In our experience with the individuals we're working with, and the regional advocates who go on our behalf into the institutions, the more desperate people feel and the less hope they have, the more likely it is.... Usually they'll first act out against themselves. Then they may start acting out against others—staff, other prisoners—and ultimately may commit suicide.
That is something that's well documented. Dr. Jan Heney, who worked at the Prison for Women, did a research piece for Corrections on suicide. Dr. Kathleen Kendall did an evaluation of the therapeutic programs and the difficulty of providing therapeutic programs in prisons. She actually worked for the Correctional Service of Canada. Most of those reports won't be brought forth willingly by Corrections, I would suggest, because they're highly critical. The very people, though, who are encouraging us to use them, in court or wherever, recognize that in fact there is a very real need to change direction.