The report summarizes lessons learned since the start of the unit a decade ago. Bureau director, Jan Egil Presthus, told Dagsavisen that it often is talk of poisoning, various forms of substance abuse and suicide.
– We believe the content of inspections should be improved. In these cases have not ascertained the prisoner situation, says Presthus.
In several of the 14 events with a fatal outcome has neither police or arrestforvarerne clearly distinguish between symptoms of poisoning and disease – and the
effect of drug use . In other cases that ended in death, is not supervision of detainees carried out in accordance with the regulations. 
No individuals have been convicted in connection with deaths in custody.
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