I think it's stunning that you do not see any chicken-or-the-egg conflict in the data related to depression and self-harm among members of an historically maligned population.
Of course there are social and cultural pressures that create anxiety and can be associated with their behavior. It's just not the driving factor, nor the responsibility of anyone to save people from their own dissolving identities.
Do you have a family? Own a home? Pay taxes? Mortgage? Life isn't very easy to navigate, and certainly less easier when you go out of your way to engage in perverse lifestyle choices that revolve exclusively around what kind of genitals your partner may or may not have.