The human papillomavirus (HPV) carries a significant health risk for people with a cervix. Among transgender and nonbinary people, however, testing and treatment for HPV can pose difficulties and even be traumatic at times. This study is part of a larger mixed-methods study conducted in Michigan in 2020, and it explores the experiences of transmasculine and nonbinary people with at-home self-swabbing HPV test kits and knowledge of HPV transmission/screenings. Phenomenological qualitative methods were used by conducting virtual qualitative interviews with ten transmasculine and nonbinary individuals with cervixes, ages 23–59. Interviews were independently coded by members of the research team and a tabletop theming method was used. Four themes were generated from the data: (1) multilevel barriers; (2) “get it done, so I know that I am safe”; (3) contrasting preferences for care; and (4) community calls for change. The discussion focuses on the implications of these findings for improving sexual health care for the transgender and nonbinary community, along with directions for further research.

Despite increases in visibility, gender‐nonconforming young people continue to be at risk for bullying and discrimination. Prior work has established that gender essentialism in children correlates with prejudice against people who do not conform to gender norms, but to date no causal link has been established. The present study investigated this link more directly by testing whether children's gender essentialism and prejudice against gender nonconformity can be reduced by exposure to anti‐essentialist messaging. Children ages 6–10 years of age (N = 102) in the experimental condition viewed a short video describing similarities between boys and girls and variation within each gender; children in the control condition (N = 102) viewed a corresponding video describing similarities between two types of climate and variation within each. Children then received measures of gender essentialism and prejudice against gender nonconformity. Finally, to ask whether manipulating children's gender essentialism extends to another domain, we included assessments of racial essentialism and prejudice. We found positive correlations between gender essentialism and prejudice against gender nonconformity; both also correlated negatively with participant age. However, we observed no differences between children in the experimental versus control conditions in overall essentialism or prejudice, indicating that our video was largely ineffective in manipulating essentialism. Accordingly, we were unable to provide evidence of a causal relationship between essentialism and prejudice. We did, however, see a difference between conditions on the discreteness measure, which is most closely linked to the wording in the video. This finding suggests that specific aspects of essentialism in young children may be modifiable.Research Highlights: Consistent with prior research, we found that greater gender essentialism was associated with greater prejudice against gender‐nonconforming children; both decreased with age. We randomly assigned children to view either an anti‐essentialist video manipulation or a control video to test if this relation was causal in nature. The anti‐essentialist video did not reduce overall essentialism as compared to the control, so we did not find support for a causal link. We observed a reduction in the dimension of essentialism most closely linked to the anti‐essentialist video language, suggesting the potential utility of anti‐essentialist messaging.

The rates of depression, anxiety, and suicidal ideation have all increased among U.S. college students. The utilization of mental health services has also risen. Transgender/gender diverse (TGD) young people experience high rates of mental health concerns. Little is known regarding TGD students needing mental health services, if they are accessing them, and the differences in who accesses these services. This pilot study (N = 121), conducted online from 2021 to 2022, explores the mental health of the TGD students and the mental health services at a Midwest public university. Of the total sample, 68.1% described their mental health as being fair or poor. Disabled students were significantly more likely to self-report a negative mental health status (76.7%) than their non-disabled peers (58.9%). Nonbinary individuals were also significantly more likely to indicate negative mental health (79.5%) than their binary counterparts (47.6%). Notably, 6.6% of students with current depression diagnoses, 7.1% with current anxiety diagnoses, 11.8% with recent thoughts of NSSI, and 3.3% with recent suicide attempts had not accessed mental health services. This study indicates the need for more accessible TGD affirming mental health care for TGD students, and opportunities for innovation with interventions to better support TGD college and university students.

Although psychological research often relies on convenience samples, the most informative participants may be individuals who are reluctant to engage because of vulnerability, mistrust of the research process, and/or disagreement with a study’s goals. Although this concern is particularly urgent for certain research questions, it is relevant for all researchers because relying solely on easy-to-reach participants limits a study’s validity and generalizability and may substantially hollow out or even render unanswerable some research questions. We review a number of challenges for conducting research with “reluctant but informative” participants and strategies to meet and overcome these challenges. We argue that engaging reluctant participants requires attention at every phase of the research process, including study design and planning, participant recruitment and testing, data analysis and interpretation, and reporting and broader impacts. We also illustrate with our own recent experiences conducting research on children’s gender concepts in rural, conservative U.S. communities that expressed skepticism about the value of this research. Although every study is different, notable across all projects are the need to respect both individual participants and their communities and to balance competing desiderata. Finally, we discuss the importance of transparency around sample composition and constraints to generalizability and the potential utility of collaborative research both across research institutions and between researchers and participant communities.

Mental health professionals aim to engage our clients with “accurate empathy”: a nonjudgmental understanding of each person’s starting point and experiences that is in tune with their perspective. This article explores the challenges and importance of developing this type of engagement in complex contexts, using the lens of group work with a disparate set of LGBTQIA2S+ young adults whose identities, backgrounds, and experiences differed from one another and from the facilitator. The author reflects on experiences from a grant-based position creating and running a trauma-informed support group in an emergency shelter for unhoused LGBTQIA2S+ young adults in a major U.S. city, including the impact of common issues in the field such as staff turnover, confusion about roles and needs, and support. The article describes lessons learned about the importance of language choice, self-reflection, and the need to confront and build on differences to create a shared process of support.