“…Incorrect and inappropriate placements can limit or prohibit transgender youth from accessing appropriate health care, including gender-affirming health care, and place them at an increased risk of harassment, violence, and sexual assault by other incarcerated youth and correctional staff (Movement Advancement Project et al, 2017;Scarpaci, 2019). Systems that house transgender youth according to sex assumed at birth and genitalia may over-rely on the use of solitary isolation and segregation as an ineffective method to protect the young person, increasing risk of mental health issues, suicide, and self-harm (Gelin, 2014;Markshamer and Tobin, 2014), also evident in studies exploring adult incarcerated transgender persons (Brömdal et al, 2023;du Plessis et al, 2023;Halliwell et al, 2022;Hughto et al, 2022;Phillips et al, 2020;Sanders et al, 2022). As found by several authors exploring this space, but in relation to incarcerated transgender adults (Brömdal et al, 2019a(Brömdal et al, , 2019bClark et al, 2017Clark et al, , 2023Hughto et al, 2022;Phillips et al, 2020;Sanders et al, 2022;Van Hout et al, 2020;White Hughto et al, 2018), the review of policies should also ensure access to gender-affirming health and medical services, including mental health services.…”