Transgender and gender diverse youth (TGD youth; i.e., children and adolescents who do not identify with their birth-assigned sex) face a variety of traumas and adversities, including those explicit to their gender identity and/or expression (hereafter “gender”; e.g., gender-related victimization, caregiver rejection). However, few studies or clinical assessment measures capture the full spectrum of adversities TGD youth experience. A comprehensive examination of gender- and non-gender-related adversities faced by TGD youth is critical to understand their high risk for mental health problems and to inform best practices for clinical assessment and care. The present study sought to qualitatively examine gender- and non-gender-related adversities using clinical interview data from a sample of TGD youth (N = 49; ages 11–20; 76% White) seeking services at a pediatric gender center. Interview data were analyzed using deductive content analysis. To support future measure development, existing measures of adversity and gender minority stress informed the analysis. Results highlighted the saliency of gender-related adversities among TGD youth, the themes of which included verbal abuse, threats or acts of physical and sexual assault, discrimination, nonaffirmation, and rejection. Implications for clinical assessment with TGD youth and future avenues in measure development are discussed.

跨性别和性别多样化的青年（TGD 青年；即不认同其出生性别的儿童和青少年）面临各种创伤和逆境，包括那些对他们的性别认同和/或表达（以下简称“性别”；例如，与性别相关的受害、看护者拒绝）。然而，很少有研究或临床评估措施能够捕捉到 TGD 青年经历的全方位逆境。全面检查 TGD 青年面临的与性别和非性别相关的逆境对于了解他们的心理健康问题的高风险并为临床评估和护理的最佳实践提供信息至关重要。本研究试图使用来自 TGD 青年样本（N = 49; 11-20 岁；76% 白人）在儿科性别中心寻求服务。访谈数据采用演绎内容分析法进行分析。为了支持未来的衡量标准制定，现有的逆境和性别少数压力衡量标准为分析提供了依据。结果突出了 TGD 青年中与性别相关的逆境的显着性，其主题包括辱骂、威胁或身体和性攻击行为、歧视、不肯定和拒绝。讨论了对 TGD 青年进行临床评估的意义以及未来衡量发展的途径。