What is life really like for LGBTQIA+ people behind bars? This book offers the most up-to-date global research on the experiences of LGBTQIA+ individuals in prison, cutting through layers of secrecy and stigma to reveal the harsh realities of incarceration. Drawing on evidence from the UK, US, Brazil and beyond, it highlights how protective segregation, institutionalized homophobia and identity-based violence compound trauma and social harm. Through a compelling conversational narrative, the authors explore institutionalized homophobia and offer evidence-based recommendations for policy makers. This essential resource challenges punitive prison norms and advocates for trauma-informed, inclusive approaches to justice and rehabilitation worldwide.