Secretary-General António Guterres says in a new report on North Korea’s grim human rights record that prisoners who tried to escape or steal have reportedly been publicly executed, and detainees have been subject to sexual violence and severely beaten with clubs and metal rods.

The report to the General Assembly, obtained Friday by The Associated Press, said guards make detainees undress and repeatedly subject them to body searches for money and concealed items. They are interrogated, sometimes for up to a month or longer, and their cells are so overcrowded they can’t lie down, it said.

The secretary-general said the U.N. human rights office received and analyzed accounts of North Koreans who had experienced detention, the vast majority of them women who escaped initially to China. Between September and May, he said, the office interviewed more than 330 individuals who left the country.

The former detainees alleged “gross violations of the rights to life, liberty and security of the person” perpetrated by security officers, Guterres said.

North Korea has repeatedly said it does not violate human rights. In May, the country’s ambassador in Geneva, Han Tae Song, said the government made a “devoted effort for the good of the people” and “human rights violations, in whatever form, is intolerable.” But North Korea has refused to give visas to U.N. human rights officials, except once in 2017 to an investigator who was looking into conditions for the disabled.

According to Guterres, “former detainees report extremely unsanitary conditions, and insufficient food causing malnourishment, illness, and occasionally also the death of other detainees.” Reports received by the human rights office “include cases of sexual violence by prison officials against female detainees, including during invasive body searches,” the UN chief said.

And some guards make detainees sit or kneel all day, “allowing them to stretch their limbs for two minutes every hour, or less.” Guterres said, “moving without permission can result in personal or collective physical punishment.” During pre-trial periods, detainees are provided with no access to lawyers, and “accounts reveal that detainees are simply informed of their prison sentences at the end of the investigation, particularly in cases where the accused is sentenced to up to six months in a short-term labour camp,” he said.

When trials do take place, Guterres said, detainees can’t choose their defense counsel, lawyers present no defense, and there are no acquittals.

“Malnourishment is widespread, with multiple reports of deaths as a result of starvation,” Guterres said. “Illnesses such as tuberculosis, hepatitis, typhoid, and pleurisy are reported rife in the prison, and little or no medical care is provided.”

The secretary-general said, “numerous interviewees reported severe beatings by prison guards, some resulting in the death of prisoners.” Prisoners are forced to work long hours, he added, accidents are frequent, “and there are multiple reports of prisoners dying as a result of work-related accidents.”

“There are reports of public executions of prisoners who tried to escape, steal, or committed other offences while detained,” Guterres said. “There are also reports of prisoners placed in solitary confinement ultimately resulting in death.” The secretary-general said arrests, beatings, forced labour, executions and other abuses perpetrated in detention centres and prisons by officers from the Ministry of State Security and Ministry of People’s Security “appear to be carried out in a widespread and systematic manner.”

He said people in political prisons, ordinary prisons, and detention facilities are all subject to forced labour “in dangerous conditions, without adequate food, access to medical care and living conditions that meet international standards.” Guterres said accounts documented by the U.N. human rights office also reveal “the prevalence of corruption” in North Korea’s penal system.

“Bribes can be paid to avoid arrest and detention, to mitigate or avoid prison sentences, to avoid beatings, to ameliorate the harshness of the forced labor required, and to secure family visits,” he said.