Christian parents who refuse to understand, or simply can not understand that their child is a female/male in the body of a male/female is the number one reason for transgender youth suicide.
More than 50% of transgender youth in America will have had at least one suicide attempt by their 20th birthday. The exact number is impossible to know because LGBTQ youth who are sexuality and gender minorities are often hidden and even unknown, espesially in that age group.
People who grow up in very strict christian households with institutionalized homophobia or transphobia gets to hear how bad it is being gay, bi or anything else than straight and cis for their whole lives. And then when they realise that they actually are gay or trans themselves
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It has gotten a lot of recognition not only in America but other places too. Transgender youth, as Leelah, that grow up in very conservative christian families, amongst other religions, are told their whole lives how wrong it is, making them hate themselves. And if they are ever sent to a therapist it's almost always one who's biased and who says the exact things their paretns told them their whole life, and then the whole concept of their gender identity being wrong gets even more burned into their heads and they get even more convinced that there's something wrong with them. When in fact therapists are supposed to be very objective in their proffesion but instead in very religious areas bring their believes into the work place.
Because misgendering you're child doesn't count as abuse and because most transgender teens who commit suicide never become older than 18 and therefor never gets the chance to be who they really are because the law makes it impossible for kids under 18 to transition by themselves, about 50% of trans teens never become adults, they die young not seeing any other way out, and are then grieved by their families as the gender they never