- Associated Press - Tuesday, February 3, 2015

YORK, Pa. (AP) - Federal investigators in a new report outlined a series of lapses in care for a schizophrenic immigrant before she killed herself in a south-central Pennsylvania prison in 2013.

The U.S. Immigration and Customs Enforcement’s report focused on Tiombe Kimana Carlos, a citizen of Antigua and Barbuda who killed herself in a York County Prison cell. The report, first obtained by The Philadelphia Inquirer, points to several deficiencies including the lack of a long-term treatment plan for Carlos, other than regular injections of antipsychotics.

Carlos, 34, described in the report as a “convicted aggravated felon” who was known in the prison for her “assaultive nature,” had been placed on suicide watch five times. She was found hanging from her bed sheet in a cell on Oct. 23, 2013.

According to the report, in the days before she committed suicide, a prison official requested that Carlos be placed in a long-term care facility. The request was denied because an “appropriate alternative facility” was not available. The report also indicated that a guard shocked Carlos with a stun gun in June 2011, even though use of the devices on ICE detainees was prohibited.

Although the report outlined a number of deficiencies, it said their “inclusion in the report should not be construed in any way as meaning the deficiency contributed to the death of the detainee.”

A York County spokesman declined to comment on Carlos’ case, but said internal reviews are conducted after suicides. Carlos’ attorney didn’t immediately return a message seeking comment.

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