It's never really addressed. Lore transcripts you find in Pandemonium show that Malthael felt and heard the voices of human souls, which summoned him from Pandemonium Fortress. Whether these were stray souls, or spirits trapped in the Soul Prison, is never stated.
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Be it through hallowed grounds or lands of sorrow
All in the Forger's wake is left bereft and fallow
Is the residuum worth the cost of destruction and maiming;
Or is the shaping a culling and exercise in taming?
The road's goal is the dark Origin of Being
But be wary through what thickets it winds.
-Excerpt from the Litany of Residuum;
As Translated by He Who Brings Order
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All in the Forger's wake is left bereft and fallow-Excerpt from the Litany of Residuum;
As Translated by He Who Brings Order