Editor’s note: The following article contains sensitive content and may not be appropriate for the younger audience.

Larry Nassar has been sentenced to 60 years in federal prison for crimes relating to child pornography. The former USA Gymnastics team doctor stood before Federal Judge Janet Neff in a Michigan court after being charged for possession of more than 37,000 images of child pornography on his electronic devices.

Judge Neff said in the hearing that Nassar “should never again have access to children.”

Last month, Nassar pleaded guilty to sexual assault charges, for which he will receive a separate sentencing in January.

Over 140 women have accused Nassar of sexual assault, including McKayla Maroney who wrote a victim statement to the judge before Thursday’s hearing. She described the way he preyed upon her from the beginning of her time on the national team all the way until she left the sport.

He abused my trust, he abused my body, and he left scars on my psyche that may never go away. He needs to be behind bars so he will never prey upon another child.

Maroney’s mother Erin also offered a letter to the judge, which details the severe pain this has inflicted on her daughter physically, mentally, and emotionally.

This experience has been shattering to McKayla. She has transformed from a bubbly, positive, loving, world-class athlete into a young adult who was deeply depressed, at times suicidal, and essentially descended into an emotional abyss.

At the end of Maroney’s letter, she calls for the governing bodies in control to be held accountable for their negligence.

It is time to hold the leadership of Michigan State University, USA Gymnastics, and the United States Olympic Committee accountable for allowing — and in some cases enabling — Nassar's crimes. Our silence has given the wrong people power for too long, and it’s time to take our power back.

Maroney notes that if those institutions had paid attention to any of the red flags in Nassar’s behavior, she would've never been "treated" or abused by him.

Aly Raisman continues to be a champion of promoting justice and change:

We must look at the organizations that protected Nassar; @USAGym @TeamUSA @michiganstateu Until we understand the flaws in their systems, we can't be sure something like this won’t happen again. This is bigger than Larry. Those who looked other way need to be held accountable 2

— Alexandra Raisman (@Aly_Raisman) December 7, 2017

Raisman also prepared a victim statement that she was prepared to read at the sentencing, in which she wrote,

Maybe by speaking out, by sharing my story and the way my daily life continues to be impacted by Larry’s depraved actions, I can help other survivors feel less alone, less isolated, and encourage them to speak up and to get help.

Read Raisman's full statement here.