Broader context, interpersonal, and intrapersonal factors that compromise and promote the mental health of Australian transgender adults

A growing body of literature has described the factors that compromise mental health for transgender people, yet less information is known about the factors that promote resilience and protect mental health for transgender adults in Australia. This qualitative study aimed to increase knowledge and understanding about the broader context, interpersonal, and intrapersonal factors that compromise and promote the mental health of Australian transgender adults. Data were gathered using semistructured, one-on-one interviews with ten adult participants, including five transgender people and five mental health practitioners who specialize in gender diversity, and analysed using contemporary constructivist grounded theory methodology. Results indicated that the mental health of transgender adults in Australia is shaped by multi-layered interactions between broader context, interpersonal, and intrapersonal factors that perpetuate stigma and exclusion and compromise mental health, as well as those that cultivate identity affirmation and inclusion and promote mental health, wellbeing and quality of life. Findings from this research can be used to enhance current understandings of the mental health experiences and needs of transgender people; to improve clinical practice, health promotion, education, policy development, and advocacy; and promote the mental health of transgender adults in Australia