Free MEMORANDUM in Support - District Court of Delaware - Delaware

rmraamr Case 1 $04*0*001 93·S1d%c 9él§IJ£P@Ei>Fi@e%¤nar1tILfiIiei1/23/2005 Page 1 Nate; 09I08I2004
1001392 Smyrna Landing Road
SMYRNA DE, 19977
Phone#: 302-653-9261
INCIDENT REPORT
Gro *I?ype=~ -. -- .- ’ ‘ .:.= .2; @eiifiuera’ria1e»·:ljtI‘;q
FBCIIIIYIDCC Delaware Correctionaigenter l n 1 l l xnll l l l FDIIDWUP RGRII-Iféd ¤@
Incident Location: Bldg.17 C Tier
Location Description: Cell CU11
iolated Conditions: Other
Description of Incident:
While conducting a tier check on C tier in Building 17, on the above date and approximate time. I observed S-1 standing on his
toilet with a sheet tied around his neck and attempting to tie the sheet to the vent above the toilet. At that time RP confronted S-
1 and S-1 stated that he wanted to kill himself. At that time back up was immediately called. Once back up responded the door
was opened and RP, W-1, W-2, and W—3 entered the cell. W-1 then talked to S-1 and talked him down off the toilet. S·1 stated
that he wanted to kill himself because he did not want to live anymore. S-1 was then instructed instructed to get dressed. Once
S-1 was dressed he was instructed to turn around. At that time handcuffs were applied and S-1 was escorted off the tier. S-1
then stood with RP and W-2, while W-1 notihed medical. Medical then arrived and examined S-1, at that time it was advised by
medical that S-1 be moved to the inlirmary to see psychological. S-1 was then placed in observation room while the shift
commander is notified.
Iiijured Persons 4 _ _ Ntttiife-Of Injuries `
IA NIA 1 IA
Evidence Type: NIA Date Collected: M5
Discovered By :% Secured By:N_IA
Type of Force Used: [] PHYSICAL [] CHEMICAL [] STUN [] OTHER [] CAPSTUN [X] NONE
Restraints Used : handcuffs
mmediate Action Taken:
nmate secured, medical notified, 404 completed
` .. I rt~· . te.e.. r.° . ~i» i..e. L . i i. ar...sr g ... e .. . ...t r .r.. ’ *
P_erson€Cbde , ` .`·1 Name ·-.‘‘- gg I ` _ I = P y _ . ‘ Title
taff ames_ Wood C l A NIA r i nal __ Hmm ____ _ wu---
ubject · nibal, Melendez G ; 00337929 _ _ _ _ ____ H pp p______
arold, Terhune W Iii NIA O CorporaIISgt. - Large Inst.
itness Russell, Martin S NIA orrectional Officer pp
ohn, Pancoast NIA orrectional Officer
‘ sporting Officer:Wood, James C (Correctional Officer] Entered By:Wood, James C (Correctional Officer)

· -- . _-..‘-‘ __.¤r-_ , -..· y . . . . ; ._-. ré ...:r . · _..‘ . .; ..·- — . y . .
EI Approved ljbisapproved pate; 1211412003 Approved by: Pierce, David E Jr. (Shift Commander- Large Inst.)
Comments: IIM moved to Infirmary by mental health for observation.
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Case 1:04-cv-00193-SLR

Document 66-2

Filed 11/23/2005

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