I propose to take Questions Nos. 15, 37, 43, 50 and 126 together. I am informed by the Central Statistics Office that the total number of suicides in the State for the period from the beginning of 1987 to the end of second quarter of the year is provisionally estimated to have been 1,253. There have been 22 deaths in custody in prisons from the beginning of 1987 to date, of which five were due to natural causes.
Out of concern to ensure that everything possible is done to prevent further suicides in prisons, and recognising that the causes of suicide are varied and complex, I established in November 1989 an expert group to advise me on deaths in prison. The group comprised a wide range of disciplines, including medical, psychological, psychiatric and welfare, together with people who are involved in day-to-day management of prisons. As the Deputies will be aware, the group recently made their final report and it has been published. I have accepted the main thrust of the group's findings and future suicide prevention policy will be based on their recommendations.
The group made 57 recommendations in all. Four of the main recommendations which were contained in the group's interim report have either already been implemented or are in the course of implementation. These relate to the extension of medical orderly cover in the closed institutions on a round-the-clock basis, the setting up of a suicide review group in each prison, the review of special observation lists and the examination of the time taken to gain access to cells.
Twenty-six of the recommendations relate to practice and procedures in the prison system and they are accepted in principle. A programme for implementation of these recommendations as far as possible is being put in place. Three recommendations relating to training for staff in suicide prevention measures will be implemented on a phased basis.
The remaining recommendations, which relate to improvements in general facilities, to the provision of additional institutions, to changes in design and so on will be taken fully into account in the context of the overall development of the prison system and as resources allow.
While any suicide in our prisons is a matter for regret, we must be very careful to keep numbers in perspective. When the base number is very low in the first place an increase of even one from one year to the next can represent a large percentage increase. Comparisons with other administrations with a quite different size and composition of prisoner population are also hazardous. The important thing is to recognise that there is a problem as regards deaths in custody and to take measures to deal with it. That is what I am doing in accepting the main thrust of the group's report and I am satisfied that I am taking the correct course.
There have been eight deaths in Garda custody since the beginning of 1987. The Criminal Justice Act, 1984 (Treatment of Persons in Custody in Garda Síochána Stations) Regulations, 1987 contain detailed instructions in relation to the supervision of persons in Garda custody and the provision of medical assistance to prisoners who are intoxicated, or fail to respond normally to questions or conversation, or appear to be mentally ill. The Garda authorities are carrying out a review of all cell accommodation in Garda stations with a view to eliminating any features which prisoners could use to cause injury to themselves.