Trans inmates need access to gender-affirming care. Often they have to sue to get it

Transgender inmates who don't get proper gender-affirming care in prison can experience serious anxiety, depression and suicidal ideation. One individual said the experience was "catastrophic." (Jasjyot Singh Hans for NPR)

This story is part of a series looking at transgender inmates in the U.S. and the challenges they face in confinement and upon release. The series focuses on topics such as being incarcerated in prisons that do not reflect the inmate's gender identity, the medical hurdles faced behind bars, and rehousing after being released. The series includes dozens of interviews with inmates, experts and public officials.

Note: This story contains graphic details of incidents of self-harm.