“…Trans and gender-diverse individuals' experiences of prejudicial treatment from other care providers are well-established (Grey & Janus, 2018;Reisner et al, 2016, Riggs et al, 2014, even in the context of emergency situations and services (Chisolm-Straker et al, 2017). These findings have been instrumental in efforts to improve health services for trans and gender-diverse individuals (see: Christian et al, 2018;McCarthy et al, 2015;Shaikh et al, 2016). Therefore, an examination of trans and gender-diverse individuals' experiences of crisis helplines is necessary to better understanding how these services are used to meet their mental health needs, and is invaluable for guiding future improvement to these services (McCanns & Brown, 2017).…”