Transgender/nonbinary college and university students' perceptions and use of mental health services: Comparisons to peers in a large U.S. sample.

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Bibliographic Details
Title: Transgender/nonbinary college and university students' perceptions and use of mental health services: Comparisons to peers in a large U.S. sample.
Authors: Murchison, Gabriel R. (AUTHOR), Seager van Dyk, Ilana (AUTHOR), Wolfe, Hill L. (AUTHOR), Lipson, Sarah K. (AUTHOR)
Source: Journal of American College Health. Feb2026, Vol. 74 Issue 2, p313-324. 12p.
Subjects: Medical care use, Cross-sectional method, Psychotherapy, Health services accessibility, Mental health services, Research funding, Nonbinary people, Descriptive statistics, Social norms, College students, Student attitudes, Data analysis software, Confidence intervals
Geographic Terms: United States
Abstract: 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: Using cross-sectional, population-based survey data from U.S. undergraduate and graduate students (2015–2021), we compared TNB (n = 10,297) and cisgender (n = 426,827) students' perceptions and use of mental health services via 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. [ABSTRACT FROM AUTHOR]
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Database: Psychology and Behavioral Sciences Collection
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