"Gender-affirming treatment remains a topic of controversy, with many calling for greater access to gender affirming treatments to foster psychological well-being for transgender, nonbinary, and intersex individuals. There is accumulating literature that suggests transgender individuals suffer worse mental health outcomes than their cisgender peers; of particular concern is increased suicidality. The literature to date reveals concerning trends regarding suicidality in transgender individuals. A high prevalence of suicide attempts and thoughts of suicide occur in transgender youth compared to their cisgender peers. Transgender US military veterans have more than 20 times higher rates of suicide-related events than cisgender veterans. The prevalence of suicidal ideation and attempts varies by sample, with the prevalence of suicidal ideation sometimes as high as 50-75%. Rates of attempted suicide can reach peaks of 30% and above. One longitudinal study of over 6,000 transgender individuals in the US indicates that the highest risk of suicide is among those under 18 years of age. Transgender individuals are also at increased susceptibility for various suicide risk-enhancing factors, as a growing body of literature suggests that transgender individuals face a high burden of chronic health conditions, psychiatric illnesses and their comorbidities, substance use], trauma and victimization, and housing and employment discrimination. In light of this high prevalence of suicidality and the proliferation of gender-affirming treatments, a common argument by advocates of gender-affirming treatments is that such treatments are needed to reduce suicidality."