Presents data from the 2012 National Survey of Youth in Custody (NSYC), conducted in 326 juvenile confinement facilities between February and September 2012, with a sample of 8,707 adjudicated youth. The report ranks facilities according to the prevalence of sexual victimization, as required under the Prison Rape Elimination Act of 2003 (P.L. 108-79). The prevalence of victimization, as reported by youth during a personal interview, is based on sexual activity in the 12 months prior to the interview or since admission to the facility, if less than 12 months. This report provides state- and national-level estimates of juvenile sexual victimization by type of activity, including estimates of youth-on-youth nonconsensual sexual contact, staff sexual misconduct, and level of coercion. It also explores sexual victimization by the characteristics of both the perpetrator and youth at high risk of victimization, location and time of incidents, and nature of the relationship between youth and facility staff prior to sexual contact.