It is high because primarily a minority stress of being a transgender person in unaccepting environment:

https://www.sciencedirect.com/science/article/pii/S266656032...

After reading the above I don't believe they concluded stress of living in a non-accepting world is the primary reason.

30% think about killing themselves and 4%+ try each year is shocking. I think whatever side of the debate you are on we can agree things aren't working out for too many people who go through this process. If this was a drug or vaccine or hair shampoo it would have been pulled off the market.

	▲	dpark 3 hours ago \| parent [-]
		> people who go through this process Through what process? This was a study about trans and nonbinary people, not specifically about people who have “transitioned” I would imagine the rate of depression and similar disorders in trans people is extremely high. To be so unsatisfied with one’s own body that you consider (or go through) major treatment and surgery to change something so fundamental.