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Using a lens of minority stress, this study sought to examine in\u2010school experiences of transgender youth to understand youth coping and to identify key opportunities for improving school environments for transgender youth.<\/jats:p><\/jats:sec><jats:sec><jats:title>METHODS<\/jats:title><jats:p>Participants included 41 youth across 33 in\u2010depth interviews (M<jats:sub>age<\/jats:sub>\u00a0=\u00a021.7) and two focus groups (N\u00a0=\u00a08; M<jats:sub>age<\/jats:sub>\u00a0=\u00a017.3). Thematic analysis was used to analyze data. Themes related to stress, coping, and facilitators\/barriers to stress\/coping were derived and coded.<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p>Distal stressors, such as structural discrimination and prejudice events, were found to contribute to the exclusion of transgender youth from school life, while proximal stressors, such as concealment and expectations of rejection, reinforced transgender youth's feelings of personal isolation. Participants expressed coping with both challenges by advocating for inclusion through direct action with teachers and administrators and seeking\/finding connection with trusted staff and peers.<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSIONS<\/jats:title><jats:p>Findings suggest that creating safe and supportive environments at school for transgender youth is an attainable goal, as all identified barriers to inclusivity and connection were modifiable. By considering the needs of transgender youth in policies and programming, schools may improve climate for and wellbeing of transgender students.<\/jats:p><\/jats:sec>","DOI":"10.1111\/josh.13086","type":"journal-article","created":{"date-parts":[[2021,9,17]],"date-time":"2021-09-17T09:35:51Z","timestamp":1631871351000},"page":"883-893","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":51,"title":["Minority Stress, Coping, and Transgender Youth in Schools\u2014Results from the Resilience and Transgender Youth Study"],"prefix":"10.1111","volume":"91","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9057-2752","authenticated-orcid":false,"given":"Michelle M.","family":"Johns","sequence":"first","affiliation":[{"name":"Division of Adolescent and School Health, Centers for Disease Control and Prevention, 1600 Clifton Rd NE, Mailstop US 8\u20101  Atlanta GA 30329 USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alithia","family":"Zamantakis","sequence":"additional","affiliation":[{"name":"Department of Sociology Georgia State University, Director of LGBTQ Programs &amp; Services, Shippensburg University, 2022 Deerfield Commons  Shippensburg PA 17257 USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jack","family":"Andrzejewski","sequence":"additional","affiliation":[{"name":"San Diego State University\u2014University of California, San Diego Joint Doctoral Program in Public Health, 9500 Gilman Drive, Mail Code #0507  La Jolla CA 92093 USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lorin","family":"Boyce","sequence":"additional","affiliation":[{"name":"ICF, 2635 Century Parkway NE, Suite 1000  Atlanta GA 30345 USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catherine N.","family":"Rasberry","sequence":"additional","affiliation":[{"name":"Division of Adolescent and School Health, Centers for Disease Control and Prevention, 1600 Clifton Rd NE, Mailstop US 8\u20101  Atlanta GA 30329 USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paula E.","family":"Jayne","sequence":"additional","affiliation":[{"name":"Division of Adolescent and School Health, Centers for Disease Control and Prevention, 1600 Clifton Rd NE, Mailstop US 8\u20101  Atlanta GA 30329 USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,9,17]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6803a3"},{"key":"e_1_2_6_3_1","volume-title":"The Report of the 2015 U.S. Transgender Survey","author":"James SE","year":"2016"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/1059840518818259"},{"key":"e_1_2_6_5_1","first-page":"886260520915554","article-title":"Suicidality among transgender youth: elucidating the role of interpersonal risk factors","author":"Austin A","year":"2020","journal-title":"J Interpers Violence"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0029597"},{"key":"e_1_2_6_7_1","first-page":"252","volume-title":"Handbook of Psychology and Sexual Orientation","author":"Meyer IH","year":"2013"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1037\/0033-2909.129.5.674"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(06)68184-1"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev.soc.27.1.363"},{"key":"e_1_2_6_11_1","volume-title":"The Health of Lesbian, Gay, Bisexual, and Transgender People: Building a Foundation for Better Understanding","author":"Institute of Medicine","year":"2011"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1037\/sgd0000081"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1215\/23289252-2399623"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1080\/00224499.2014.886321"},{"key":"e_1_2_6_15_1","volume-title":"Suicide Attempts among Transgender and Gender Non\u2010conforming Adults: Findings of the National Transgender Discrimination Survey","author":"Herman JL","year":"2014"},{"key":"e_1_2_6_16_1","first-page":"1","article-title":"Risk, resilience, resistance and situated agency of trans high school students","volume":"17","author":"Hillier A","year":"2019","journal-title":"J LGBT Youth"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11199-012-0149-z"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1037\/spq0000192"},{"key":"e_1_2_6_19_1","volume-title":"Qualitative Research and Evaluation Methods","author":"Patton MQ","year":"2015"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1002\/1098-240X(200012)23:6<510::AID-NUR9>3.0.CO;2-L"},{"key":"e_1_2_6_21_1","doi-asserted-by":"crossref","unstructured":"GuestG MacQueenKM NameyEE.Applied Thematic Analysis. 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