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key takeaway: "Transgender and gender-questioning adolescents faced higher exposure to ACEs compared with cisgender peers, with most facing emotional and physical abuse, 1 in 5 facing sexual abuse, and 4 of 5 experiencing multiple ACEs. Transgender and gender-questioning youth likely face elevated abuse due to transphobic beliefs and behaviors from parents and other adults, discrimination that constitutes a gender-specific minority stressor with potential repercussions for adolescents’ mental and physical health."

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