Federal authorities have placed the serial child sex abuser Jeffrey Epstein on a suicide watch, after he was reportedly found unconscious in his Manhattan jail cell with marks on his neck. It’s not clear whether the injuries Epstein received Tuesday were self-inflicted. Epstein has pleaded not guilty to federal charges of sex trafficking minors, after his arrest earlier this month. In 2008, Epstein was charged with molesting and trafficking dozens—and potentially hundreds—of underage girls in Florida. But he ended up serving just 13 months in county jail after Alex Acosta, the U.S. prosecutor in Florida—who later became Trump’s labor secretary before resigning this month—cut what’s been described as “one of the most lenient deals for a serial child sex offender in history.”