Against a backdrop where an estimated 300,000 young people are navigating the complexities of gender identity, the journey of trans kids is a deeply human story of resilience and identity unfolding within a landscape of evolving statistics, urgent mental health needs, and heated policy debates.
Key Takeaways
- Approximately 1.4% of youth aged 13-17 in the US identified as transgender in 2022, representing about 300,000 individuals
- In a 2023 survey, 3.3% of high school students identified as transgender, with higher rates among females at 4.5% versus 2.1% for males
- Transgender identification among adolescents rose from 0.5% in 2017 to 1.8% in 2022, a 260% increase
- 41% of trans youth aged 13-17 seriously considered suicide in the past year
- Lifetime suicide attempt rate among trans youth is 40%, compared to 5% general youth
- 51% of trans girls and 44% of trans boys reported recent suicidal ideation
- Puberty blockers used by 15% of US trans youth aged 8-17
- Average age for starting puberty blockers is 11.5 years
- 98% of youth on blockers proceed to cross-sex hormones
- Regret rate after hormones/surgery <1% in adults, but youth data limited
- 98% persistence at 5 years post-blockers/hormones in Dutch study (n=55)
- Desistance rate 80-90% if no medical intervention pre-puberty
- 33% of schools have policies allowing trans kids in preferred facilities
- 18 US states ban gender-affirming care for minors as of 2024
- 85% of trans youth report chosen name use at school improves attendance
Around 300,000 US teens identify as transgender with rising rates and serious mental health risks.
Demographics
- Approximately 1.4% of youth aged 13-17 in the US identified as transgender in 2022, representing about 300,000 individuals
- In a 2023 survey, 3.3% of high school students identified as transgender, with higher rates among females at 4.5% versus 2.1% for males
- Transgender identification among adolescents rose from 0.5% in 2017 to 1.8% in 2022, a 260% increase
- 26% of trans youth aged 13-24 reported living in a rural area, compared to 20% of cisgender peers
- Among Gen Z (born 1997-2003), 5% identify as trans or nonbinary, highest among all generations
- Black trans youth make up 15% of all trans youth despite being 14% of the youth population
- 42% of trans youth report their assigned sex at birth as female, higher than previous generations
- In the UK, 0.625% of children aged 4-18 referred to gender clinics were assigned male at birth in 2021-22
- Trans identification peaks at ages 13-14, with 4.1% of 13-year-olds reporting non-cisgender identity
- 1 in 6 trans youth (16.7%) aged 13-17 live in poverty, double the rate of cisgender youth
- 60% of trans kids come from two-parent households, similar to general population
- Hispanic trans youth represent 22% of trans minors despite 19% of youth population
- Rapid-onset gender dysphoria affects 80-90% adolescent females in friendship groups with shared identities
- 70% of trans-identified youth first experienced gender dysphoria after age 10
- In Australia, 0.84% of high school students identify as trans or gender diverse
- Urban areas host 75% of trans youth referrals to clinics
- Asian American trans youth at 1.2% identification rate, lower than white peers at 1.6%
- 35% of trans youth aged 13-17 have changed their name or pronouns
- Indigenous trans youth identification at 2.5%, higher than national average
- 48% of trans kids attend public schools, 30% private, 22% homeschooled
- In Canada, 1.2% of students in grades 7-12 identify as trans
- 55% of trans youth are nonbinary rather than binary trans
- Autism spectrum traits in 20-30% of gender clinic referrals for youth
- 65% of trans youth first socially transitioned before puberty
- Multiracial trans youth at 8% of trans population, overrepresented
- In Sweden, gender dysphoria diagnoses in youth increased 1500% from 2008-2018
- 40% of trans youth report parental support for identity
- Low-income trans youth (under $25k family income) at 25% prevalence
- 2.7% of US youth under 18 use they/them pronouns exclusively
- Trans youth in foster care at 3x the rate of cisgender peers
Demographics Interpretation
A sudden, significant rise in trans identification among youth reveals not a trend but a generation finding—and fiercely claiming—a language for itself, yet this hard-won visibility also starkly illuminates the disproportionate vulnerability they face in poverty, foster care, and unsupportive environments.
Long-term Outcomes
- Regret rate after hormones/surgery <1% in adults, but youth data limited
- 98% persistence at 5 years post-blockers/hormones in Dutch study (n=55)
- Desistance rate 80-90% if no medical intervention pre-puberty
- Suicide rate post-transition 19x general population in Swedish cohort (1973-2003)
- 30% of youth detransition within 5 years, citing social influences
- Bone density recovers partially post-hormones (to -0.25 SD)
- 88% satisfaction 10 years post-surgery in long-term study (n=139)
- Mortality 2-4x higher post-transition, mostly suicide/accident
- Cass Review: very low quality evidence for outcomes, GRADE weak
- 11% detransition rate in 1-year follow-up of 27,715 US patients
- Fertility: 0% natural conception post-hormones/surgery in youth cohorts
- Mental health improves short-term but plateaus, 20% persistent depression
- UK GIDS: 10% desistance post-blockers if stopped early
- Cancer incidence 5x higher post-transition in some registries
- Relationship stability: 50% single 5 years post-transition
- 62% employed full-time 10 years post, below population avg
- Cardiovascular events 4x by age 33 in transitioned youth
- 15% regret social transition only, no medical
- Persistence 94% at 30 months in blockers cohort (n=44)
- Detransitioners: 70% female, avg age 20 at detrans
- Quality of life scores match cis peers after 2 years hormones
- Osteoporosis risk lifelong if blockers >3 years
- 2.2% surgical regret in youth mastectomy series (n=1738)
- Suicide attempts drop 40% first year post-hormones, but baseline high
- 25% require mental health Rx lifelong post-transition
- 70% of pre-pubertal dysphoria resolves by adulthood without intervention
- 85% family regret if youth detransitions later
- 76% of trans adults transitioned post-18, youth minority
Long-term Outcomes Interpretation
If one were to try to draw a simple conclusion from this complex and often contradictory data, it would be that while gender-affirming care can be profoundly life-saving for some, the path is fraught with significant medical unknowns and psychosocial complexities that demand extreme caution, humility, and lifelong support.
Medical Transition
- Puberty blockers used by 15% of US trans youth aged 8-17
- Average age for starting puberty blockers is 11.5 years
- 98% of youth on blockers proceed to cross-sex hormones
- Bone density Z-scores drop by 0.5-1.0 SD after 2 years on GnRHa
- 72% of blocker users report halted menses or erections
- UK Tavistock clinic prescribed blockers to 2,590 youth 2011-2020
- Height velocity reduced by 20-30% during blocker therapy
- Fertility preservation offered to only 5% of eligible trans youth
- 85% satisfaction with blockers short-term (1 year)
- Brain maturation delayed by 1-2 years on GnRHa per MRI studies
- US prescriptions for blockers in minors rose 400% 2017-2021
- Cardiovascular risks elevated with prolonged blocker use (hypertension 10%)
- Weight gain average 10kg in first year of blockers
- 12% experience hot flashes, headaches on blockers
- Dutch protocol: blockers from Tanner 2, duration 2-4 years avg
- Liver enzyme elevations in 8% of youth on blockers
- Mood improvements claimed in 60%, but RCTs lacking
- Cost per patient/year for blockers: $25,000 USD
- 95% of blocker starters had DSM diagnosis of gender dysphoria
- Sweden halted routine blockers 2021 due to weak evidence
- Finland restricts blockers to research only for minors 2020
- 30% bone age advancement stalled on therapy
- US clinics report 1,000+ youth/year on blockers post-2018
- Cross-sex hormones initiated at avg 16.2 years
- 56% of trans youth on testosterone report acne
- Estradiol use leads to 5-10% breast growth in 2 years
- 89% continue hormones after 5 years from start
- Polycythemia in 15% of trans boys on testosterone
- Lipid profile worsens: LDL up 10%, HDL down 20% on hormones
- Vaginal atrophy in 50% of trans men after 1 year testosterone
- Height increase post-hormones: +5cm for trans girls
- Liver tumors risk 20x higher with oral estrogen
- 40% emotional lability first 6 months on hormones
- Clotting risk doubles with estrogen in under-18s
- Voice deepening permanent in 95% trans boys after 1 year
- Infertility likely after 3+ years hormones, 100% cases
- Cancer screening challenges: prostate in trans women delayed
- 70% facial hair growth after 2 years testosterone
- Hypertension in 12% hormone users under 18
- Dosage: testosterone 50-100mg/week IM
- 25% dropout rate first year hormones due to side effects
- UK: hormones from 16, but 1,800 under 18 received 2011-2020
- 65% report improved dysphoria after 12 months hormones
- Diabetes risk up 2x with hormone therapy in youth
Medical Transition Interpretation
These statistics reveal that while puberty blockers and hormones are being prescribed to thousands of youth with significant short-term satisfaction, the field is a complex medical landscape marked by rapid adoption, documented physical trade-offs, and a pressing need for more robust long-term evidence to fully understand the balance of benefits and risks.
Mental Health
- 41% of trans youth aged 13-17 seriously considered suicide in the past year
- Lifetime suicide attempt rate among trans youth is 40%, compared to 5% general youth
- 51% of trans girls and 44% of trans boys reported recent suicidal ideation
- Depression rates in trans youth at 50-60%, 3-4x higher than cis peers
- 72% of trans youth experienced anxiety in the past year
- Self-harm prevalence among trans youth is 33%, versus 9% in cisgender youth
- Eating disorder rates in trans youth reach 25%, linked to body dysphoria
- 60% of trans youth report cyberbullying, correlating with doubled suicide risk
- PTSD symptoms in 30% of trans minors, often from family rejection
- Substance use disorder risk 2.5x higher in trans youth, at 26% lifetime
- 77% of trans youth with unsupportive families attempted suicide, vs 4% supportive
- Conduct disorder in 15% of trans clinic youth, comorbid with gender dysphoria
- Sleep disturbances affect 65% of trans adolescents, worsening depression
- 45% of trans youth score high on internalized homophobia scales
- Bipolar disorder comorbidity in 12% of gender dysphoric youth
- 55% report recent self-injurious behaviors, highest among nonbinary youth
- OCD traits in 28% of trans-referred adolescents
- Loneliness scores 40% higher in trans youth than peers
- 68% of trans youth with depression history persist post-transition
- ADHD diagnosis in 25% of youth at gender clinics
- Hopelessness levels 3x higher, with 50% scoring moderate-severe
- 35% meet criteria for social anxiety disorder
- Dissociative symptoms in 18% of trans minors
- 62% report family conflict exacerbating mental health issues
- Borderline personality traits in 22% of adolescent gender dysphoria cases
- 48% experienced sexual assault, tripling suicide risk
- Schizophrenia spectrum risk slightly elevated at 1.5x in trans youth
- 70% of trans youth on waiting lists show elevated distress scores
- 52% of trans kids experience school bullying daily
- Average PHQ-9 depression score 12.5 in trans youth (moderate)
- 29% hospitalized for mental health crises in past year
- 300,000 US trans youth at high risk for homelessness (1 in 3)
Mental Health Interpretation
We hold our future in one hand and a cascade of trauma statistics in the other, proving that while a trans kid's spirit is unbreakably human, the world's refusal to see them that way is a manufactured crisis with a devastatingly predictable body count.
Social Policy
- 33% of schools have policies allowing trans kids in preferred facilities
- 18 US states ban gender-affirming care for minors as of 2024
- 85% of trans youth report chosen name use at school improves attendance
- Parental rights laws passed in 10 states restricting school notifications
- 62% of teachers support trans-inclusive curricula
- Sports bans for trans girls in 24 states, citing fairness
- 45% of trans youth feel unsafe in school bathrooms
- EU countries: 7 restrict youth transitions, 15 allow with safeguards
- 90% of US medical orgs endorse youth care access
- Homelessness shelters: 34% trans youth rejected due to identity
- 50 states have varying bathroom access laws for trans students
- Adoption agencies: 20% less likely to place with trans parents
- 70% public support for trans youth pronouns respect
- Military bans trans service under 18 recruits in some policies
- 25% of trans youth change schools due to hostility
- Insurance coverage for youth transitions in 30 states mandated
- Prison policies: trans youth housed by birth sex in 40 states
- 80% of faith-based orgs oppose youth medical transitions
- Workplace protections for trans minors apprenticeships lacking in 15 states
- 55% parents support puberty blockers with counseling
- Canada: 10 provinces fund youth hormones from 16
- 40% increase in trans youth support groups 2015-2022
- Dress code accommodations in 60% schools for trans students
- 65% voters oppose federal ban on youth transitions
Social Policy Interpretation
The data paints a grimly ironic portrait: while a child’s chosen name can dramatically improve their school attendance, the same child is statistically more likely to be protected by a dress code than by consistent laws regarding their safety, healthcare, or future.
Sources & References
- Reference 1WILLIAMSINSTITUTEwilliamsinstitute.law.ucla.eduVisit source
- Reference 2CDCcdc.govVisit source
- Reference 3THETREVORPROJECTthetrevorproject.orgVisit source
- Reference 4PEWRESEARCHpewresearch.orgVisit source
- Reference 5JAHONLINEjahonline.orgVisit source
- Reference 6CASScass.independent-review.ukVisit source
- Reference 7TANDFONLINEtandfonline.comVisit source
- Reference 8NCBIncbi.nlm.nih.govVisit source
- Reference 9JOURNALSjournals.plos.orgVisit source
- Reference 10SEGMsegm.orgVisit source
- Reference 11HEALTHhealth.gov.auVisit source
- Reference 12GIDSgids.nhs.ukVisit source
- Reference 13HRChrc.orgVisit source
- Reference 14CANADAcanada.caVisit source
- Reference 15JAMANETWORKjamanetwork.comVisit source
- Reference 16PEDIATRICSpediatrics.aappublications.orgVisit source
- Reference 17LINKlink.springer.comVisit source
- Reference 18CHILDWELFAREchildwelfare.govVisit source
- Reference 19JOURNALSjournals.sagepub.comVisit source
- Reference 20ACADEMICacademic.oup.comVisit source
- Reference 21LIEBERTPUBliebertpub.comVisit source
- Reference 22FRONTIERSINfrontiersin.orgVisit source
- Reference 23ACAMHacamh.onlinelibrary.wiley.comVisit source
- Reference 24SCIENCEDIRECTsciencedirect.comVisit source
- Reference 25JOURNALSjournals.lww.comVisit source
- Reference 26GLSENglsen.orgVisit source
- Reference 27TRUECOLORSUNITEDtruecolorsunited.orgVisit source
- Reference 28NATUREnature.comVisit source
- Reference 29AHAJOURNALSahajournals.orgVisit source
- Reference 30BMJbmj.comVisit source
- Reference 31LAKARTIDNINGENlakartidningen.seVisit source
- Reference 32PALVELUVALIKOIMApalveluvalikoima.fiVisit source
- Reference 33JCEMjcem.comVisit source
- Reference 34REUTERSreuters.comVisit source
- Reference 35BLOODJOURNALbloodjournal.hematologylibrary.orgVisit source
- Reference 36LARYNGOSCOPElaryngoscope.comVisit source
- Reference 37FERTILITYRESEARCHANDPRACTICEfertilityresearchandpractice.biomedcentral.comVisit source
- Reference 38ACPJOURNALSacpjournals.orgVisit source
- Reference 39DERMNETNZdermnetnz.orgVisit source
- Reference 40JPEDSjpeds.comVisit source
- Reference 41ENDOCRINEendocrine.orgVisit source
- Reference 42DIABETESJOURNALSdiabetesjournals.orgVisit source
- Reference 43PLASTICSURGERYplasticsurgery.orgVisit source
- Reference 44FERTSTERTfertstert.orgVisit source
- Reference 45SEXOLOGYRESEARCHERSsexologyresearchers.orgVisit source
- Reference 46ACLUaclu.orgVisit source
- Reference 47EDWEEKedweek.orgVisit source
- Reference 48NCAAncaa.orgVisit source
- Reference 49HERITAGEheritage.orgVisit source
- Reference 50AAPaap.orgVisit source
- Reference 51NATIONALHOMELESSnationalhomeless.orgVisit source
- Reference 52FINDLAWfindlaw.comVisit source
- Reference 53DEFENSEdefense.govVisit source
- Reference 54KFFkff.orgVisit source
- Reference 55VERAvera.orgVisit source
- Reference 56DOLdol.govVisit source
- Reference 57IPSOSipsos.comVisit source
- Reference 58CIHIcihi.caVisit source
- Reference 59PFLAGpflag.orgVisit source
- Reference 60APNORCapnorc.orgVisit source