4 - (IOP 32) I Just Take Their Lead: Support Among Transgender and Gender Diverse Youth and Their Caregivers

Transgender and gender diverse (TGD) youth are at an elevated risk of depression, anxiety, and suicidal behavior, due in part to stressors related to their gender identity group membership. Caregivers are a critical predictor of wellbeing for TGD youth, by either buffering against or contributing to gender-related stress. This study aimed to understand caregiver and youth perceptions of caregiver support. Ten pairs of TGD youth and their caregivers were recruited to complete semi-structured clinical interviews about caregiver supportiveness and factors that contribute to or detract from perceived support. Qualitative responses were coded using thematic analysis by Braun and Clarke (2012). Emerging themes included allowing the youth to take the lead on gender expression, providing consistent support of their name change and gender affirming medical care, demonstrating a willingness to learn about gender, and advocating with family members and in the community. Differing perspectives on support were attributed to a lack of communication between youth and caregivers or caregivers’ limited understanding about gender identities. Importantly, the study included only families accessing gender affirming care, thereby limiting generalization to samples with caregivers who may be less supportive of gender affirming steps. Results highlight the importance of having caregivers listen to youths’ experiences, follow their lead with regard to gender expression, and advocate for them in the community. Clinicians can facilitate conversations between youth and caregivers, educate caregivers about gender identity and journeys, and provide a space for caregivers to explore their feelings separate from their youth.