Psychiatric consultants to city and county jails are confronted with t
he challenge of preventing jailhouse suicides, a problem of national s
cope. Suicide prevention programs in jails must emphasize screening an
d identification, psychological support, observation, disarmament, cla
rity and consistency, and diagnosis, treatment, and/or hospitalization
. Exactly how these principles are formulated and implemented will dep
end on the unique circumstances of each jail. Finally information is p
resented as evidence that a program that embodies these principles can
effectively reduce the number of suicides in a jail where the average
daily census has increased from fewer than 400 to greater than 900 in
the past six years.