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Results: Older LGBT veterans reported less alcohol use (p




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Conclusions: Compared to younger LGBT veterans, older LGBT veterans appeared more resilient over stressors that can impact mental health. Overall older LGBT veterans experienced less alcohol use and reported less minority stress than younger veterans. LGBT identity was more central to older veterans' overall identity than younger Veterans.


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3.2. The consultation paper goes on to note that the proposed change would also be consistent with the age at which young people can exercise other rights under the law in Scotland. 16 and 17-year olds are able to make a number of important life decisions without parental involvement or consent. These include: getting married or entering a civil partnership; recording a change of name; and voting in Scottish elections.


3.9. On a similar theme, around 1 in 5 respondents commented that, by age 16, young people know their own minds and have the capacity and understanding to make their own choices and decisions. Further comments included that young people should be enabled to make decisions for themselves. It was also noted that the United Nations Convention on the Rights of the Child (UNCRC) requires that minors are not discriminated against, neither on grounds of age nor on grounds of their gender identity or sexuality, and that they are heard according to their maturity and evolving capacity in all matters that concern them.


3.10. Connected to this, around 1 in 8 respondents commented that children can be aware from an early age that they are trans. A smaller number of respondents noted that they themselves had been clear that they were trans by the age of 16. Others noted that they had worked with, or had friends or family members, who had also come to this realisation by age 16. A small number of Local Authority, H&SCP and NHS respondents noted that they are seeing younger and younger people declaring they wish to transition and that by lowering the age to 16 we empower young people into taking control and make decisions without the need for parental consent. They went on to note that this age is particularly relevant as it allows exam certificates to be issued in the correct name reducing anguish and preventing the administrative burden of having them reissued later.


3.15. Around 2,540 respondents who disagreed went on to make a comment, with 7 in 10 commenting that 16 years old is too young to be able to apply for and obtain legal recognition of their acquired gender. A wide range of further issues were raised in support of this view, with many of them centring around 16 being too young to make a life-changing decision. For example, it was suggested that 16 and 17-year olds are often still going through puberty and, as discussed further below, they may not yet be clear about their gender identity or sexuality. It was also suggested that the brain does not mature fully until people are in their mid-twenties. Respondents also commented on life experience and suggested that a 16 or 17-year-old simply does not know what it would be like to live as an adult in the gender that is the same as their birth sex.


3.17. Around 1 in 5 commented on the potential confusion, particularly around their gender identity and sexuality, that young people may experience. Further points included that gay or lesbian young people may see themselves as trans rather than recognising and accepting their sexuality. It was suggested that gay or lesbian young people may face bullying or discrimination because of their sexuality and that they may decide, or be encouraged to decide, they are trans instead. There were also concerns that young people may be coming under undue pressure or influence from social media. It was suggested that they are being exposed to messages hailing transition as the answer to the normal emotional confusion of going through the teenage years and that young girls may be especially vulnerable to these types of messages.


3.18. One perspective was that children and young people should be supported in exploring how they wish to express their gender identity without judgement and with appropriate access to mental health care and counselling services, but that legal recognition of gender should be something that they decide on as adults rather than when younger and easily swayed by the expectations and beliefs of their peers.


3.19. With specific reference to young women, there were concerns that the sexualised culture and the objectification of women could lead girls hitting puberty to want to opt out of being a woman. In particular, it was suggested that non-conforming teenage lesbians may be told or come to believe they must be male. There were also concerns that a high proportion of trans teens are autistic and that these young people may be particularly vulnerable to making changes to try to feel that they fit in. More generally, a Religious Body or Group respondent suggested that society places considerable pressure on young people and that being trans is far too often presented as an attractive alternative to the reality of their lives.


3.21. Respondents also commented on the nature of the decision that young people would be making and it was suggested that making irrevocable decisions at a young age could lead to life-long problems. Around 1 in 9 respondents raised this issue, with further comments suggesting that there are many adults who come to regret their decision to change gender. In particular, it was suggested that 16 or 17-year olds may not yet be able to fully think through the longer-term implications of what they are doing, particularly in terms of the health impacts that any medical intervention may have.


3.23. In terms of when a young person may be equipped to make a decision to transition, and in particular a decision to undergo medical treatment, around 1 in 8 felt that 18 years is an appropriate age, while a smaller number felt that people should not be able to make such a profound and life-changing decision until their early to mid-20s.


3.24. Further comments included that the UNCRC defines children as those under the age of 18 years and accords them special protections. As above, it was also noted that legislation does not consider someone to be an adult with full legal responsibilities until they reach 18 and some suggested that allowing a young person to transition before age 18 would be to not exercise an appropriate duty of care, particularly where a young person may be considered to be vulnerable. On a similar theme, respondents noted a range of other areas in which we do consider 16 and 17-year olds need to be protected; examples given include purchasing alcohol or cigarettes or getting a tattoo.


3.30. Otherwise, in addition to explaining why they had selected their preferred option, some respondents set out their reasons for believing that under 16s should be able to take action about their gender. For example, a small group of Local Authority, H&SCP and NHS respondents commented that a small but increasing number of trans young people under 16 in Scotland are able to be open about their gender identity and live happy, healthy lives with the support of their parents, families and peers. They noted, however, that even those young people who have been living for many years as themselves, who are accepted by their families, and who go to school as the gender they identify, are unable to have their gender identity legally recognised.


3.35. For example, around 1 in 2 respondents suggested being aged 15 or under is simply too young to make such a fundamental decision about how to live your life. It was suggested that children simply do not have the necessary life experience or reasoning skills to come to such a profound decision. For this very reason, respondents sometimes noted that there are very few other areas in which society does not protect children of 15 years or under and does not recognise that they may be vulnerable. Around 1 in 6 thought that to do otherwise, in this case by allowing a decision to transition, was to neglect the duty of care society owes to children and could even be seen as tantamount to child abuse.


3.36. As at Question 5, it was suggested that teenagers will still be going through puberty and may not yet be clear about their gender identity or sexuality. For younger children, it was suggested that this is simply too young to be thinking about gender identity, let alone deciding to change gender. Around 1 in 7 suggested that even if a child does think they are trans, they are likely to come to a different conclusion as they mature. Specifically, it was suggested that the overwhelming majority of children who experience gender dysphoria will not carry those feelings into adulthood, and most of those children, if left alone, will turn out to be gay, lesbian or bi-sexual as adults. 041b061a72


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