Every day in the United States, some 54,000 young people are incarcerated in the juvenile justice system. Many experience the harsh realities of solitary confinement during their imprisonment, often for minor rule violations. Research and experience reveal the impact of solitary on young people to be devastating, including trauma, psychological damage, depression, anxiety, and increased risk of suicide. Often, youth in solitary do not receive appropriate education, mental health services, or drug treatment. Because adolescents are still developing, solitary confinement can cause permanent harm to their physical, psychological, and social well-being. More than half of all suicides in juvenile facilities occur while young people are held in solitary. Many youth literally go mad in such conditions.