Depression and thoughts of suicide are higher among transgender youth. But studies show that gender-affirming care improves their mental health. Comments from Diana Tordoff, epidemiologist, University of Washington.

Transgender youths face increased risks of depression and suicide compared with other young people, but the latest study finds gender-affirming care helps reduce those risks.

University of Washington epidemiologist Diana Tordoff said medication such as puberty blockers has been used for more than 30 years - and not just by trans youth. Similarly, she said, gender-affirming hormone therapy, such as testosterone or estrogen, is nothing new and helps a young person experience puberty properly aligned with their gender.

In her study, Tordoff followed more than 100 trans youths between the ages of 13 and 20 over the course of a year.

"The main findings of our study," she said, "is that youths who received puberty blockers or gender-affirming hormones were 60% less likely to be depressed, and 73% less likely to have suicidal thoughts, compared to youth who did not receive those medications."

Tordoff said the results aren't surprising, and this is just the most recent research to show that gender-affirming care improves mental health for trans youth. She added that other studies have found the positive impacts can last into adulthood. The UW study was done in collaboration with the Seattle Children's Hospital Gender Clinic.

Tordoff said anti-trans discrimination and stigma has effects on people's mental health. That includes inaccurate portrayals in the media and a record-breaking slate of recent legislation targeting trans people across the country. But she also noted that trans youths can thrive when they are supported by their families and communities.

"What we keep saying over and over again, because it's true, is that gender-affirming care is life-saving care and it's also life-giving care," she said. "It really allows people to thrive and live their best lives as their most authentic selves."

She listed many barriers to getting that care, including financial and geographical, plus insurance coverage and long wait times to see pediatric providers. She added that only one in five young people who could benefit from gender-affirming hormones access them.

Hate crimes against members of the LGBTQ+ community have risen for the second year in a row, according to the latest "State of Pride" report from the California Department of Justice.

Between 2022 and 2023, the report showed hate crimes motivated by anti-LGBTQ bias increased more than 86% across the state.

Toni Newman, chair of the nonprofit Trans Can Work, explained the importance of finding solutions.

"The death of trans women in the United States remains a critical issue highlighting racism, transphobia, and systemic violence," Newman emphasized. "(For) transgender women, particularly those of color, there's disproportionately high rates of violence."

So far in 2024, the Human Rights Campaign has tracked 20 violent deaths of transgender and gender-expansive people, about half at the hands of intimate partners. It said 70% were people of color, and 35% were Black transgender women.

Becky Monroe, deputy director of strategic initiatives and external affairs for the California Civil Rights Department, wants victims to know they can call the new hotline at 833-8-NO-HATE or go to the website CAvsHate.org.

"We provide services in over 200 languages if people call," Monroe explained. "If you go on our website, we have a statewide network made up of hundreds of community-based organizations that are able to serve."

California versus Hate connects callers with trauma-informed counselors. Monroe added they can refer victims to law enforcement upon request.


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By Eduardo Miranda Strobel / Broadcast version by Farah Siddiqi reporting for the Kent State NewsLab-Ohio News Connection Collaboration.

Concerns of transgender Ohioans and advocates have heightened since the passage of the "Bathroom Bill" last month.

TransOhio condemned HB 183, which passed as an amendment to an unrelated bill on June 26.

"Hate mongers in Columbus want to see trans and gender nonconforming Ohioans stripped of their right to exist in public spaces," said Dara Adkison, executive director of TransOhio, in a press release issued after the vote. "They can make our lives harder, but they can't make us not a part of this state."

If the bill becomes law, it would have tangible consequences for Ohio's trans students.

"I started testosterone just about two months ago now, so I plan on using the men's restroom and stuff at school, and HB 183 would make it quite literally illegal for that to happen, which is not fun," said Robin Baradarvar, a sophomore at Centennial High School in Columbus.

Sponsored by Rep. Adam Bird (R-New Richmond) and Rep. Beth Lear (R-Galena), HB 183 would require trans students in Ohio K-12 schools and colleges to utilize bathrooms and locker rooms that align with their assigned genders at birth.

The bill, also called the Protect All Students Act, passed out of the Ohio House Higher Education Committee with a 10-5 vote on April 10. It was awaiting further consideration until HB 183 was added as an amendment to SB 104, a revision to the College Credit Plus Program, which allows students in grades 7 through 12 to earn college credits. The amended College Credit Plus bill passed by a 60-31 vote, mostly along party lines.

The Ohio Channel recorded the debate on the House floor.

"Our schools are places to provide academic instruction and protection for all kids," Lear said during the debate. "No young girl who's uncomfortable with her body and thinks that she might be a boy is safe going into a boys' locker room or bathroom. She's just not. And it's up to us to make the choices to do what's best for all kids because this will protect all of them."

Rep. Jena Powell (R-Arcanum) urged others to vote yes on the amendment.

"I hope that my little boy one day is going to grow up in a world where he does not have to think, wow, is a girl, or is a boy going to come in my bathroom? And they have a safe space in the state of Ohio," Powell said during the debate.

Bird's proposal was met with opposition from Democrats.

"It is when students know that they belong in their communities that they are best able to learn and reach their full potential," Rep. Beryl Piccolantonio (D-Gahanna) said during the debate. "This bill actually makes life more difficult, even for school district staff who are already under immense pressure and stress. The language that is in this bill is overbroad and is unclear, and there's no funding provided for any building modifications that would be required."

Rep. Joseph Miller (D-Amherst) said he was disappointed Ohioans are putting efforts into shaming trans children and young adults for wanting to use the bathroom that aligns with their gender identity.

"I would say that 183 is problematic because of that, it doesn't protect all students and their rights to use a facility that recognizes their gender," Miller said in an interview before the vote.

HB 183 would also restrict students from using overnight accommodations with those of a different gender.

It would not restrict cases of assistance of young children and people with disabilities or emergencies in bathrooms and locker rooms.

"Trans kids just want to go to the bathroom and pee," Adkison said in an interview. "It would be great if our legislators were more focused on their education and less what their genitals are."

Both sponsors of HB 183, Reps. Bird and Lear, were contacted but did not make themselves available for an interview.

Eight percent of the trans population 13 and older live in states that ban them from using bathrooms and facilities that align with their gender identity in every government-owned space, including K-12 schools, colleges, and more. This includes trans people living in Florida and Utah.

Ten other states have implemented restroom bans of some kind.

For androgynous people, there can be conflict in the bathrooms between girls thinking they are too masculine or boys thinking they are too feminine, Baradarvar said.

"It's a very scary thing being a trans person," Baradarvar said. "Especially if they don't have a single-sex bathroom, which isn't very common in schools right now, or at least high schools. So, it's kind of traumatizing."

The Senate is expected to vote on the amended bill after returning from summer break. If it passes there, the bill will then be sent to Gov. Mike DeWine.


This collaboration is produced in association with Media in the Public Interest and funded in part by the George Gund Foundation.


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Twenty years after Massachusetts became the first state to permit marriage equality, a majority of same-sex married couples say it had a profound positive impact on their lives. A new report finds it strengthened couples' relationships, provided legal protections, financial security and greater acceptance among family and friends.

Abbie Goldberg, Clark University psychology professor, said marriage equality is part of a public health agenda.

"They have access to health insurance. They are physically and mentally healthier. They're able to share the sort of challenges and work of raising children," Goldberg said.

Still, Goldberg noted nearly 80% of couples surveyed worry about the future of marriage equality. Supreme Court Justices Samuel Alito and Clarence Thomas have both suggested the high court revisit Obergefell v. Hodges - the decision that legalized same-sex marriage in 2015.

The report reveals same-sex married couples are also concerned about what they consider to be an increasingly hostile environment in the United States. More than 500 anti-LGBTQ+ bills have been introduced since last year - including bans on classroom conversations or books about LGBTQ+ people.

Concerns are forcing couples nationwide to consider relocating to more-friendly states, including Massachusetts, or even out of the country, Goldberg said.

"It's creating not just legal uncertainty but propelling them to think about the future in ways that require time, money, planning," she continued.

Goldberg added marriage equality created families, and the report reveals the positives to ensuring people are protected. Almost 60% of participants said marriage provided more stability or security for their children, and often created new in-laws, who could help.


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