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Due to societal rejection, family estrangement, and constant threat of violence, rates of depression, anxiety, and suicide ideation are alarmingly high. The 2022 Trevor Project National Survey found that 45% of LGBTQ youth seriously considered suicide in the past year, and for transgender and non-binary youth, that number was even higher. However, affirming environments and access to gender-affirming care dramatically reduce these risks. If the goal is to create a specific

The transgender community and the lesbian, gay, and bisexual (LGB) community are connected by a shared enemy: —the assumption that everyone is cisgender (non-trans) and heterosexual. Both communities reject rigid, biologically-determined roles. The Stonewall Riots of 1969, a cornerstone event of modern LGBTQ liberation, were led by transgender activists like Marsha P. Johnson and Sylvia Rivera , who fought for the most marginalized. Without trans resistance, there would be no modern Pride. The 2022 Trevor Project National Survey found that

: LGBTQ+ individuals have significantly shaped culture, particularly in Los Angeles and other major hubs, contributing unique perspectives to entertainment, visual arts, and vibrant public life.

Transgender individuals have been the primary architects of much of the language and aesthetics used in LGBTQ+ culture today.