"If it was a normal, quiet time he could cope. If it was like it was before he would grab every opportunity to get out. He would try and harm himself seriously. He closed his evidence-in-chief by saying he could serve his sentence if it was 'normal' in prison."
"In his opinion Mr Okruch is currently at low risk of significant self-harm or attempted suicide. If returned to a harsh prison regime there would be a moderate to high risk that he would engage in increasing self-harming behaviour and a moderate risk that this behaviour may escalate to an act of suicide. With appropriate support and consideration in a prison environment these risks would remain low."
"In my opinion Mr Okruch's risk of suicide and self-harm are not linked to extradition per se but to the type of prison setting he experiences on his return to Poland. Mr Okruch has a significant degree of vulnerability given his underlying personality difficulties and would be easily victimised in a harsh prison environment. However if it is recognised by the Polish prison authorities and if there are facilities to take his vulnerabilities into consideration by placing him in a more appropriate peer group, then Mr Okruch's risk of self-harm and suicide would be low and his mental state would be likely to remain stable."
"The judiciary and psychiatrists should also show more interest in people who are diagnosed as being mentally ill, based on forensic psychiatric observation, and freed of criminal responsibility because of their insanity. Such people often spend many months in inappropriate conditions, waiting for admittance to a psychiatric hospital. It seems that the rules of law need to be modified so that the mentally ill who commit an offence are not treated arbitrarily. And public psychiatric hospitals should not refuse to admit such patients, as they are people who deserve the same human treatment as other mentally ill people."
"The applicant has been suffering from epilepsy since his early childhood. More recently he has been diagnosed with schizophrenia and other serious mental disorders. Prior to his detention, he had attempted to commit suicide and had received in-patient treatment in a psychiatric hospital."
" ..... The court accepts that the very nature of the applicant's psychological condition made him more vulnerable than the average detainee and that his detention in the conditions described above, with the exception of the two short periods in 2005 and 2007 and the applicant was an in-patient in a prison hospital, may have exacerbated to a certain extent his feelings of distress, anguish and fear. In this connection, the Court considers that the failure of the authorities to hold the applicant during most of his detention in a psychiatric hospital or a detention facility with a specialised psychiatric ward has unnecessarily exposed him to a risk to his health and must have resulted in stress and anxiety ..... "
"Assessing the facts of the case as a whole, having regard in particular to the cumulative effects of the inadequate medical care and inappropriate conditions in which the applicant was held throughout his pre-trial detention, which clearly had a detrimental effect on his health and well being ..... the Court considers the nature, duration and severity of the ill treatment to which the applicant was subjected are sufficient to be qualified as inhuman and degrading ..... "
"29 Fourthly, an article 3 claim can in principle succeed in a suicide case ( ..... Bensaid). 30 Fifthly, in deciding whether there is a real risk of a breach of article 3 in a suicide case, a question of importance is whether the applicant's fear of ill-treatment in the receiving state upon which the risk of suicide is said to be based is objectively well-founded. If the fear is not well-founded, that will tend to weigh against there being a real risk that the removal will be in breach of article 3. 31 Sixthly, a further question of considerable relevance is whether the removing and/or the receiving state has effective mechanisms to reduce the risk of suicide. If there are effective mechanisms, that too will weigh heavily against an applicant's claim that removal will violate his or her article 3 rights."
"The defendant [now the appellant] was able to cope with a subsequent prison sentence in Poland and that coupled with the evidence as to the current prison conditions in Poland leads me to conclude both that the defendant has not established a genuine fear such as to create a risk of suicide and that any fear of relevant ill treatment would not be objectively well founded and that weighs against there being a real risk that extradition would breach Article 3. The sixth and final factor raised by Dyson LJ in J and considered by Sir Anthony May in Jansons is whether the receiving state has effective mechanisms to reduce the risk of suicide. I am satisfied on the evidence before me that the current prison arrangements in Poland are such that all proper steps will be taken to prevent this defendant's suicide and to treat him if he were to become physically or psychiatrically ill. I do not find that there are substantial grounds for believing that there is a real risk that the defendant will be subjected to inhuman or degrading treatment or punishment so as to engage Article 3."
"As for medical care, obviously it is stated that it is insufficient because it could always be better. But in situations of danger to the life or health, actions preventing such danger, including placing the inmate at a regular psychiatric hospital, are always taken. To sum up, the prison service in Poland provides inmates with medical treatment at a level adequate to their condition."
"(1) This section applies if at any time in the extradition hearing it appears to the judge that the condition in subsection (2) is satisfied. (2) The condition is that the physical or mental condition of the person in respect of whom the Part I warrant is issued is such that it would be unjust or oppressive to extradite him. (3) The judge must — (a) order the person’s discharge, or (b) adjourn the extradition hearing until it appears to him that the condition in subsection (2) is no longer satisfied."
" ..... the prison authorities in Poland provide appropriate arrangements to obviate risks of bullying and self-harm."