Leelah's Law
   HOME

TheInfoList



OR:

Leelah Alcorn (November 15, 1997 – December 28, 2014) was an American transgender girl whose suicide attracted international attention; she had posted a suicide note to her Tumblr blog about societal standards affecting transgender people and expressing the hope that her death would create a dialogue about discrimination, abuse, and lack of support for transgender people. Born and raised in Kings Mills, Ohio, Alcorn was assigned male at birth and grew up in a family affiliated with the
Churches of Christ The Churches of Christ is a loose association of autonomous Christian congregations based on the ''sola scriptura'' doctrine. Their practices are based on Bible texts and draw on the early Christian church as described in the New Testament. T ...
movement. At age 14, she came out as transgender to her parents, Carla and Doug Alcorn, who refused to accept her female gender identity. When she was 16, they denied her request to undergo transition treatment, instead sending her to Christian-based conversion therapy with the intention of convincing her to reject her gender identity and accept the gender that she was assigned at birth. After she revealed her attraction toward males to her classmates, her parents removed her from school and revoked her access to social media. In her suicide note, Alcorn cited loneliness and alienation as key reasons for her decision to end her life and blamed her parents for causing these feelings. Alcorn used Tumblr's timer feature to publish her suicide note online several hours after her death, and it soon attracted international attention across mainstream and social media. LGBT rights activists called attention to the incident as evidence of the problems faced by
transgender youth Transgender youth are children or adolescents who do not identify with the sex they were assigned at birth. Because transgender youth are usually dependent on their parents for care, shelter, financial support, and other needs, transgender yo ...
, while vigils were held in her memory in the United States and United Kingdom. Petitions were formed calling for the establishment of "Leelah's Law", a ban on conversion therapy in the United States, which received a supportive response from then-president Barack Obama. Within a year, the city of Cincinnati criminalized conversion therapy. Alcorn's parents were severely criticized for misgendering and deadnaming her in comments to the media, while LGBT rights activist Dan Savage held them responsible for their child's death, and social media users harassed them online. They defended their refusal to accept Alcorn's identity and their use of conversion therapy by reference to their Christian beliefs.


Life

Leelah Alcorn was born in Kings Mills, Ohio, on November 15, 1997. She described herself as one of several children being raised in a conservative Christian environment; she and her family attended the Northeast Church of Christ in Cincinnati, and she had been featured in a profile of that church published in a 2011 article in ''
The Christian Chronicle ''The Christian Chronicle'' is a religious newspaper associated with the Churches of Christ.Douglas Allen Foster and Anthony L. Dunnavant, ''The Encyclopedia of the Stone-Campbell Movement: Christian Church (Disciples of Christ), Christian Churche ...
''. As of 2014, the family lived in Kings Mills. According to her suicide note, Alcorn had felt "like a girl trapped in a boy's body" since she was four, and came to identify as a transgender girl from the age of 14, when she became aware of the term. She rejected the name she was given by her parents, and signed her suicide note "(Leelah) Josh Alcorn". According to her note, she immediately informed her mother, who reacted "extremely negatively" by claiming that it was only a phase and that God had made her a male, so she could never be a woman. She stated that this made her hate herself, and that she developed a form of depression. Alcorn's mother sent her to Christian conversion therapists, but Alcorn later related that there she only encountered "more Christians" telling her that she was "selfish and wrong" and "should look to God for help". Aged 16, she requested that she be allowed to undergo transition treatment, but was denied permission: in her words, "I felt hopeless, that I was just going to look like a man in
drag Drag or The Drag may refer to: Places * Drag, Norway, a village in Tysfjord municipality, Nordland, Norway * ''Drág'', the Hungarian name for Dragu Commune in Sălaj County, Romania * Drag (Austin, Texas), the portion of Guadalupe Street adj ...
for the rest of my life. On my 16th birthday, when I didn't receive consent from my parents to start transitioning, I cried myself to sleep." Alcorn publicly revealed her attraction to males when she was 16, as she believed that identifying as gay at that point would be a stepping stone to
coming out Coming out of the closet, often shortened to coming out, is a metaphor used to describe LGBT people's self-disclosure of their sexual orientation, romantic orientation, or gender identity. Framed and debated as a privacy issue, coming out of ...
as a transgender at a later date. According to a childhood friend, Alcorn received a positive reception from many at Kings High School, although her parents were appalled. In Alcorn's words, "They felt like I was attacking their image, and that I was an embarrassment to them. They wanted me to be their perfect little straight Christian boy, and that's obviously not what I wanted." They removed her from the school and enrolled her as an eleventh grader at the
Ohio Virtual Academy The Ohio Virtual Academy (OHVA) is one of many virtual charter schools that is powered by the curriculum provider Stride Inc. The academy, like most Stride-supplied schools, provides the student with textbooks, materials, and a loaned computer, s ...
online school. According to Alcorn, her parents cut her off from the outside world for five months as they denied her access to social media and many forms of communication. She described this as a significant contributing factor towards her suicide. At the end of the school year, they returned her mobile phone to her and allowed her to regain contact with her friends, although by this time, according to Alcorn, her relationship with many of them had become strained, and she continued to feel isolated. Two months before her death, Alcorn sought out help on Reddit, asking users whether the treatment perpetrated by her parents constituted
child abuse Child abuse (also called child endangerment or child maltreatment) is physical, sexual, and/or psychological maltreatment or neglect of a child or children, especially by a parent or a caregiver. Child abuse may include any act or failure to a ...
. There, she revealed that while her parents had never physically assaulted her, "they always talked to me in a very derogatory tone" and "would say things like 'You'll never be a real girl' or 'What're you going to do, fuck boys?' or 'God's going to send you straight to hell'. These all made me feel awful about myself, I was Christian at the time so I thought that God hated me and that I didn't deserve to be alive." Further, she explained, "I tried my absolute hardest to live up to their standards and be a straight male, but eventually I realized that I hated religion and my parents." On Reddit, Alcorn also disclosed that she was prescribed increasing dosages of the anti-depressant Prozac. In concluding her post, she wrote, "Please help me, I don't know what I should do and I can't take much more of this." Alcorn's computer was recovered near the site of her suicide. It contained conversations showing that she had planned to jump off the bridge that crosses Interstate 71 days before the incident, but then contacted a
crisis hotline A crisis hotline is a phone number people can call to get immediate emergency telephone counseling, usually by trained volunteers. The first such service was founded in England in 1951 and such hotlines have existed in most major cities of the E ...
and, as told to a friend, "basically cried ereyes out for a couple of hours talking to a lady there".


Death

Prior to her death on December 28, 2014, Alcorn scheduled for her suicide note to be automatically posted on her Tumblr account at 5:30 pm. In the note, she stated her intention to end her life, commenting: She expressed her wish that all of her possessions and money be donated to a transgender advocacy charity, and called for issues surrounding gender identity to be taught in schools. The note ended with the statement: "My death needs to mean something. My death needs to be counted in the number of transgender people who commit suicide this year. I want someone to look at that number and say 'that's fucked up' and fix it. Fix society. Please." A second post appeared shortly after; titled "Sorry", it featured an apology to her close friends and siblings for the trauma that her suicide would put them through, but also contained a message to her parents: "Fuck you. You can't just control other people like that. That's messed up." An additional, handwritten suicide note reading "I've had enough" was found on her bed, but then thrown away by Alcorn's mother after police made a copy. In the early morning of December 28, police informed news sources that she had been walking along Interstate 71 near Union Township when she was struck by a semi-trailer just before 2:30 am near the South Lebanon exit. She died at the scene. It is believed that Alcorn walked from her parents' Kings Mills house before being struck. The highway was closed for more than an hour after the incident. An investigation was launched by the Ohio State Highway Patrol, while Alcorn's body was transported to the
Montgomery County Montgomery County may refer to: Australia * The former name of Montgomery Land District, Tasmania United Kingdom * The historic county of Montgomeryshire, Wales, also called County of Montgomery United States * Montgomery County, Alabama * Mon ...
coroner, where an
autopsy An autopsy (post-mortem examination, obduction, necropsy, or autopsia cadaverum) is a surgical procedure that consists of a thorough examination of a corpse by dissection to determine the cause, mode, and manner of death or to evaluate any di ...
was scheduled. The truck driver was not physically injured during the collision. By the morning of December 31, her suicide note had been reposted on Tumblr 200,000 times. Writing for '' The Boston Globe'', reporter Maura Johnston described it as a "passionate post". The suicide note was later deleted after Alcorn's parents asked for it to be removed, and the blog was made inaccessible to the public. According to the family minister, the Alcorn family decided to hold the funeral privately after receiving threats. Alcorn's body was reportedly
cremated Cremation is a method of final disposition of a dead body through burning. Cremation may serve as a funeral or post-funeral rite and as an alternative to burial. In some countries, including India and Nepal, cremation on an open-air pyre i ...
. The Ohio State Patrol completed their investigation into Alcorn's death on April 30, 2015, officially ruling it a suicide.


Reaction


Alcorn's parents

On December 28 at 2:56 p.m., Alcorn's mother, Carla Wood Alcorn, posted a public message on the social media website Facebook, stating: "My sweet 16-year-old son, eelahAlcorn, went home to Heaven this morning. He was out for an early morning walk and was hit by a truck. Thank you for the messages and kindness and concern you have sent our way. Please continue to keep us in your prayers." Carla Alcorn's post was subsequently deleted. The Alcorn family publicly requested that they be given privacy to grieve in a statement issued by the
Kings Local School District Kings or King's may refer to: *Monarchs: The sovereign heads of states and/or nations, with the male being kings *One of several works known as the "Book of Kings": **The Books of Kings part of the Bible, divided into two parts **The ''Shahnameh' ...
. In that statement, staff from Alcorn's former school, Kings High School, declared that " eelahAlcorn was a sweet, talented, tender-hearted 17-year-old", adding that counselors would be made available to students affected by the incident. A moment of silence was held in Alcorn's memory before a Kings High basketball game on December 30. Some of Alcorn's supporters publicly criticized the teen's mother, Carla Alcorn, for misgendering and deadnaming her daughter in the Facebook post announcing the teenager's death. Some individuals—termed "the Internet's self-appointed vigilantes" in '' The Washington Post''—subsequently
doxed Doxing or doxxing is the act of publicly providing personally identifiable information about an individual or organization, usually via the internet. Historically, the term has been used interchangeably to refer to both the aggregation of this in ...
and harassed Carla via her Facebook account "in revenge" for Leelah's death. On Twitter, American gay rights activist Dan Savage argued that Alcorn's parents should be prosecuted for their role in bringing about their daughter's death, commenting that through their actions they "threw her in front of that truck". He cited the successful prosecution of Dharun Ravi following the suicide of Tyler Clementi as a legal precedent for such an action. He added that legal action should also be brought against the conversion therapists who had counseled Leelah, and suggested that the Alcorns should lose custody of their other children. Carla Alcorn responded to such criticism in an interview with CNN, stating "we loved him unconditionally. We loved him no matter what. I loved my son. People need to know that I loved him. He was a good kid, a good boy." Although acknowledging that Leelah had requested transition surgery, Carla stated that she had never heard her child use the name "Leelah", before reiterating her refusal to accept her child's gender identity, adding "We don't support that, religiously." She expressed concern that users of social media thought her to be a "horrible person", but defended her actions in dealing with her child, stating for example that she had banned internet access to prevent access to "inappropriate" things. In an email to Cincinnati-based channel WCPO-TV, Leelah's father Doug Alcorn wrote, "We love our son, eelah very much and are devastated by his death. We have no desire to enter into a political storm or debate with people who did not know him. We wish to grieve in private. We harbor no ill will towards anyone. ... I simply do not wish our words to be used against us." Writing for ''
Salon Salon may refer to: Common meanings * Beauty salon, a venue for cosmetic treatments * French term for a drawing room, an architectural space in a home * Salon (gathering), a meeting for learning or enjoyment Arts and entertainment * Salon (P ...
'', Mary Elizabeth Williams commented that "it would be cruel and inaccurate to suggest that Carla Alcorn did not love her child," but added that Carla's statement that she "loved him unconditionally" revealed "a tragic lack of understanding of the word 'unconditionally', even in death". '' People'' magazine quoted Johanna Olson, Medical Director for the Center of Trans Youth Health and Development at Children's Hospital Los Angeles, as stating that "Did Leelah's parents love her? Yes, I'm sure they did. Did they support her? No, they didn't. And that's a tragedy." Mara Keisling, the Executive Director of the National Center for Transgender Equality, was quoted as stating that the blaming of Alcorn's parents was unhelpful, adding, "Despite the great cultural and policy advances transgender people have made, there is still a lot of disrespect, discrimination and violence aimed at us. And being a child or a teenager of any kind today is very difficult."


Tributes, vigils, and activism

The day after Alcorn's suicide note was published online, Chris Seelbach, the first openly gay councilman on Cincinnati City Council, shared it as part of a Facebook message in which he stated that her death showed how hard it was to be transgender in the U.S. His post was shared over 4,700 times and increased public awareness of the incident. By December 30, Alcorn's death had attracted worldwide attention. News outlets across the world had picked up the story, and the
hashtag A hashtag is a metadata tag that is prefaced by the hash (also known as pound or octothorpe) sign, ''#''. On social media, hashtags are used on microblogging and photo-sharing services such as Twitter or Instagram as a form of user-generated ...
#LeelahAlcorn had topped Twitter. According to British newspaper '' The Independent'', the incident "triggered widespread anguish and raised a debate about the rights of transgender people." The U.S.-based '' Boston Globe'' stated that it "served as a flashpoint for transgender progress in 2014," while '' The New Republic'' referred to it as having "sparked a national conversation about the plight of transgender kids and the scanty rights and respect our society affords them." On January 1, 2015, the Cincinnati-based LGBT rights group Support Marriage Equality Ohio hosted a vigil for Alcorn outside Kings High School. A candlelight vigil in
Goodale Park Goodale Park is a public park in the Victorian Village area of Columbus, Ohio. It was donated to the city in 1851 by Lincoln Goodale. For a few months during the American Civil War, Civil War, it was a staging area for Union troops known as Camp ...
, Columbus was held on January 2 by a group called Stand Up 4 Leelah. A further vigil was organized by both The Diverse City Youth Chorus in partnership with the Cincinnati chapter of the Gay, Lesbian and Straight Education Network at the Clifton Cultural Arts Center for January 10. The vigil location at the Clifton Cultural Arts Center was moved to the Woodward Theater to make way for a larger setting. The event was attended by over 500 people. A January 3 vigil was scheduled for Trafalgar Square in London; an organizer was quoted as saying that " lcorn'sdeath was a political death. When a member of our community is brutalised at the hands of oppression we must all fight back." Those who spoke at the event included politician Sarah Brown and novelist and poet
Roz Kaveney Roz Kaveney (born 9 July 1949) is a British writer, critic, and poet, best known for her critical works about pop culture and for being a core member of the Midnight Rose collective. Kaveney's works include fiction and non-fiction, poetry, revi ...
. Marches were carried out in honor of Alcorn in both
Northwest, Washington, D.C. Northwest (NW or N.W.) is the northwestern quadrant of Washington, D.C., the capital of the United States, and is located north of the National Mall and west of North Capitol Street. It is the largest of the four quadrants of the city (NW, NE, S ...
and
Queen Street, Auckland Queen Street is the major commercial thoroughfare in the Auckland CBD, Auckland, New Zealand's main population centre. The northern end is at Queens Wharf on the Auckland waterfront, adjacent to the Britomart Transport Centre and the Downtown F ...
on January 10. The same day, a candlelight vigil was held in New York City's
Columbus Circle Columbus Circle is a traffic circle and heavily trafficked intersection in the New York City borough of Manhattan, located at the intersection of Eighth Avenue, Broadway, Central Park South ( West 59th Street), and Central Park West, at the so ...
. A memorial protest against conversion therapy and in memory of Alcorn took place in
Lynchburg, Virginia Lynchburg is an independent city (United States), independent city in the Commonwealth (U.S. state), Commonwealth of Virginia in the United States. First settled in 1757 by ferry owner John Lynch (1740–1820), John Lynch, the city's populati ...
, on January 24, 2015. Among the transgender celebrities who publicly responded to the incident were Janet Mock,
Andreja Pejić Andreja Pejić (; formerly Andrej Pejić, born 28 August 1991) is an Australian model and actress. Since coming out as a trans woman in 2013, she has become one of the most recognisable transgender models in the world. Early life Pejić was bo ...
, and Laverne Cox, while the musician
Ray Toro Raymond Toro (born July 15, 1977) is an American musician who serves as lead guitarist and backing vocalist of the band My Chemical Romance. Early life Toro was born July 15, 1977, in Kearny, New Jersey. He is of Puerto Rican-Portuguese herita ...
released a song, "For the Lost and Brave," in dedication to Alcorn. Joey Soloway, the writer of the television show '' Transparent'', dedicated their
Golden Globe Award for Best Television Series Golden means made of, or relating to gold. Golden may also refer to: Places United Kingdom *Golden, in the parish of Probus, Cornwall *Golden Cap, Dorset * Golden Square, Soho, London *Golden Valley, a valley on the River Frome in Gloucestersh ...
to Alcorn. During Diane Sawyer's interview with
Caitlyn Jenner Caitlyn Marie Jenner (born William Bruce Jenner; October 28, 1949) is an American media personality and retired Olympic gold medal-winning decathlete. Jenner played college football for the Graceland Yellowjackets before incurring a kne ...
, which confirmed Jenner's transgender identity, Alcorn was mentioned by name and the message "Fix society. Please," was broadcast. In June 2015, the singer Miley Cyrus founded the Happy Hippie Foundation, an organization to raise awareness of homelessness and LGBT issues among young people, partly in response to Alcorn's death. To promote the organization, she released a new series of ''
Backyard Sessions The Backyard Sessions are a series of music performances by American singer Miley Cyrus. The first sessions featured Cyrus performing cover versions of classic songs in an outdoor setting, and were released in 2012. Subsequent sessions have sinc ...
'' videos, the second of which, Dido's " No Freedom" was dedicated to Alcorn. After reading about Alcorn's death, British musician
Declan McKenna Declan Benedict McKenna (born 24 December 1998) is an English singer-songwriter. He initially gained recognition for winning the Glastonbury Festival's Emerging Talent Competition in 2015. McKenna self-released the song "Brazil", a protest son ...
was inspired to write a song, "Paracetamol," which was included on his debut album '' What Do You Think About the Car?'' and discusses the media's representation of LGBT communities. In 2015, the nation-wide non-profit organization Ally Parents, operated by Stand with Trans, was created in response to Leelah's death. Carolyn Washburn, editor of the Ohio newspaper '' The Cincinnati Enquirer'', stated that the incident "raises important issues we hope will prompt conversations in families throughout our region." Washburn had also received letters that derided the newspaper's use of Alcorn's chosen name in covering her death. When contacted by ''The Cincinnati Enquirer'', Shane Morgan, the founder and chair of transgender advocate group TransOhio, stated that while 2014 witnessed gains for the trans rights movement, Alcorn's death illustrated how "trans people are still being victimized and still being disrespected", highlighting the high rate of transgender people who had been murdered that year. Since the incident, TransOhio has received letters from parents of transgender children describing how Alcorn's death affected them. Morgan stated that while he understood the anger directed toward Alcorn's parents, "there's no excuse for threats to the family." Allison Woolbert, executive director of the Transgender Human Rights Institute, informed ''The Independent'' that Alcorn's case was "not unique"; the newspaper highlighted research from the US Centers for Disease Control and Prevention indicating that LGBT youth are about twice as likely to attempt suicide than heterosexual, cisgender teenagers. '' Newsweek'' similarly placed Alcorn's suicide within its wider context of transphobic discrimination, highlighting that the Youth Suicide Prevention Program reports that over 50 percent of transgender youths attempt suicide before the age of 20, and that the National Coalition of Anti-Violence Programs recently published a report indicating that 72 percent of LGBT homicide victims in 2013 were transgender women. Kevin Jennings of the Arcus Foundation also situated Alcorn's death within wider problems facing young LGBT people. In his view, she became "an international symbol of the ongoing challenges faced by LGBT youth," adding that her death "reminds us of a basic lesson still being taught to young people across America: When it comes to gender identity, it's best to be cisgender; and when it comes to sexual orientation, it's best to be straight." Under the Twitter hashtag #RealLiveTransAdult, many transgender people posted encouraging tweets for their younger counterparts, while other hashtags, such as #ProtectTransKids, and the term " Rest in Power", also circulated on Twitter. A
Change.org Change.org is a worldwide nonprofit petition website, based in California, US, operated by the San Francisco-based company of the same name, which has over 400 million users and offers the public the ability to promote the petitions they care abo ...
petition was set up calling for Leelah's chosen name to be included on her gravestone, which gained over 80,000 signatures. On January 6, Adam Hoover of Marriage Equality Ohio remarked that, since the request of having Alcorn's chosen name on her gravestone seemed "like a slim possibility", they would be raising money for a permanent memorial arranged as a bench, tree and
commemorative plaque A commemorative plaque, or simply plaque, or in other places referred to as a historical marker, historic marker, or historic plaque, is a plate of metal, ceramic, stone, wood, or other material, typically attached to a wall, stone, or other ...
. Under Ohio's
Adopt-a-Highway The Adopt-a-Highway program, and the very similar Sponsor-a-Highway, are promotional campaigns undertaken by U.S. states, provinces and territories of Canada, and some national governments outside North America to encourage volunteers to keep ...
program, a group adopted the interchange of Interstate 71 South and Ohio State Route 48—which was where Alcorn died—and dedicated it to her memory. As a result, the Ohio Department of Transportation erected signs stating "In Memory of Leelah Alcorn" along the road. Members of the group affixed a wreath to one of these signs; group member Lisa Oravec informed press that "We don't want Leelah to be forgotten... We want people in Cincinnati, or anybody driving down 71 to see the wreath. See the highway. If they don't know who Leelah is they'll google it, educate it, and learn from what happened." As of December 2018, the "Leelah Alcorn Highway Memorial" group continued to meet four times a year to clean that stretch of road. The highway memorial formed the basis of a short documentary, ''Leelah's Highway'', which was screened at the 2018 Cindependent Film Festival in Cincinnati's Woodward Theater. Its creator, Elizabeth Littlejohn of Toronto, stated that "as a human rights activist who believes nthe right for gender self-determination, I believe this story needed to be told."


Leelah's Law

A Facebook group called "Justice for Leelah Alcorn" was established, while a petition calling for "Leelah's Law," a ban on conversion therapy in the United States, was created by the Transgender Human Rights Institute to raise awareness of the psychologically harmful effects of such practices. By January 24, it had 330,009 signatures, and was named the fastest growing change.org petition of 2014. A second appeal demanding the enactment of "Leelah's Law" was posted to the
We the People The Preamble to the United States Constitution, beginning with the words We the People, is a brief introductory statement of the Constitution's fundamental purposes and guiding principles. Courts have referred to it as reliable evidence o ...
section of
Whitehouse.gov whitehouse.gov (also simply known as wh.gov) is the official website of the White House and is managed by the Office of Digital Strategy. It was launched on July 29, 1994 by the Clinton administration. The content of the website is in the ...
on January 3, 2015, which garnered more than 100,000 signatures as of January 30. In response to the petition, in April 2015, President Barack Obama called for the banning of conversion therapy for minors. In December 2015, Cincinnati became the second U.S. city after Washington, D.C., to ban the practice of conversion therapy outright; council member Chris Seelbach cited Alcorn's suicide as an influence in the decision and stated that "she challenged us to make her death matter, and we're doing just that." By October 2018, four cities across Ohio had banned conversion therapy, leading journalist Nico Lang to comment that "the Buckeye State has become an unlikely leader in banning conversion therapy at the local level."


See also

* List of LGBT-related suicides *
List of people from Ohio The following is a list of famous people born in the U.S. state of Ohio, and people who spent significant periods of their lives living in Ohio. Actors, models, miscellaneous performers ;A–B * Jake Abel (actor) (Canton) * Tom Aldredge ...
* List of transgender people *
Blake Brockington Blake Brockington (May 14, 1996 – March 23, 2015) was an American trans man whose suicide attracted international attention. He had previously received attention as the first openly transgender high school homecoming king in North Carolina, an ...


References


External links


Archive of Alcorn's Tumblr blog

PDF of the Ohio State Highway Patrol investigatory form

"A Girl Who Looked Like A Boy"
poet
Athol Williams Athol Williams (born 20 June 1970) is a South African poet, social philosopher and public intellectual based at Oxford University. Life Williams was born in Lansdowne, Cape Town, South Africa, and grew up in Mitchells Plain, the coloured tow ...
reading the poem he wrote in memory of Leelah Alcorn {{DEFAULTSORT:Alcorn, Leelah 1997 births 2014 in LGBT history 2014 in Ohio 2014 suicides LGBT people from Ohio Suicides in Ohio Transgender law in the United States December 2014 events in the United States LGBT-related suicides Pedestrian road incident deaths People from Warren County, Ohio Transgender women Female suicides Youth suicides Suicide and the Internet