The woman sitting in a Chino prison cell had screaming fits every 15 minutes for four hours before she finally lay on the floor and ripped out her own eye.

Guards rushed in amid blaring alarms, but they were too late. She had swallowed it.

The woman, identified only as Inmate Patient X in federal court documents, had not been given medication despite being listed as “psychotic” while at the California Institution for Women in Chino in 2017.

A report written by Dr. Michael Golding, the chief psychiatrist for the prison system, detailed the gruesome incident in a report made public last week to highlight how the state allegedly has failed to care for some of its most vulnerable inmates. Golding alleges in the 161-page document that the California Department of Corrections and Rehabilitation has concealed issues surrounding the adequacy of mental healthcare and staffing in prisons from officials who could mandate changes.

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