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With cutters and other self-mutilators assigned to wabash's secured housing unit. >> if i see my blood, in another world i'm somebody totally different from myself. that's the only time i can 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...

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 my blood, i'm in another world. i'm a different -- i'm someone totally different from myself. i mean, that's the only time i a...

>> that does not satisfy the ethical considerings. what we're talking about here is sending a message that, you know, your life's not worth living. that what they do is they see a problem of pain and they see a problem of disease and rather than trying to address the pain they rather just eliminate the problem and we need to get at the root cause of why people feel they need to choose suicide and that's what we need to be addressing. we need to deal with pain control, with illness symptoms and other sort of things. this is not going to be restricted to those that as they say are terminally ill...

The doctor then says -- finds out what that complaint is, all right? send me your clinical records. ask your doctor for a copy of the records and send them to me. so we get the clinical records, and we see what the patients had, what treatment, what pain control, what works, what doesn't, what the doctor thinks is the problem, and the patient knows the doctor's not going to help him. he knows that. and so it's ineffective. what we've got to -- >> larry: so what do you want done? how would you do it? >> okay. we have a consultation with the patient first especially, and with a spouse if possibl...

Hospitalizations as we're seeing fatalities and this is really a significantly increasing problem. a 65% increase over a seven-year period. >> in many cases, i mean, you can take a look at the retail sales of these drugs from 1999 to 2006 going up 1,000% and you can also see that when that started to happen there were more and more overdoses. why are doctors prescribing these drugs more than they were a decade ago? >> there's been a lot of emphasis on better pain control, and i think physicians are trying to respond to that. it is difficult for physicians. we want to provide adequate and appro...