Depression and thoughts of suicide are higher among transgender youth. But studies show that gender-affirming care improves their mental health. Comments from Diana Tordoff, epidemiologist, University of Washington.

Transgender youths face increased risks of depression and suicide compared with other young people, but the latest study finds gender-affirming care helps reduce those risks.

University of Washington epidemiologist Diana Tordoff said medication such as puberty blockers has been used for more than 30 years - and not just by trans youth. Similarly, she said, gender-affirming hormone therapy, such as testosterone or estrogen, is nothing new and helps a young person experience puberty properly aligned with their gender.

In her study, Tordoff followed more than 100 trans youths between the ages of 13 and 20 over the course of a year.

"The main findings of our study," she said, "is that youths who received puberty blockers or gender-affirming hormones were 60% less likely to be depressed, and 73% less likely to have suicidal thoughts, compared to youth who did not receive those medications."

Tordoff said the results aren't surprising, and this is just the most recent research to show that gender-affirming care improves mental health for trans youth. She added that other studies have found the positive impacts can last into adulthood. The UW study was done in collaboration with the Seattle Children's Hospital Gender Clinic.

Tordoff said anti-trans discrimination and stigma has effects on people's mental health. That includes inaccurate portrayals in the media and a record-breaking slate of recent legislation targeting trans people across the country. But she also noted that trans youths can thrive when they are supported by their families and communities.

"What we keep saying over and over again, because it's true, is that gender-affirming care is life-saving care and it's also life-giving care," she said. "It really allows people to thrive and live their best lives as their most authentic selves."

She listed many barriers to getting that care, including financial and geographical, plus insurance coverage and long wait times to see pediatric providers. She added that only one in five young people who could benefit from gender-affirming hormones access them.

Gov. Kim Reynolds has signed a measure that removes gender identity protections for LGBTQ+ people from Iowa's civil rights code. Opponents call it "mean spirited."

Senate File 418 makes Iowa the first state in the country to remove civil rights protections for a group of people who have been protected by law, taking the words "gender identity" out of its code.

Anne Discher, executive director of the group Common Good Iowa, said the measure belies Iowa's open-minded reputation and sends the wrong message to the rest of the nation.

"Basically, it is saying that it's OK to discriminate against trans people in the workplace, in housing, in school and in their financial lives," Discher explained.

Supporters of the measure, which was the first bill Reynolds signed in 2025, said including gender identity in Iowa's civil rights code threatens "common sense" laws banning transgender participation in sports and clarify who can use which public restrooms. Iowa passed its Civil Rights Act in 1965.

Hundreds of protesters rallied against the bill at the Statehouse in Des Moines before Reynolds signed it. Discher argued Iowa lawmakers are not representing their constituents.

"I really firmly believe this bill does not reflect the true beliefs of most Iowans," Discher stressed. "I think it's
incredibly more extreme than Iowans truly are in their hearts."

If it is not challenged in court, the measure is scheduled to take effect July 1.


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A coalition of New Mexico groups is supporting a bill this session to require "Comprehensive Human Sexuality Education" for public school students.

New Mexico is among 40 states to require sex-education instruction but according to Planned Parenthood, there is no guarantee the instruction is high quality or covers topics young people need to stay healthy, including information about HIV.

Nathan Saavedra, program manager for Equality New Mexico, said Senate Bill 258 would require sex education curricula is medically accurate.

"Our hope mostly is to save lives," Saavedra emphasized. "We know that sex education does save lives and it improves the health of all youth. It decreases bullying and harassment. Sex education is harm reduction, from our perspective."

In addition to Equality New Mexico, the state's ACLU organization and the New Mexico Coalition of Sexual Assault Programs support the more comprehensive approach. By contrast, last fall the Florida Department of Education ordered local school districts teaching sex education to promote abstinence and exclude discussion of contraception.

Saavedra noted many students, including those who are LGBTQ+, do not know what they should be doing to protect themselves and would benefit from discussions covering sexual orientation and gender identity.

"We're trying to get the point across and the law in place so those students no longer have to feel less than, or know less than, their peers," Saavedra stressed.

New Mexico's current standards for sex education surpass many other states but access is often dependent on where a student lives. As written, the bill would provide resources to rural and smaller districts to launch comprehensive programs. The proposed legislation still would allow parents to exempt their children from the sex-ed portion of required health courses.

Montana lawmakers are considering three bills on gender. They are all versions of previous bills, which either failed or were struck down in court, but some new drafts have higher stakes.

Two bills would determine if or how transgender people can use certain bathrooms and changing rooms and participate in school sports. A third seeks to prohibit access to gender-affirming health care and to criminalize doctors and parents who, according to the bill, "knowingly procure or provide" such care.

Zuri Moreno, state legislative director for the advocacy group Forward Montana, said some lawmakers have described transgender people as "out of compliance."

"It's an overreach of our government to try to force people across our communities to comply with what they think is correct gender presentation," Moreno argued.

Proponents said the bills would "prevent harassment" and protect the "welfare of children." Moreno countered the proposition that lawmakers should have a say in families' private medical decisions or they understand athletes' needs more than teachers and coaches, is a dangerous one.

The bills parallel a January executive order from President Donald Trump defining "sex" and directs federal agencies to rescind materials discussing "gender ideology." Moreno pointed out organizers across Montana have been preparing for the state bills.

"The governor, in his State of the State, did direct the legislature to get these types of bills to his desk," Moreno noted. "But I think it's important for everyone to remember that our legislature doesn't work for the governor. They work for their constituents."

Legislators have referred all three bills to committee after hearings last week. Moreno stressed regardless of the fate of the bills, debates on them are harmful. Among LGBTQ+ youth, 90% said their well-being has been negatively affected by recent politics, according to a 2024 survey from The Trevor Project.