Christian Solidarity Worldwide's report, North Korea: A Case to Answer – A Call to Act, states that "there is a prima facie case for the commission of crimes against humanity, namely murder, extermination, enslavement/forced labour, forcible transfer of population, arbitrary imprisonment, torture, persecution, enforced disappearance of persons, other inhumane acts and, perhaps, rape and sexual violence. It also examines the possibility of genocide and concludes that there are indicators of genocide against religious groups, specifically Christians, implemented in particular in the 1950s and 1960s. The strictly hierarchical system of government and the information available about decision-making in North Korea suggests that the political leadership, and in particular Kim Jong-Il, is responsible for the commission of such crimes."

The analysis focuses primarily on the extensive political prison camp system where 200,000 people are believed to be held. It has been written by international lawyers and provides extensive testimonies and quotes from North Koreans. It represents the culmination of seven years of research and draws heavily on interviews and consultations with over 80 North Korean defectors.

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