Source: The Observer (UK) Contact: Sun, 19 Jul 1998 Author: Dean Nelson, Scotland Editor SCOTLAND. HEROIN. JAIL. SUICIDE. WHY? Gavin Hester banged on his cell door and screamed for help the night before he hanged himself. According to fellow inmates, Hester, a car thief and heroin addict, was suffering unnecessary withdrawal symptoms because prison authorities refused to prescribe the heroin substitute methadone. The guard told him to get back to bed, they said. At 4.40 the following afternoon he was found dead. Bert Keaney, a former addict and one of Hester's closest friends among the inmates at Greenock Prison near Glasgow, said he believed Hester could not face the prospect of another night. His death started a tragic chain reaction which caused serious embarrassment for Scottish Office Ministers challenged to explain why the country has double the number of prison suicides of England and Wales, where the prison population is far higher. Hester's old friend, Mary Cowan, a young mother held for shoplifting in the notorious Cornton Vale prison near Stirling, asked for permission to attend his funeral. According to friends, she was refused. Her mother and sister, who did attend the funeral, travelled to Cornton Vale soon after to let her know how it had passed off. They were too late. She, too, had hanged herself. Another member of Hester and Cowan's crowd, David Thomson, a fellow Greenock inmate and also a heroin addict, had, according to friends, seen Hester's body hanging in his cell. He was so distressed that he also created a noose and tried to take his life. Thomson was found in time, taken to hospital where he recovered, and is now back at Greenock. According to prison officers, Thomson was told by prosecutors that he would not be allowed to speak to The Observer because he was on remand awaiting trial. Had he been allowed to speak, he might have provided a unique insight into why the prison has had 12 suicides in the past three years, why Barlinnie, also in Glasgow, has had 38 in the past 12 years, and why Scotland as a whole has had 80 suicides since 1992. Prison medical officers who criticise the anti-methadone policies at Greenock and Barlinnie point to Saughton prison, Edinburgh, where methadone is available on prescription and only two inmates have killed themselves in the past four years. There is no official Scottish Prison Service policy on methadone. Decisions are left in the hands of the prison medical officers. Hester's mother, Margaret, and sister, Susan, believe it is this system which failed him. "Gavin did not get the help he needed. He was on methadone, prescribed by his GP, but he did not get it in prison," said his mother. "God forgive me, I used to say 'At least I know where he is when he's inside'. But I never thought I'd get him back in a coffin." She said her son was sent to a children's home at nine for skipping school and had spent more of his adult life in prisons than out. He had no enemies and was known affectionately as 'The Big Chap' by all who knew him, a gentle giant described as "a good laugh". She produced a letter from one of his English tutors in Barlinnie who said he was the brightest in his class. "He was full of life. He loved his daughter and saw her regularly. I just can't believe he hanged himself, and I want answers," she said. Hester's friends and family are angry that it could be nine months before a Fatal Accident Inquiry is held, and that no information can be released until then. Keaney said he was allowed to visit Hester's cell with his two sisters to collect his belongings, and that while there they were allowed to talk to his fellow inmates. It was not clear whether Hester was given Lofexidine, the drug prescribed at Greenock for those suffering from withdrawal symptons, said Keaney. But if he was, he said, it would not have helped him. "I've been through it and it does nothing for you. The Lofexidine programme runs for 12 days, but I lasted only three. I could not cope with it because the pain was unbearable. It was agony, aches, pains, sweating, sickness, diarrhoea, physical and mental torture." Prison Service sources said methadone caused as many problems as it solved, and that a survey in Glasgow found it had caused more deaths than heroin itself. Scottish Prisons Minister Henry McLeish said the debate over the use of methadone in prisons mirrored the debate outside, but he added: "Every prisoner should be given the best possible care, especially in relation to drugs. The prison service will be looking at ways of improving treatment, and there will be extra cash to make sure that happens. I will be making an announcement on Monday on law and order, and that will include drug-related social work." - --- Checked-by: (Joel W. Johnson)