With guards watching and a video camera rolling, Ashley Smith slowly choked herself to death in a federal prison on October 19, 2007. How could this tragic turn of events have happened? And what does it tell us about the way mentally ill inmates are treated in a prison system that was once the envy of the world? This Fifth Estate documentary reveals critical videotape footage of Smith’s time in prison and brings unique insight into the full extent of this tragedy. Warning: This program contains disturbing images, language and subject matter. Viewer discretion is advised.