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People who identify as transgender face stigma, isolation and harassment while often struggling to come to terms with their gender identity. They also disproportionately experience mental health difficulties. The purpose of this paper is to present the voices of transgender people in the Republic of Ireland (RoI) in regard to the issues they are facing, improvements they would like to see made to schools, workplaces, services and society in general and whether mental health supports fulfil their needs.

Ten open questions were embedded within a quantitative online survey (LGBTIreland study) on factors impacting social inclusion, mental health and care. These open questions were re-analysed with exclusive focus on the transgender participants (n = 279) using content/thematic analysis.

The participants in this study reported significant signs of mental distress. The following themes emerged: impact of stigma, deficiencies in mental health services, need for education on transgender identity, importance of peer support, achieving self-acceptance and societal inclusion questioned.

Efforts to recruit young participants have led to a possible over-representation in this study.

The findings suggest the need for improvement in mental health support services, including further education in how to meet the needs of transgender individuals.

Transgender people in Ireland experience social exclusion. The need for more inclusivity was emphasised most in secondary schools. Education on transgender identities in all contexts of society is recommended by the participants.

This study reports on the largest group of transgender participants to date in RoI. Their voices will affect perceptions on social inclusion and mental health care.

The purpose of this paper is to evaluate the prevalence of depression and to determine the association between social support and depression among transgender women in Bangkok, Thailand.

A cross-sectional study was conducted among 280 transgender women in Bangkok, Thailand between March 2019 and May 2019 using the snowball sampling method. Data were collected through a self-administered questionnaire. The questionnaire included demographic questions and measures of social support (MSPSS) and depression (CES-D). Multivariable logistic regression analysis was employed to explore the association between social support and depression.

The prevalence of depression among transgender women was 58.2%. Multivariable logistic regression analysis indicated that depression was significantly associated with perceived low social support (OR: 9.55, 95%CI: 2.10–43.39) and moderate social support (OR: 2.03, 95%CI: 1.19–3.46) after being adjusted for religion, sufficient income and alcohol drinking.

Transgender women were prone to experience a higher prevalence of depression than the general population. Social support would reduce the risk of depression among transgender women. Therefore, social support service systems for transgender women should be embedded into organizations concerned.

Rates of anxiety, depression, and suicidality have long been known to be elevated among LGBTQ+ communities and it was expected that the COVID-19 pandemic would deepen systemic injustices and inequities in mental health outcomes. However, it remains difficult to document inequities as surveillance systems do not typically capture LGBTQ+-inclusive data necessary to study the impact of COVID-19 on LGBTQ+ population health. This chapter reports on two studies designed to address this gap. The COVID-19 Impacts Study (CIS) documented the early mental health and social impacts of COVID-19 among sexual and gender minority adults, as well as adults with HIV, during the first round of shut-downs and initial economic disruptions. Subsequently, the Youth and Young Adults COVID-19 Study (YYA) measured the impacts of COVID-19 on the mental health outcomes, testing/vaccination behaviors, and stigmatization experiences of LGBTQ+ and BIPOC (Black, Indigenous, People of Color) young people. Several recommendations are discussed – including mandated collection of data on sexual orientation and gender identity in all surveillance systems, policy solutions to better address access and cost barriers, and deep and meaningful engagement that empowers communities.

Health disparities affecting lesbian, gay, bisexual, transgender and queer (LGBTQ) populations have been reported in many countries. For Singapore, no large quantitative studies on mental health and well-being in the local LGBTQ community have been published. The authors conducted a community-based survey (National LGBT Census Singapore, 2013; NLCS2013) that covered a comprehensive set of demographic, social and health indicators. Here, the authors investigated mental health status and its correlates in 2,350 LGBTQ individuals within the NLCS2013 sample.

The NLCS2013 was an anonymous online survey conducted amongst self-identified LGBTQ adults (aged ≥ 21 years) residing in Singapore. The survey included the World Health Organisation Well-being Index (WHO-5) as a measure of mental well-being, with low WHO 5 scores (<13/25) indicating poor mental well-being. The authors analysed relationships between low WHO-5 score and a range of respondent characteristics using multivariate logistic regression.

Strikingly, 40.9% of 2,350 respondents analysed had low WHO-5 scores, indicating poor mental well-being. Parental non-acceptance, experience of conflict at home and bullying/discrimination in the workplace or educational environments were all significantly associated with poor mental well-being. Conversely, community participation appeared protective for mental well-being, as respondents who participated in LGBTQ community organisations or events were less likely to have poor mental well-being than non-participants.

The NLCS2013 represents one of the first broad-based efforts to comprehensively and quantitatively capture the sociodemographic and health profile, including mental health status, within Singapore’s resident LGBTQ population. These findings affirm the need to address the mental health needs of LGBTQ individuals in Singapore and to foster safe spaces and allyship.

This study explores the health-seeking process for queer and/or trans people, and factors involved in their healthcare negotiations and decisions to seek care. The data included 20 semi-structured interviews of people who identify as queer and/or trans in the southeastern United States. Qualitative analysis was conducted using constructivist grounded theory to inductively analyze accounts of healthcare events, behaviors, and experiences of queer and/or trans people. Participants’ ages ranged from 18 to 57, with a majority identifying as trans/gender nonconforming (65%) and those remaining identifying as queer, cisgender individuals (35%). Both queer and trans identities can overlap, therefore, I use the term “queer and/or trans.” Categories generated through the coding process were as follows: (1) mental health concerns, (2) negotiating gendered and heteronormative assumptions, and (3) significance of participants creating a bed of knowledge. My analysis asserts that these data indicate that queer and/or trans participants manage not just healthcare decisions, but the hopelessness attached to seeking this type of help.

Purpose: This paper presents an exploratory analysis of minority stress and resiliency processes among parents in LGBTQ families. The paper examines two unique minority stress processes – (1) parents experiencing sexual and/or gender minority stress due to the stigmatization of their own identities as individuals and (2) parents sharing the gender minority stress faced by their transgender and gender expansive (TGE) child, and in the context of their parent–child relationship.

Methodology: Between 2017 and 2018 in-depth, in-person qualitative interviews on the topics of gender, stress, and resilience were conducted with 12 parents in LGBTQ families. Audio recordings were transcribed and then open coded using ATLAS.ti qualitative data analysis software. Analyses of data were informed by critical intersectional theories that locate gender and sexuality within structures of social and racial oppression.

Findings: Interview data indicate that minority stress is experienced by parents experiencing sexual and/or gender minority stress due to the stigmatization of their own identities, as well as among parents sharing the gender minority stress faced by their TGE child in the context of their parent–child relationship. Parents described community resilience and minority coping through interpersonal, community, and institutional support. This paper provides evidence that sexual and gender minority stressors are enhanced and resiliency factors are reduced among those experiencing racism and economic disadvantage.

Research limitations: This is an exploratory study conducted with a small sample of parents in a specific geographic area.

Originality/Value: These data provide initial evidence to support further analyses of the dyadic minority stressors within parent–child relationships in LGBTQ families

This paper is a part of a series of papers seeking insight into a holistic perspective into the lives, experiences and vulnerabilities of male-to-female transgender persons (from here on referred to as “transgender persons”/“Ladyboys”) within the sex industry in Southeast Asia. “Ladyboy” in Thai context specifically refers to the cultural subgroup, rather than the person’s gender identity and is not seen as an offensive term. Among the minimal studies that have been conducted, the majority have focused on sexual health and the likelihood of contracting or spreading HIV/AIDS, while often ignoring the possibility of other vulnerabilities. The paper aims to discuss this issue.

The study interviews 60 transgender persons working within red light areas of Bangkok. The final research instrument was a questionnaire of 11 sub-themes, containing both multiple choice and open-ended questions.

This study found that 81 percent of participants had entered the sex industry due to financial necessity. There was also a high vulnerability among transgender sex workers to physical and sexual violence. This includes nearly a quarter (24 percent) who cite being forced to have sex and 26 percent who cite physical assault within the last 12 months.

These findings can aid the development of programs and social services that address the needs of ladyboys, looking beyond gender expression and social identity to meet needs and vulnerabilities that often go overlooked.

This survey provides deeper understanding of the vulnerability of transgender sex workers, including their trajectory into sex work and potential alternatives.

The lesbian, gay, bisexual and transgender (LGBT) people face discrimination, verbal harassment, rejection and physical violence that affect their mental health and well-being. Adolescence is a critical period for the development of mental health and well-being. The purpose of this study is to analyze research publications on the mental health and well-being of LGBT adolescents.

A comprehensive research strategy was implemented using the SciVerse Scopus database to accomplish the objective of the study. The study period was all times up to 2020. VOS viewer program was used for mapping of frequent author keywords, journal citations and research collaboration.

The search strategy found 1,167 documents authored by 4,067 researchers and disseminated through 321 scientific journals. Research on the topic started half a century ago but showed a visible steep growth after 2008. Authors and institutions in the USA dominated the field. Northwestern University, based in the USA, was the most active institution. No significant cross-country collaboration was observed in this field. The most active journal was Journal of Adolescent Health (n = 67, 5.7%), followed distantly by the Journal of LGBT Youth (n = 48, 4.1%). The contribution of journals in the field of mental health to the topic was limited. Documents on family acceptance, suicidality and school victimization/violence received the highest number of citations. The retrieved documents in the field had five major topics: suicide, mental health/depression, bullying/victimization, substance use/alcohol and violence.

The present study has a few limitations that are typical of any bibliometric study. Both the search strategy and the use of Scopus are inherent limitations of bibliometric studies.

Policymakers and public health experts in various countries need to prioritize research on the mental health and well-being of LGBT adolescents based on the number of publications produced by the country. The finding that certain world regions have limited research contribution does not mean the absence of mental health problems of LGBT adolescents.

The limited number of scholars in the field of sexual health, the cultural barriers are the main obstacles for publishing in this field. Research on LGBT adolescents’ mental health and well-being should be prioritized in countries and world regions with limited research in this field. Therefore, journal editors should endorse publications in this field through publishing thematic issues in this field.

To the best of the authors’ knowledge, this is the first study to assess the scientific research publications on the mental health of the LGBT people as an indication of interest and social problems facing this community.

Transgender people experience significant health and healthcare disparities in comparison to cisgender people. Limited access to quality, trans-competent healthcare in the USA is a central social determinant of these inequities. In this chapter, we expand on the burgeoning literature on accountability structures and transgender healthcare through an analysis of individual interviews with cisgender medical providers about their and their colleagues’ capacity to provide trans-competent healthcare. First, we find that providers report unfamiliarity and uncertainty concerning transgender people, their healthcare needs, and related issues. Although providers regard such ignorance as a structural problem within medical education and practice, the solutions they proffer rely on the benevolence and personal initiative of individual providers to seek out trans-specific information and training. This upholds the boundaries between what is considered “normal” (i.e., cisgender centered) healthcare and trans-competent healthcare. Second, we find that cisgender medical providers who want to provide quality healthcare to transgender people engage in emotion work that prioritizes the comfort and ignorance of their cisgender colleagues and inhibits institutional change. In sum, we argue that, regardless of their intentions, cisgender providers engage in practices that maintain healthcare as a cisnormative accountability structure and, in turn, contribute to the persistence of transgender health and healthcare disparities.

Identifying the health-related needs in transgender (TG) people can help to formulate strategies for providing appropriate and accessible health services and promoting health and social justice, as well as human rights in these populations. This systematic review aims to determine health-related needs, problems and barriers, as well as ways to solve them in TG people from the viewpoint of TG individuals and health policymakers.

All international electronic databases such as PubMed (Medline), Embase, CINAHL, Scopus, Web of Sciences, Cochrane, PsycInfo and Google Scholar (Gray Literature) were searched from December 1990 to December 2019. After the search, the articles were screened based on their title, abstract and full text. The quality of articles was assessed using the Strengthening the reporting of observational studies in epidemiology (STROBE), Consolidated Standards of Reporting Trials (CONSORT) and Standards for Reporting Qualitative Research (SRQR) checklists. The search strategy, data extraction and quality evaluation of articles were independently performed by two researchers.

The general health-related needs identified in TG individuals from the viewpoint of themselves included access to legal hormone therapy, psychological and psychiatric counseling, privacy, health and hygiene needs, equality and freedom of expression. General health-related needs in TG individuals from the viewpoint of health policymakers included screening tests to detect sexually transmitted diseases, especially HIV, cancers and other diseases, as well as training service providers (physicians, nurses, health workers, etc.).

One of the limitations of this study was nonreporting of health-related needs in initial articles by different TG groups because these groups have had different needs and different barriers to accessing health-care services. In this study, health-related needs and barriers to satisfy them were categorized from the viewpoint of TG populations and health policymakers around the world, which may influence future decisions to provide services to TG populations. The results of this systematic review can help to develop different strategies by considering all TGs from individual, family and social aspects to better provide services for this group. However, given the dynamics and changes in the existing communities and the limited studies on gender minorities in developing countries, further research is required to comprehensively address the subject.

The findings can be used as an incentive to improve existing conditions and to address problems and shortcomings. The results of this systematic review formulate strategies for providing appropriate and accessible health services and better lives for TGs, planning for more effective participation of these individuals in local communities, improving their physical problems and mental health through counseling, as well as promoting health and social justice, and human rights for these populations.