170. In addition to that, 23 respondents shared that they had attempted suicide with 22 of them informing that they had attempted suicide between 1 to 5 times. The table 28 below shows the number of suicidal attempt by the respondents: Frequency TW TM Intersex Table 28: Suicidal attempts by respondents One time 8 3 4 1 Two times 8 5 3 0 Three times 3 2 1 0 Four times 2 1 0 1 Five times 1 1 0 0 Item Note: TW: Trans women (69 persons), TM: Trans men (29 persons), Intersex: 2 persons 171. The gap between the number of respondents who was voluntarily seeking for mental health services with number of respondents that experienced mental health issues were very vast. Majority of the respondents had experienced one or more various mental health issues but not all seeking help from the mental health professional but then were severely affected i.e. some of them experienced suicidal ideation, self-harm and suicidal attempts – 3 respondents had shared they use drugs to cope with the mental health issues. 172. Looking at the scenario, competent mental health professionals in dealing with gender dysphoria and its related concerns is surely needed. At the same time, the access to seek for mental health services should be made available and affordable. Transgender persons would not or are unable to seek mental health services if the cost are unreasonable, if there was a lack of competent mental health professional around, if trans special health needs services are not available and medical professional are insensitive. In addition, stigma about mental health problem dissuade many from seeking medical help. 173. During an interview, a trans woman shared that she was advised by a mental health professional to experience sex with a sex worker to deal with her gender identity. The mental health professional asked her to reclaim her masculinity and told her that she had an identity crisis due to her mixed-race lineage. She further explained that the mental health professional had a stereotype against trans woman and expected her to confirm to the stereotype. It took her 8 years to find more supportive services for her needs. 174. When the respondents were asked based on their experience what are the gaps in the health care system in relation to healthcare needs of transgender 76 | Report On Transgender Persons In KL And Selangor

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