A/66/268 • Depersonalization/derealization • Hallucinations affecting all five senses (e.g., hallucinations of objects or people appearing in the cell, or hearing voices when no one is actually speaking) Paranoia and psychosis, ranging from obsessional thoughts to full-blown psychosis • Recurrent and persistent thoughts (ruminations), often of a violent and vengeful character (e.g., directed against prison staff) • Paranoid ideas — often persecutory • Psychotic episodes or states: psychotic depression, schizophrenia Self-harm, self-directed aggression • Self-mutilation and cutting • Suicide attempts 11-44570 27