Abuse can also manifest as medical neglect or unsafe practices:

: Over one-third of those reporting physical assault cited police as the perpetrators .

15 Oct 2019 — Those who are transgender and those who display gender nonconforming traits in childhood are at risk for child abuse and sequelae. National Institutes of Health (.gov)

: There are high rates of substance use often linked to the stress of sex work or coping with discrimination .

Child abuse victimization among transgender and gender ... - PubMed

: Due to limited access to formal healthcare, many use excessive estrogen supplements without medical supervision or undergo invasive, unsafe procedures like subcutaneous silicone injections to achieve a more feminine appearance . Legal and Social Context

: Many experience systemic abuse such as loss of employment (39%) and denial of housing (20%) .

: Transgender and gender-nonconforming individuals are at a significantly higher risk for child abuse and related long-term trauma . Health and Medical Vulnerabilities