Joran van der Sloot: I Feel 'Guilty for Everything'

09/07/2010 AT 08:55 AM EDT

Joran van der Sloot admits to feeling guilty about everything that's happened in his life over the past five years. What he won't do is be more specific when it comes to the Natalee Holloway and Stephany Flores Ramirez cases.

"For everything that happened since 2005, all the things said in the media, everything, I feel guilty for it, yeah," the 23-year-old Dutchman, charged in Ramirez's death in May and suspected in Holloway's 2005 disappearance, said from prison in a video interview broadcast Tuesday on NBC's Today show.

"It's a whole web of problems, but I created all of them myself," van der Sloot says. "So yeah, I have to deal with it now, deal with the consequences."

Among the things he feels sorry about is Ramirez's death in a Peruvian hotel room, a murder to which he initially confessed, though he later said the confession was coerced. "I feel really bad that her family had to lose a daughter," he says. "That really does hurt me, and I think about it all the time."

When it comes to the Holloway case, van der Sloot admits extorting money from Natalee's parents, but says it was in retaliation for five years of harassment. "I misused the situation for my own advantage, and I feel bad about that," he says. "And if I could change that, I would take it back, for sure."

Cryptically, van der Sloot also describes his personality as generally reckless. "I've always been very – how you call it? – impulsive, always take action right away, make a decision immediately, and not think about what the consequences are," he says.

One other big regret? Not getting psychiatric help, as his mother suggested. Asked about that, he repeats: "I really felt guilty for everything."

Van der Sloot is currently awaiting trial in Peru, and also faces charges of wire fraud and extortion in the U.S. Reacting to the new interview on Today, a Holloway lawyer characterized van der Sloot as an attention seeker who's incapable of telling the truth.

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