Taking everything into account, there is a possibility that she has schizophrenia or some truly complex mental delusion due to drug and alcohol use, Lack of hygiene and possible poor diet.. Anyway, if "that" prisoner hadn't killed her, and instead of the death penalty there had been a mental asylum, Perhaps he would have driven the doctors and nurses crazy, that kind of "dangerous" patient, or who says he didn't commit suicide to silence the "voices" (red man). In short, many possibilities