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A letter? was that meant for me? >> yeah. >> how are you doing? >> so i see people when they need to be seen, when they asked to be seen, when somebody else thinks they need to be seen. i will see what's wrong, see what can be done in the institution to help them cope. >> the only way i can get out of this mood, i mean, i don't care, you can give me drugs, alcohol. the only way i can get out of moods is through self-injury. >> okay. >> group therapy in the shu is conducted with each inmate locked in a separate holding cell. dr. sims moderates this small group of self-mutilators. >> once i see ...

Dr. mary ruth sims routinely checks on the shu inmates. >> i've been here for 7 1/2 years. what i do is different every single day. some days i do groups. some days i do individuals. some days it's crisis all day. hey, did you want me to pick up a letter? was that meant for me? >> yeah. >> how are you doing? >> so i see people when they need to be seen, when they asked to be seen, when somebody else thinks they need to be seen. i will see what's wrong, see what can be done in the institution to help them cope. >> the only way i can get out of this mood, i mean, i don't care, you can give me dr...

Many other self-mutilators. >> some people self-injure as a manipulation because they want to get move.d. some people self-injure as a cry of help. some people self-injure to get even. you know, i'm going to hurt myself and i'm going to show you kind of thing, so anger. >> our crew got a rare glimpse of how prevalent self-mutilation is at the wabash correctional facility in indiana. >> i need to go on 11. >> 11. >> 11 range, thank you. >> prison psychologist mary ruth simms conducts group therapy with cutters and other self-mutilators assigned to wabash's secured housing unit. >> if i see my b...

Hey, did you want me to pick up a letter? was that meant for me? >> yeah. >> how are you doing? >> so i see people when they need to be seen, when they asked to be seen, when somebody else thinks they need to be seen. i will see what's wrong, see what can be done in the institution to help them cope. >> the only way i can get out of this mood, i mean, i don't care, you can give me drugs, alcohol. the only way i can get out of moods is through self-injury. >> okay. >> group therapy in the shoe is conducted with each inmate locked in a separate holding cell. dr. sims moderates this small group o...

Reopened his scars where he perviously cut himself up. >> take his toothbrush, too. >> so now what? >> nothing. go back to my cell and wait another couple months. i guess. "lockup" crews have encountered many other self-mutilators. >> some people self-injure as a manipulation because they want to get move. some people self-injure as a cry of help. some people self-injure to get even. you know, i'm going to hurt myself and i'm going to show you kind of thing, so anger. >> our crew got a glimpse of how prevalent self-mutilation is at the wabash correctional facility in indiana. >> i need to go o...