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The Spokesman-Review Newspaper
Spokane, Washington  Est. May 19, 1883

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Pam Kohlmeier: Gender inclusivity at school could help save lives

Pam Kohlmeier, MD, JD, FACEP

By Pam Kohlmeier, MD, JD, FACEP

I presented most of the following message to the Central Valley School Board meeting earlier this month. My words seek to remind each of us of the why behind gender inclusive policies and procedures in our schools. My comments are deeply personal. They involve one of my adult children, Katie Thew, who identified as transgender and nonbinary and who recently died by suicide.

According to the Trevor Project, in the past year more than half of transgender and nonbinary youth seriously considered attempting suicide. What’s more is that 42% of nonbinary individuals and over half of transgender males actually attempt suicide in their lifetimes. These are frightening statistics.

While Katie had other contributing factors, being transgender and nonbinary raised Katie’s risk of suicide astronomically. Like many transgender youths, Katie outwardly appeared to be thriving throughout the course of their primary and secondary education but in reality, was experiencing trauma in school. Months before Katie died, Katie described three deeply rooted scars that were caused by events in school between fourth and 12th grades in Spokane County. I share these scars to raise awareness, and in no way to shame or blame. Katie’s scars were forming unbeknownst to their parents while attending a great school with loving friends and teachers. But even in a seemingly nurturing environment, harm was done.

Scar 1: Bathroom experiences were deeply traumatic. Beginning in about fifth grade, Katie would limit their fluid intake to try to prevent using a school restroom during the day. Yes, the entire school day. Why? Going into a girl’s bathroom was expected, but Katie did not feel like a girl – ever. Katie was born female but felt like a boy and frankly looked like a boy, with a sporty haircut and boys clothing, so much so that Katie was once redirected by an adult away from a girls bathroom at school based on that boyish appearance. This, too, was traumatic. As a result, Katie didn’t feel comfortable using any bathroom at school for years.

Scar 2: Katie endured trauma related to dress codes. Dress codes involving special events, where students were expected to look nice, were especially distressing. Comments that girls should wear X and boys should wear Y caused trauma. It offered no validation of what would be appropriate or beautiful for a gender nonconforming student. This code seemingly forced the nonbinary students to pick one identity or the other. At Katie’s promotional ceremony into middle school, Katie’s biological sex dictated that a dress was expected. I was able to negotiate for a unique in-between option, but this, too, caused trauma: because it had to be lobbied for, because once again they were different from their peers.

Scar 3: Katie endured trauma related to pronoun usage. Katie experimented once with a new pronoun at school. Of note, the incident involved a teacher who was one of Katie’s favorites. Regardless, the teacher at that time was unfortunately ill-informed about gender nonconforming pronoun usage. Katie asked one of their classmates, and dear friend, to refer to Katie by a gender nonconforming pronoun. The friend complied. But, as a result, the friend was sent to the principal’s office. While it is likely Katie’s teacher thought her actions were helping to protect Katie, she wasn’t. Instead, the teacher was merely demonstrating a lack of education on gender nonconforming pronoun usage. Katie’s experience demonstrates that even the best educators need more education on gender inclusive pronoun usage. Here, Katie was vulnerable, felt badly following the incident, and quickly reverted to using the pronoun “she” again – even though it did not fit their identity.

Again, the above incidents could have occurred in any school with any teacher in our community. The scars created at school impacted my child, but they could involve your child, or a friend of your child who may be struggling to survive. I urge school board officials, in all districts, to prioritize saving lives. While gender-inclusive policies may at times seem burdensome, such burdens pale in comparison to the burden of losing a child.

Pam Kohlmeier is dually licensed as a physician and an attorney and has resided in Spokane since 2005. Kohlmeier served as an emergency physician and lecturer for a Master of Public Health program prior to becoming an attorney.