Trans Pathways is the largest study ever conducted on the state of mental health and care pathways of trans young people aged 14 to 25 years living in Australia. The study found that trans young people were at a very high risk for poor mental health, self-harming and suicide attempts. Over 90% reported experiencing body dysphoria as the most prevalent driver of poor mental health. A number of protective factors that support resilience were identified: social activities with peers and friends including volunteering and activism, recreational pursuits such as music and art, and spending time with pets. The research identified further study into the specific experiences of gender diverse Aboriginal and Torres Strait Islander young people is needed. Recommendations for government, service and education providers, parents and carers and peers are included. Importantly, the study acknowledged that having conversations around the issues affecting trans young people and hearing their voices are crucial ways of validating experiences and supporting needs. Access the report.