The studies have identified a number of risk factors for the high rates of suicide and suicidal behavior among transgender persons. The discrimination of the transgender persons in the society has prevented them from obtaining an education, job, and housing because of which they are living in slums or street and have to resort to begging and sex work;[
10] this pitiful conditions have lead them to breakdown further and end their life in suicide.[
6] Stigma, discrimination, and violence against transgender persons occur across multiple social and institutional contexts; they are verbally harassed, physical and sexually abused[
11] and blackmailed by the police and rowdies; rejection, hateredness, verbal and physical abuse from friends and family members, stigmatization, refusal of services, and derogatory labeling at health-care system, etc., have lead them to lose interest in day-to-day activities; the risk of HIV and HIV status increase their psychological distress, and they express thoughts of committing suicide.[
17] The suicidality among sexual minority community is associated with poor mental health condition in forms of mental illness,[
20,
21] psychological pain, emotion fatigue, and low self-esteem; life being hard, being confused about one's sexuality or difficulty in accepting it, not being able to disclose one's sexuality,[
8] bullying, history of forced sex, gender-based discrimination, and victimization[
9] and isolation are the other reasons for suicide among this population.[
10] Lesbian, gay, bisexual, and transgender (LGBT) assault hate crimes at the neighborhood are an additional sociocontextual risk factors for suicidal ideation and attempts among sexual-minority adolescents.[
22]