: Recent executive orders have called for federal recognition of only two biological sexes, which has led to the removal of transgender health resources and data collection from many federal websites [28].

: Major medical organizations support age-appropriate gender-affirming care as a way to improve mental health outcomes [23, 25]. Longitudinal studies suggest that adolescents who receive this care report higher body satisfaction and better psychological function as they enter adulthood [26].

: Younger generations are more likely to know someone who is transgender or nonbinary. Approximately 49% of girls aged 15–17 and 32% of boys in the same age group report knowing a transgender person [21]. 2. Mental Health and Risk Factors

: As of July 2025, over 40% of transgender youth (approximately 120,000 individuals) live in one of the 27 states that have passed bans on gender-affirming care [25].

As of 2025, approximately (about 724,000 individuals) identify as transgender [28, 15]. This reflects a significant increase from 2022 estimates, which placed the population at 1.4% (roughly 300,000) [2, 10].

: Research into "regret" shows that trans teens who access puberty blockers or hormone therapy have very low rates of discontinuing treatment due to identity changes (roughly 1%–3.8% ) [11, 29]. 4. Current Policy and Legislative Landscape

: Schools remain a primary site of distress. Roughly 80% of transgender students report avoiding school bathrooms because they feel unsafe or uncomfortable [3]. 3. The Impact of Support Systems