Internal Bureau of Prisons email documenting the July 23, 2019 incident where Jeffrey Epstein was found with marks on his neck in his cell at Metropolitan Correctional Center, leading to his placement on suicide watch.
This is a confidential internal BOP email chain from July 23, 2019, containing a real-time synopsis of the incident that occurred at 1:27 a.m. when staff found Jeffrey Epstein lying on the floor of his Special Housing Unit cell with red marks on his neck. The document includes the detailed medical assessment findings: a circular line of erythema at the base of his neck reaching 2/3 of neck circumference, friction marks on the front of his neck, and a small erythema on his left knee. Notably, Epstein initially claimed his cellmate had attempted to kill him and had been harassing him, but during medical examination he was described as 'smiling' and said he 'does not know what happened.' This incident occurred 18 days before Epstein's death on August 10, 2019.

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To: From: Sent: Tue 7/23/2019 6:10:41 PM Subject: Re: Fwd: Epstein TEXT htm Did SiS do their interviews. What was the outcome of Attorney visits Sent from my verizon, Samswig Galaxy smartphone Original message From: " Date: 7/23/19 1:30 PM GMT-05:00 To: Subject: Re: Fwd: Epstein ' 07/23/2019 13:44 >>> Synopsis: On July 23, 2019, at 1:27 a.m., staff responded to a call for assistance in the Special Housing Unit (SHU). Upon arrival, the Operations Lieutenant found inmate Epstein, Jeffrey, Register No. 76318-054, lying on the floor in a fetal position. The Lieutenant called out to the inmate; however, he did not respond and she noticed red marks on his neck. The inmate was placed in hand restraints and escorted to the Suicide Cell and placed on Suicide Watch. While on watch, the inmate indicated that his cell mate had attempted to kill him and had been harassing him and he had informed his Attorney of this matter. Medical Assessment: The inmate was medically assessed at 6:30 a.m., by the Physician Assistant and his findings were as follows: He is ambulatory, oriented x 3. In no apparent distress, smiling during this clinical encounter. Alleges, that he does not know what happened. Cannot explain the marks on his neck. Responded: "I don't know". He does not want to talk of the events leading to the marks on his neck. He does not look in any distress or pain. Has a circular line of erythema at the base of the neck. Reaching 2/3 of the neck circumference, 2 inches wide, sparing the back of the neck. Has one section of this erythema in the front with marks of friction. No inflammation, no deformities, no hematomas, no lacerations, no tenderness. Patient moving his neck without any restriction. Denies having any pain or discomfort. Denies any respiratory problem. CONFIDENTIAL SDNY_00011071 EFTA00034488
Has another small erythema on left knee about 2cm in diameter (mild). Psychologist Assessment: He was evaluated on today at 9:10 a.m., and it has been determined he will remain on Suicide Watch for further observation. Current Status: At this time, we are reviewing his case for placement in the general population in Unit 7 South. We are currently looking for the appropriate cell mate. Associate Warden MCC New York 150 Park Row New York New York 10007 >>> Can you get this for me. 7/23/2019 12:30 PM >>> Sent from my Verizon. Samsung Galaxy smartphone Original message From: Date: 7/23/19 11:46 AM (GMT-05:00) To: Subject: Re: Epstein >>> " 07/23/2019 11:46 >>> The memo is very confusing. Please draft an email of his actions and current status. Also incl udc what plans were in motion to move him to a GP unit. It will need to be something I can fo rward to 1PPA and the Director. Sent from my Verizon, Samsung Galaxy sinartphonc<div> </div><div> </div><!-- originalMessage --><div> Original message </div><div>From: > </div><div>Date: 7/23/19 I I:12 AM (GMT- CONFIDENTIAL SDNY_00011072 EFTA00034489
05:00) </div><div>To: eldiv><div>Subject: Fwd: Epstein </div>41w> </div> >» 07/23/2019 11:12 >» ' Sent from my Verizon, Samsung Galaxy smartphone<div> </div><div> </div><!-- originalMessa e --><div> Original message </div><div>From: ' 05:00) </div><div>To: n </div><-div> </div> div>Date: 7/23/19 10:55 AM (GMT- </div><div>Subject: Fwd: Epstei CONFIDENTIAL SDNY_00011073 EFTA00034490