Last Sunday marked the 18th Trans Day of Remembrance, bearing witness to the 295 trans and gender-diverse people murdered in the last year in 33 countries around the world. More than a third (123) reported killings were in Brazil, with 10 across Europe (five each in Italy and Turkey). The trans community came together with allies to read the names of those murdered, mourn their passing and acknowledge pride in their wish to be their true self.

Overall, a total of 2,264 unlawful deaths of trans and gender-diverse people in 68 countries were committed worldwide between 1 January 2008 and 30 September 2016. That includes 44 from Turkey and 32 from Italy.

These figures only show the tip of the iceberg of homicides of trans and gender-diverse people, as most countries do not have robust reporting arrangements.

With ignorance commonplace and hate on the rise, anti-trans violence claims too many lives and even more victims of hate crime.

Denying the existence of trans people is manifested in many ways, including those put to rest with their former identity, not their authentic self.

Meanwhile, trans-exclusionary radical feminists (known as TERFs and led by the likes of Germaine Greer), along with intolerant newspaper columnists, peddle myths and whip up prejudice. The dismissive rhetoric stirs up crimes of hatred, creating fear among trans people that they will not be accepted and may be confronted with ‘deserved violence’.

While TDOR is always a sobering moment, we should also reflect on the advances being made in trans and gender-diverse awareness. There is much to celebrate, including the election of Labour’s first trans councillor this year.

Another recent landmark was the parliamentary inquiry into ‘trans equality’ conducted by the women and equalities committee. While not a game-changer, it sets a positive tone and direction of travel that could hold the government to account. Is Labour up for that?

As this was another example of the Tories taking the equality initiative with Labour lagging behind and not engaging effectively with the trans community, it would seem to be another missed opportunity by Labour’s ‘equality-troubled’ leadership.

Greater awareness of gender diversity is encouraging increasing numbers of people to express themselves more freely. Most are not transsexual (undergone surgery or changed legal status), but being transgender in a wider variety of ways (living in the acquired role without treatment or cross-dressing occasionally). Many people do not fit the gender binary or are gender fluid, especially younger people.

Referrals to specialist gender identity clinics are escalating, creating National Health Service capacity pressures that result in illegal waiting times for support. Without early and effective interventions many trans and gender-diverse people get more depressed and isolated; some resorting to self-harm or attempting suicide.

Inadequate healthcare acts as the lynchpin to many of the other inequalities that trans people experience. It is why urgent action is needed to replace the country’s leading clinic at Charring Cross and drive up GP awareness. It is also why Labour should be highlighting poor health outcomes, along with wider social and economic inequalities experienced by trans people.

Meanwhile, with 48 per cent of trans children and young people attempting suicide, it is vital that better support for families is put in place. It also means heeding what young people say about their identity. Too often clinicians do observe the principle behind ‘Gillick competence’ in determining support and treatment strategies. Instead they apply an arbitrary age of 16 for consent irrespective of their capacity, exposing them to the stress that comes with ongoing incongruence.

All in all the stark realities of the lived experience of gender transition and diversity reinforces the need for ‘trans-respect to triumph over transphobia’.

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Emily Brothers was parliamentary candidate for Sutton and Cheam in 2015 and London assembly candidate in 2016. She was Labour’s first transgender candidate for Westminster or devolved assembly. She tweets at @EBrothersLabour

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