(UNITED STATES) The growing use of solitary confinement and reports of medical neglect inside ICE detention centers are fueling an acute suicide risk, according to advocates, lawmakers, and recent data. As of September 16, 2025, the United States 🇺🇸 is holding far more people in immigration custody than a year ago, while pushing forward with a large expansion of detention capacity and enforcement funding.
Supporters of the expansion say it is meant to manage record caseloads. Critics warn it is deepening a mental health crisis among people who often have no criminal history and are already coping with trauma from their journeys.

Congressional action and the planned expansion
Congress set the stage for the surge this summer. In July 2025, the U.S. Senate passed a budget reconciliation bill that allocates $45 billion for new detention centers and increases the enforcement budget for U.S. Immigration and Customs Enforcement.
- Policy documents tied to the bill aim to double detention capacity from about 56,000 to more than 100,000 beds.
- That expansion would intensify the scale and speed of detention operations across the country, from border sectors to inland facilities.
Rising detention numbers and gaps in care
Detention numbers are already climbing. In June 2025, ICE facilities held 57,861 detainees, a 51% increase from June 2024.
Advocacy groups and lawyers say the rise has not been matched with stronger oversight, more mental health staff, or consistent medical care. They warn that people in custody are facing:
- Delays in access to doctors
- Thin mental health screening
- Longer periods cut off from family and legal help
According to analysis by VisaVerge.com, the rapid growth in capacity without parallel improvements in care often leads to higher distress—especially for people who have survived persecution or family separation.
Solitary confinement surge and mental health harm
The sharpest alarm is over solitary confinement, a practice widely regarded by medical professionals and human rights groups as dangerous for people with mental health needs.
Key figures:
– From December 2024 to August 2025, ICE placed people in solitary confinement 41% more often.
– There were over 1,100 placements in August alone.
Advocacy organizations say detainees with serious medical or mental health conditions are among those still being placed in isolation, even though federal guidance warns confinement can worsen symptoms.
Medical neglect and prolonged isolation often intersect. Lawyers describe clients who arrive with depression or anxiety and quickly deteriorate when locked alone for 22 to 24 hours a day.
- People in solitary can lose track of time, struggle to sleep, and experience panic attacks.
- For individuals who fled violence or arrived after long, dangerous journeys, isolation can trigger past trauma.
- Several groups say hopelessness builds fast inside small cells where the lights stay on and human contact is limited.
That is the environment where suicide risk grows most quickly, they argue.
The Department of Homeland Security and ICE have faced criticism for reducing oversight of detention conditions while the use of solitary confinement increases. ICE officials say confinement is used to manage safety and medical concerns and that facilities follow federal standards.
Lawmakers pressing for change say the practice should end in immigration custody, where most people are held on civil grounds while they pursue their cases—not serving criminal sentences.
Funding expansion collides with human cost
The politics are moving in the opposite direction of reform. The new funding package increases detention and enforcement money without adding firm limits on solitary confinement or stronger independent monitoring.
For many families, the result is a system that feels bigger and harsher but not safer. Community groups report detainees often fear reporting medical or mental health symptoms because they believe it will send them to isolation rather than to treatment.
That trade-off traps people between silence and punishment and pushes some toward despair. The human toll is most vivid in calls and letters advocates say they receive from inside facilities:
- Missing court updates
- Struggling to get needed medication
- Losing contact with family who cannot travel or afford long-distance calls
For parents, separation compounds the stress of detention itself. When someone with depression or PTSD enters solitary confinement, the strain can be overwhelming.
“People are losing hope,” one advocate said—a phrase repeated across community organizations that track wellness on the inside.
Family detention concerns
The Trump administration’s recent push to expand family detention—and to end the Flores Settlement agreement that limits how long children can be detained—has raised further alarms.
- Reopened facilities and larger family units would place more children and parents into custody for longer periods.
- This prospect triggers concerns about access to pediatric care, trauma screening for children, and the ripple effect of detention on school-age kids.
- The move has drawn legal challenges and sharp criticism from human rights groups, who argue that family detention carries long-term mental health risks even for short stays.
Likely effects if capacity grows without guardrails
Policy analysts identify three immediate effects likely to follow unless safeguards are added:
- More people will spend long periods in custody, increasing exposure to mental health crises and the risk of self-harm.
- The use of solitary confinement will remain high unless DHS imposes strict limits and transparent review.
- Family detention will return as a central tool, drawing children into environments not designed for their needs.
Oversight questions remain central to every proposal. Advocates call for:
- Independent inspections
- Public reporting of solitary confinement data
- Clear bans on putting people with known mental health conditions in isolation
Some lawmakers have called for an end to solitary confinement in federal facilities, including immigration detention, but the recent budget steps did not include those changes. Groups like the National Immigrant Justice Center and Freedom for Immigrants continue to press for alternatives to detention, pointing to community-based programs that can support court appearances and basic needs without the harms of confinement.
ICE’s public stance is that facilities follow standards and that oversight exists through federal inspections and contractor requirements. The agency’s website provides general detention guidance and standards for facilities. For official information about current detention operations and standards, readers can consult Immigration and Customs Enforcement.
Critics respond that standards lose meaning when staffing is short, medical visits are delayed, or people who report distress end up in solitary cells.
Local community impacts and early detention shock
As the numbers rise, local communities also feel the effects:
- Public defenders and nonprofit legal clinics describe fuller dockets and tougher conditions for meeting clients inside remote facilities.
- Families may travel hours for short visits or struggle with strict rules on phone contact.
- Pastors and visitation volunteers report more first-time detainees who are stunned by the shift from freedom to custody.
That shock often leads to acute anxiety in the first days and weeks—a period when suicide risk can be especially high.
The budget expansion tilts the system toward more detention, not less. Without stronger limits, independent oversight, and investment in mental health care, the mental health crisis inside custody may deepen.
Advocates argue a civil detention system should not rely on a tool that doctors link to depression, self-harm, and suicide. They note most people in immigration proceedings have families, jobs, and community ties and could attend hearings while living at home.
What happens next
For now, policy fights will continue in court and in Congress:
- Legal challenges to efforts to end the Flores Settlement will shape how long families and children can be detained.
- Debates on Capitol Hill will decide whether future spending bills include limits on solitary confinement and stronger oversight.
Community groups and lawyers will keep documenting conditions, pushing for medical accountability, and calling attention to the people behind the numbers. They say the stakes are life and death in facilities where despair spreads quickly and help can be slow to arrive.
Practical steps for people with loved ones in ICE detention centers
People with loved ones in ICE custody can take practical actions that may help reduce harm:
- Keep regular contact with the person in custody, and document any changes in mood, access to medication, or placement in solitary confinement.
- Encourage the person to request medical and mental health appointments in writing and to keep copies of all forms and responses.
- Work with a licensed attorney or accredited representative who can raise urgent care issues with facility staff.
- Connect with local visitation or support groups that track detention conditions and can escalate concerns to oversight bodies.
The debate now turns on whether the system will scale up humane care at the same speed as it is scaling up beds. The numbers—more beds, more people held, more placements in solitary—point to a detention model under growing strain. Without reforms, advocates warn, the rise in detention will continue to drive higher suicide risk and deeper trauma for the people inside.
This Article in a Nutshell
A July 2025 budget reconciliation bill allocated $45 billion for expanding ICE detention centers, aiming to double capacity from about 56,000 to over 100,000 beds. Detention populations climbed—ICE reported 57,861 detainees in June 2025, a 51% increase from June 2024—while solitary confinement placements rose 41% from December 2024 to August 2025, with more than 1,100 solitary placements in August. Advocates and legal groups say oversight, medical staffing, and mental health services have not kept pace with rapid expansion, increasing suicide risk and trauma, especially for people with prior persecution, depression, or PTSD. Critics call for independent inspections, public reporting on solitary use, bans on isolating people with known mental health conditions, and investment in community-based alternatives. Lawmakers and courts will determine whether future funding includes guardrails; community organizations continue to document conditions and press for reforms to protect detainees’ health and rights.