Abstract

Trans and non-binary youth (TNBY) face high levels of interpersonal and social adversity as well as disproportionate rates of mental health issues such as depression, self-harm and suicidal ideation. Among protective factors, context plays a key role. In addition to parental support, access to gender-affirming medical care begins to emerge as crucial for young people needed them. This paper compares, through thematic analysis, the experiences of TNBY with regard to access and experiences to care in Canada, Switzerland, England, and Australia. It identifies similarities and differences in barriers to access to care, as well as impacts of gender affirming care on young people and their well-being. The article concludes with a discussion on the importance of prompt and easier access to gender-affirming medical care, of training of professionals, and a hypothesis about the role of context in TNBY well-being.

摘要

跨性别和非二元性别青年 (TNBY) 面临着高水平的人际关系和社会逆境，以及不成比例的心理健康问题，例如抑郁、自残和自杀意念。在保护因素中，环境起着关键作用。除了父母的支持，获得性别肯定的医疗服务开始成为对需要它们的年轻人至关重要的因素。本文通过主题分析，比较了 TNBY 在加拿大、瑞士、英国和澳大利亚获得护理的经验。它确定了获得护理障碍的异同，以及性别肯定护理对年轻人及其福祉的影响。文章最后讨论了迅速和更容易获得性别肯定医疗服务、专业人员培训、