Assessing and responding to suicidal risk among inmates is discussed based on a comprehensive literature review and personal experience. Sections detailing jail conditions, suicide risk factors, reasons for self-harm, and practical responses are included. Intoxication, isolation, and the initial 24 hours of incarceration stand out as significant risk factors within the jail. Determination of risk and considerations in decision-making are emphasized from a practical standpoint, while the inmate's safety and mental health, as well as accountability, are deemed priorities.