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Actually, you know, feel real, feel alive, feel like everything's going to be okay. >> simms says this particular group does not injure themselves for the typical reasons. >> they self-injured as a way to control their level of pain. that when they're in so much pain they don't know what to do, they are starting to feel like suicide, self-injury cuts their pain down. so it is pain control. >> you give the baby a bottle because he is crying, change his diaper. me you give me something sharp to hurt myself with and i'm fine. >> you're communicating things are not okay for yourself. >> if i don't...

>> in another world i'm a different person. i'm somebody totally different from myself. that's the only time i feel real or alive. feel like everybody is going to be okay. >> for me, it's being in control. my whole life i felt like i was in control. but then when i just had time when i do cut myself i'm in control of the situation. >> there are groups of people that self da-ininjure when they have so much pain and they don't know what to do and they feel like suicide or self-injury cuts their level of pain down so it's pain control. >> self-injury is it making yourself better? is it -- >> it's...

Control their level of pain. that when they're in so much pain they don't know what to do, they are starting to feel like suicide, self-injury cuts their pain down. so it is pain control. >> you give the baby a bottle because he is crying, change his diaper. me you give me something sharp to hurt myself with and i'm fine. >> you're communicating things are not okay for yourself. >> if i don't cut myself at least once a week i'm not right. >> some people here think there's nothing good in them at all, that they've messed up totally and they're totally worthless. >> i know the problems i have ne...

Okay. >> for me, it's being in control. my whole life, i felt like i wasn't in control. but then when i had times when i do cut myself, i'm in control of the situation. >> there are a group of people that self-injure when they come to prison as a way to control their level of pain, that when they're in so much pain that they don't know what to do, that they are starting to feel like suicide, that self-injury cuts their level of pain down, so it's pain control. >> self-injury really isn't bettering yourself. and sometimes people die. but i mean, it's just -- >> it's the survival tool that you d...

Suicide, self-injury cuts their level of pain down. so it is pain control. >> you give the baby a bottle because he is crying, change his diaper. me you give me something sharp to hurt myself with and i'm fine. >> you're communicating things are not okay for yourself. >> if i don't cut myself at least once a week i'm not right. >> some people here think there's nothing good in them at all, that they've messed up totally and they're totally worthless. >> i know the problems i have need to be fixed. i've got a 6-year-old daughter now. how am i going to explain to her when daddy gets upset, he cu...