A 2024 cross-sectional study of a nationally representative Canadian sample found that transgender and gender-diverse (TGD) individuals face dramatically higher rates of mental disorders and suicidal behaviors compared to cisgender populations. Approximately 53% of TGD youth met criteria for serious psychological distress, and 66% reported suicidal ideation. Research has documented a seven-fold increased risk for lifetime suicide attempts among young TGD people relative to the general population.
Grassroots organizations are stepping into the gap. The Okra Project, a nonprofit founded in 2018, has provided nearly $3 million in direct mutual aid to nearly 10,000 Black and brown trans and gender-expansive individuals. In partnership with BetterHelp, the organization now offers up to three months of free therapy to Black trans people nationwide, addressing barriers such as cost, discrimination, and lack of affirming providers. As Executive Director Gabrielle Inès Souza stated: "Access to mental health care is not a luxury—it's a necessity, especially for Black trans people who are navigating multiple layers of trauma, discrimination, and erasure". shemale and girl exclusive
Founded by Johnson and Rivera in 1970, STAR provided housing and support to homeless queer youth and sex workers, showcasing early intersectional activism. Distinguishing Gender Identity from Sexual Orientation A 2024 cross-sectional study of a nationally representative