(A) In an effort to treat Mr. Epstein the same as other inmates, a statement repeated
by multiple staff, Executive Staff may have inadvertently overlooked the need to consider
unique risk factors associated with individuals who have been charged with and
convicted of a sex offense. On July 25, 2019, (b)(6); (b)(7)(C) sent an e-mail to
Shirley Skipper-Scott, Associate Warden explaining a consultation between (b)(6); (b)(7)(C)
and (b)(6); (b)(7)(C) National Suicide Prevention Coordinator. In the e-mail, (b)(6); (b)(7)(C)

7

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