The article acknowledges that suicide is one of the leading causes of death in jail settings, and states that the role of the clinician is to assess the inmate’s risk for such behavior, as suicide rates could be the result of stressors unique to the jail environment. Increased training of staff is said to be a factor in reducing these high rates, as inmates at risk may be identified and managed. Case studies are discussed which highlight individuals with Borderline Personality Disorder, psychosis, and depression, with assessments provided for each. Also noted was the need to take precaution with those who feigned mental illness. The conclusions reached are that suicide assessments in jails are multifaceted, involving an analysis of the inmate’s intent to engage in such behavior as well as their access to lethal means. Factors to consider in clinical work are resources available in the jail, the purpose of the behavior as well as the acute stressors associated with the penal environment. A cooperative effort by all entities involved in the correctional facility in addition to the clinical staff is recommended. References