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In the decades following Stonewall, a fissure appeared. As the gay and lesbian movement sought acceptance through a "respectability politics" approach—arguing that LGBTQ people were "just like everyone else"—transgender individuals were sometimes viewed as liabilities. The early gay rights movement often distanced itself from drag queens and trans people, fearing that gender nonconformity would alienate cisgender, straight allies.

stemming from societal rejection disproportionately affect trans individuals. According to the Trevor Project, transgender and non-binary youth report significantly higher rates of suicide attempts than their cisgender LGB peers. LGBTQ culture has had to confront whether its mental health resources adequately address this specific demographic.