1. Trans Health Issues James Morton Scottish Transgender Alliance Manager on behalf of Transgender Europe

2. Gender Identity 40% Constant and clear gender identity as a woman 25% Constant and clear gender identity as a man 15% Variable or fluid non-binary gender identity 8% Constant and clear non-binary gender identity 6% Unsure of gender identity 3% No gender identity 3% Other At least 35% did not fit a binary trans narrative Only 13% did not wish to undergo any transition Diverse personal decision-making regarding hormones and surgeries (UK Trans Mental Health Study 2012)

3. Some Stressors Experienced 52% experienced employment discrimination 73% had been hate crime victims due to being trans (20% physically assaulted, 14% sexually assaulted) 80% worry about sexual relationships due to being trans 46% of those transitioning experienced difficulty accessing hormones and surgeries 67% feel they must hide being trans to be accepted (UK Trans Mental Health Study 2012)

4. Mental Health, Self Harm & Suicide 88% had experienced depression 75% had experienced anxiety 62% engaged in alcohol abuse 53% had self-harmed (UK Trans Mental Health Study 2012) Suicide Attempt Rates (Gen Pop ~ 4%) 35% - UK Trans Mental Health Study 2012 30% -Trans EuroStudy 2008 34% - UK Engendered Penalties 2006

5. Access to healthcare in Europe Access to gender reassignment 2003 to 2008 84% refused state-funded hormones 89% refused state-funded surgery 34% refused treatment due to doctor disapproving of gender reassignment (Trans EuroStudy 2008) 19% felt discriminated against by healthcare providers 2011 to 2012 (EU LGBT Survey 2012)

6. Some Negative Health Service Experiences - Trans Have you experienced the following from healthcare staff? (Source: UK Trans Mental Health Study 2012) YES Made you feel you were having to educate them61% Used wrong pronoun or name by mistake55% Said could not provide trans-related healthcare54% Used wrong pronoun or name on purpose26% Used hurtful or insulting language about trans people24% Belittled or ridiculed you for being trans18% Showed unprofessional curiosity about your body16% Asked to see/examine your genitals when it was unnecessary 7%