Cravenly exploiting a tragedy to further dehumanize and endanger trans people, the Trump Administration’s Department of Justice now argues that because the perpetrator of the Annunciation shooting was trans, all trans people are mentally incompetent to own guns. In a rare display of unity, groups from GLAAD to the NRA, and even reliably anti-trans periodicals like The Independent and the New York Post, have thoroughly rejected the DOJ’s trial balloon.
Understandably rattled by these frightening developments, many trans people are now asserting their right to own guns—but as a mental health therapist specializing in serving the trans community, this gives me pause. While I am in favor of trans people taking steps they need in order to feel safe, I am also aware that a gun owner is far more likely to use that weapon to end their own life than for their self-protection: in fact, gun owners are 44 times more likely to use that gun to kill themselves than to protect against a home invader.
Let me be clear about where I stand. As a therapist who primarily supports marginalized groups, and as a trans person myself, I understand the immense importance of a person’s right to autonomy. As long as an individual is not actively choosing to harm themselves or others, I will always, wholeheartedly support their right to make their own decisions. This includes the decision to own a gun.
But as a therapist who frequently works with suicidal clients, I also know that a gun greatly elevates one’s suicide risk. In 2020, Stanford released the results of a 12-year study of 26 million Californians, finding that men who own guns were 8 times more likely to die by self-inflicted gunshot, and women were a staggering 35 times more likely.
The reason gun ownership increases risk so much has to do with the psychology and epidemiology of suicide. As a therapist, I’ve been trained to understand these factors to help support clients struggling with thoughts of suicide. When I work with those clients, it falls on me to operate with delicacy in order to enable my clients’ autonomy while also maintaining my responsibility to protect their safety.
In order to do this, I assess their risk to themselves, evaluating them based on the following three questions: Do you have a plan to end your life? Do you have the means of carrying out that plan? Do you intend to use those means to complete your plan? If a client answers yes to each of those questions, then they present a danger to themselves, and I am ethically and legally obligated to intervene.
This is high stakes stuff. Sometimes, intervening can mean persuading them share their suicide risk with someone else, or getting them to remove their means of suicide so that they can’t do it. But other times, intervening can be more extreme—it might mean breaking confidentiality to tell a parent, sibling, or close friend that they’re suicidal. In rare situations, it could even mean calling for an involuntary hospitalization.
These are things that I never want to do to a client, particularly since trans people tend to have negative experiences with emergency psychiatric hospitalization. I fiercely support my clients’ confidentiality, independence, and their ability to make their own decisions—particularly for trans people, who have historically experienced so many devastating limitations on their fundamental right to autonomy.
When assessing a client’s risk, I am in part considering the lethality of their means of suicide. If a client tells me that they intend to end their life by stabbing themselves with a spoon, I can rest a little easier, because I know that’s virtually impossible to do. Guns on the other hand are extremely lethal: Although they account for only 5% of suicide attempts, over 50% of deaths to suicide are gun deaths. All in all, more than 90% of those who attempt suicide with a gun complete their attempt.
The extreme lethality of guns plays into the fact that suicide tends to be an impulsive decision. It most often occurs when individuals are intoxicated with drugs or alcohol, when they have experienced an acute precipitating event, or when they are going through a mental health crisis. Suicidal individuals will be much more likely to ride out such storms if their means of suicide is less lethal, more difficult to carry out, takes longer to achieve its aim, or is more prone to error. Guns, unfortunately, are none of those things.
This is why I have such mixed feelings over trans people owning guns, as we know that the trans community is more likely to abuse substances, experience mood or anxiety disorders, and to experience adverse shocks, such as job losses, rejection by friends and family, and political persecution. These elevated risk factors, caused by discrimination and the stress of living it, mean that trans people are more likely to attempt suicide—having the lethal means to do so sadly makes us more likely to succeed.
With all that said, I still support the decision of any given trans person to own a gun. My belief is that I can best support the mental health of my clients by empowering them to make their own choices. Yes, this does involve presenting them with alternatives and discussing the risks and benefits of any given course of action, but at the end of the day I don’t think I will ever do anyone any good by telling them what they should do. As long as they know the risks, they get to make their own choices. (Again, provided that they are not telling me that they mean to harm themselves or someone else.)
To conclude, a word about the current political situation. Understandably, many trans people right now feel extremely threatened by the Trump Administrations, and so they desire to own guns as a means of resistance and self-protection. I appreciate where they are coming from, but this is inconsistent with how authoritarian regimes actually end. Research by Erica Chenoweth (who themselves identifies as nonbinary) has found that authoritarian regimes have been far more likely to fall by nonviolent civil resistance than by violent insurrection. The most powerful thing we can do to bring about the end of the Trump Administration probably isn’t to purchase a weapon but rather to get out and protest this debasement of our democracy—and share the stories of how policies like his attempt to strip trans people of guns are harming us, and all Americans.
Veronica Esposito (she/her) is a writer and therapist based in the Bay Area. She writes regularly for The Guardian, Xtra Magazine, and KQED, the NPR member station for Northern California, on the arts, mental health, and LGBTQ+ issues.








As a Black trans person who is prone to suicidal ideation, I appreciate this piece. Though as a pacifist, I detest all firearms and would never even handle a gun, much less own one.
I feel the same way about gun ownership as I do about military service: As long as it exists, it should be available to people of all genders, trans and cis. But I hope for a day when all firearms are eliminated from the Earth, voluntarily.
https://funcrunch.medium.com/is-pacifism-a-privilege-b6d56b932711?sk=82a375ab1bdd313ac2d2c03ba8a4922b
Statistics can be misunderstood even by well-educated people and misleadingly used to justify all sorts of political positions, but there is still such a thing as truth.
The truth is that the statistics presented here are extremely misleading, because obviously, if someone is intent on suicide, then they are going to choose the easiest and quickest means of suicide, and if they have firearms, then guess what? But, it’s not that access to firearms causes suicide or violence, it’s that when people intent on committing suicide or violence have access to firearms, they tend to choose to use the tools available to them. Surprise, surprise. Cart, get thee behind yon horse. Cause, meet effect. The statistical reality that trans people suffer from suicidal ideation at much higher rates than cis people does not mean that all trans people suffer from suicidal ideation, and it is not cause to advise all trans people to avoid firearms, as a blanket statement.
The actual truth of suicide in America is that the vast majority of firearms-related fatalities are suicides, and the vast majority of suicides by firearms are cisgender/cissexual, heterosexual, white, middle-aged to elderly males who are socially and economically isolated, who live in sparsely populated region such as Western states and mountainous areas, who already have access to firearms. And although it is often reported that firearms are the leading cause of fatality among "children"—a statistical category which includes many adults—the actual truth of this is that the data look very, very different when disaggregated by race, because it’s mostly young Black men involved in gang activity and the illicit drug trade doing the dying, not "children" in general. Blanket prescriptions are irresponsible and have no place in discussion among educated people. If you aren’t an older white cishet man suffering from the depression associated with social and economic failure, or a young Black cishet man involved in criminal activity associate with social and economic failure, then your probability of actually being injured by a firearm in America is infinitesimally low, which is borne out by the fact that the vast majority of Americans go about our daily lives not even thinking about danger from firearms, until our dumbphones shove it in our face to generate more profits for billionaires.
Very few people get into their motor vehicles on a daily basis intent on dying, but motor vehicles consistently account for more deaths in America every year than firearms, yet we do not hear anywhere near the same level of concern for "commonsense car control" or calls to ban motor vehicles.
None of this is said as if it ought to be reason for ignoring deaths by suicide. Obviously, suicide is a serious problem in our society that needs greater attention, but spreading misconceptions about suicide and firearms helps no one, especially during times when our own government is explicitly telling us that it is now a fascist regime intent on genocide against trans women, specifically. Don’t do the devil’s work for him. Our society is on the verge of willingly leaping headfirst into totalitarianism.
This is a very long comment that concedes the point while claiming to dispute it.
"if someone is intent on suicide, then they are going to choose the easiest and quickest means of suicide, and if they have firearms, then guess what?"
Correct, and since firearms are much more deadly, then someone with access to firearms is much more likely to die in a suicide attempt, while someone who does not have easy access to firearms is much more likely to survive a suicide attempt.
Since most people who survive an attempt say they’re very glad they did, it makes sense for someone with a history of depression or ideation, or someone who lives with someone like that, or someone who thinks they might one day have a partner or child like that, to want to limit the lethality of measures close at hand.