By the U.S. Department of Justice, Office of the Inspector General

The Federal Bureau of Prisons (BOP) is responsible for developing sound correctional practices and adhering to its policies that ensure the safety and security of federal inmates in its care. High-profile inmate deaths at BOP institutions, such as the homicide of James “Whitey” Bulger in 2018 and the suicide of Jeffrey Epstein in 2019, brought national focus to the BOP’s operational and management challenges, and U.S. Department of Justice Office of the Inspector General (OIG) investigations of these deaths identified serious BOP job performance and management failures. Additionally, Congress and prisoner advocacy groups have expressed concerns about the BOP’s efforts to prevent inmate deaths, particularly following several inmate homicides at U.S. Penitentiary (USP) Hazelton and USP Thomson. The OIG initiated this evaluation to assess the circumstances surrounding deaths among inmates at BOP institutions that occurred from fiscal year (FY) 2014 through FY 2021 and to evaluate how the BOP seeks to prevent future deaths. We analyzed the frequency and pattern of deaths among BOP inmates in four categories: (1) suicide, (2) homicide, (3) accident, and (4) those resulting from unknown factors. We also identified potential management deficiencies and systemic issues related to those deaths, including the prevalence of long-standing operational challenges highlighted in prior OIG work. Recommendations We make 12 recommendations to assist the BOP in addressing risk factors that contribute to inmate deaths

Washington, DC: U.S. Department of Justice, Office of the Inspector General, 2024. 111p.