Inquest recommendations focus on tensions between guards, medical staff at Saskatoon prison hospital

Recommendations by the jurors at a coroner's inquest in Saskatoon highlight tensions between guards and medical staff at the Regional Psychiatric Centre.

The three men and three women on the jury examined the suicide of double murderer Traigo Andretti two years ago at the prison hospital.

They suggested that medical staff need to communicate better with guards so they can better understand inmates and that guards needs mandatory mental health training.

• 'What a fine day to die': Suicide notes offer glimpse into troubled mind of double murderer Traigo Andretti

They also recommended that guards not be rotated out of units so quickly and that the length of time inmates spend in mental health stability cells be increased.

Jurors heard how Andretti was known by medical staff to be suicidal, but guards working the floor the night he bled to death in his cell had done only cursory checks on his well being.