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OBJECTIVE: This study was intended to characterize transgender and/or nonbinary (TNB) college and university students' perceptions (e.g., perceived need, perceived barriers) and use of mental health care, including any differences relative to cisgender peers. PARTICIPANTS AND METHODS: demographic-adjusted generalized linear models. RESULTS: Over 77% of TNB students had moderate-to-severe depression/anxiety symptoms. TNB students were significantly more likely than cisgender students to have used psychotherapy (risk ratio RR = 2.12) and psychiatric medication (RR = 2.05) in the past year-and significantly more likely to perceive barriers to care, including appointment availability problems (RR = 2.67) and feeling misunderstood by providers (RR = 1.96). CONCLUSION: Colleges and universities should take steps to facilitate equitable care for TNB students, including access to TNB-affirming clinicians on and off campus.
Murchison et al. (Thu,) studied this question.