人际、社会和结构性压力源已被确定为解释跨性别者和顺性别者之间健康差异的关键因素。然而，大多数研究都集中在二元跨性别个体上，或者没有区分二元和非二元个体；很少有研究调查那些在性别二元之外识别的少数群体压力或健康的经历。在交叉性的指导下，并借鉴了大学心理健康中心 2012-2016 年数据库中 3,568 名大学生的样本——其中 892 名在性别二元之外确定——我们对参与者第一次咨询预约中管理的人口统计学和结果测量进行了分析，检查顺性别者、跨性别者和性别酷儿个体之间的差异。我们发现，与顺性别或二元跨性别个体相比，性别酷儿个体受到骚扰、性虐待和遭受创伤事件的发生率更高，大约 50% 的性别酷儿个体报告了其中一种经历。我们发现，性别酷儿个体比二元变性人和顺性别个体经历更多的焦虑、抑郁、心理困扰和饮食问题，比顺性别个体经历更多的社交焦虑。与其他任何群体相比，性别酷儿个体更频繁地报告自残和自杀行为，大约 2/3 的参与者已经考虑过，近 50% 的参与者尝试过自杀。我们扩展了当前关于少数族裔压力的理论（Hendricks & Testa，2012；Meyer，2003 年）将性别酷儿个体包括在内，并描述了可能导致这些趋势的性别酷儿经历的几个结构方面，包括其他人缺乏对性别酷儿经历和代词的了解、难以获得法律和医疗资源以及系统性歧视。（PsycINFO 数据库记录 (c) 2019 APA，保留所有权利）。 Interpersonal, social, and structural stressors have been identified as key elements that explain health disparities between transgender and cisgender individuals. However, most of this research has focused on binary transgender individuals or has not differentiated between binary and nonbinary individuals; little research has examined the experiences of minority stress or health of those identifying outside the gender binary. Guided by intersectionality and drawing on a sample of 3,568 college students from the Center for Collegiate Mental Health's 2012-2016 database-of whom 892 identified outside the gender binary-we conducted analyses of demographic and outcome measures administered in participants' 1st counseling appointment, examining differences between cisgender, transgender, and genderqueer individuals. We found that genderqueer individuals were harassed, sexually abused, and subjected to traumatic events at higher rates than were either cisgender or binary transgender individuals, with approximately 50% of genderqueer individuals reporting one of these experiences. We found that genderqueer individuals experienced more anxiety, depression, psychological distress, and eating concerns than did binary transgender and cisgender individuals and more social anxiety than did cisgender individuals. Genderqueer individuals more frequently reported self-harm and suicidality than did any other group, with approximately 2/3 of participants' having contemplated and nearly 50% making a suicide attempt. We extend current theorizing about minority stress (Hendricks & Testa, 2012; Meyer, 2003) to include genderqueer individuals and delineate several structural aspects of genderqueer experiences that may be responsible for these trends, including others' lack of knowledge about genderqueer experiences and pronouns, poor access to legal and medical resources, and systemic discrimination. (PsycINFO Database Record (c) 2019 APA, all rights reserved).