Having your right to existence denied/criticised/ridiculed might have something to do with it too

Jeez what do you think causes that inner turmoil

I got my dream job offer rescinded two weeks ago BECAUSE I AM TRANS.

I have experienced sexual violence BECAUSE I AM TRANS.

I am terrified of being pulled over by a cop and institutionalized or incarcerated because the government says that my license is wrong now.

The problem is not my mental state. The problem is the discrimination.

If I killed myself, it would to be to avoid becoming homeless - because, like many trans people, there are substantial barriers to employment. It doesn’t matter if the Supreme Court said it’s illegal to fire people for being trans, it fucking happens.

My mental health would be peachy fucking keen if I were not part of the marginalized minority group that the government is so slavering to make a target that they tried to pretend the Kirk shooter carved trans propaganda into his bullets! They want to kill us or institutionalize us - how the fuck would your mental health be if you were walking around with a target on your back?

If you had to experience excruciating levels of gender dysphoria, hate and animosity – often coming from your own family –, maybe you would think differently...

It's not just verbal either, there is a real chance of non-passing trans people getting followed or even beaten up, especially in the evenings/nights. And yes, in the "civilised" west.

This is a cis-white dude that has never felt any real discrimination in his life

Man, you would not handle being a minority.

You know how every day the society you live in DOESN'T tell you it hates you and that it wants you to die?

I get it we usually don't notice things that don't happen to us, but cmon -_-

The person who is ridiculed because they are different, disowned from their families because they can't meet the demands of pretending to be someone they are not, denied the social accommodation that makes their lives comfortable, refused housing because of how they look, denied the health care that helps them feel centered because it creeps out the people who do not have their condition... How can their mind be still?

Trans health is dependent on the people around us the same way your health is dependent on the people around you. Trans joy is as possible as trans suffering. The difference is in other people allowing it to happen.

Lower self-reported transphobia was associated with a 66 % reduction in ideation, and an additional 76 % reduction in attempts among those with ideation

https://bmcpublichealth.biomedcentral.com/track/pdf/10.1186/s12889-015-1867-2.pdf

An increase by one context in which a chosen name could be used predicted a 5.37-unit decrease in depressive symptoms, a 29% decrease in suicidal ideation, and a 56% decrease in suicidal behavior.

https://www.jahonline.org/article/S1054-139X(18)30085-5/fulltext#intraref0010a

Socially transitioned transgender children who are supported in their gender identity have developmentally normative levels of depression and only minimal elevations in anxiety, suggesting that psychopathology is not inevitable within this group.

https://pubmed.ncbi.nlm.nih.gov/26921285/

So yes. Increased depression and suicide among trans people is, according to the research, entirely correlated with social factors like how much they are accepted by friends/family and chosen name use.