in comparison to 0.7% of inmates with no serious mental illnesses. Similar statistics were reported for non-heterosexual inmates who reported higher rates of inmate-on-inmate sexual victimization; 21% of prison inmates and 14.7% of jail inmates with serious psychological distress reported being sexually assaulted. For each measured subgroups (sex, race or Hispanic origin, body mass index, sexual orientation, and offense), inmates with serious psychological distress reported higher rates of inmate-on-inmate sexual victimization than inmates without mental health problems. This statistical information is very important due to the very complex repercussions that sexual assault and rape can cause to an individual. According to the data provided by the Bureau of Justice and Statistics, 36.6% of prison inmates and 43.7% of jail inmates reported being told by a mental health professional that they had a mental disorder. Inmates identified with serious psychological distress reported high overall rates of sexual victimization. Serious psychological distress was identified on inmates through the use of the K6 screening test. The test consisted of six questions on how often had the inmates felt nervous, hopeless, restless, depressed, effortless, and worthless in the past 30 days. A summary score was added to three categories: 0–7 meaning no mental illness, 8–12 meaning anxiety-mood disorder, and 13 or higher meant serious psychological distress. State and federal inmates identified with serious psychological distress that were sexually victimized by another inmate were an estimated 6.3% and sexually victimized by a facility staff member were 5.6%. Likewise, 3.6% of jail inmates identified with serious psychological distress reported being sexually victimized by another inmate and 3.6% being sexually victimized by a staff member. The Human Rights Watch published a book titled "No Escape: Male Rape in the U.S" on April 17, 2007 where they conducted extensive research for three years to expose the problem of male rape in United States prisons. The information provided in the book was collected from over 200 prisoners among thirty-four states. The Human Rights Watch included a specific description of the psychological effects that rape has on victims of sexual victimization, stating "Victims of prison rape commonly report nightmares, deep depression, shame, loss of self-esteem, self-hatred, and considering or attempting suicide. Some of them also describe a marked increase in anger and a tendency towards violence." Consequently, due to the severity of the act one of the most important repercussion is the fear that is instigated far beyond the initial