“I don't want to hurt myself — I want to kill myself.” Alex [not his real name] was an 18‐year‐old trans male I met during his first psychiatric inpatient admission. Alex was raised in a “holler” in West Virginia. While his peers were navigating the stresses of emerging adulthood, Alex carried the additional burden of experiencing gender dysphoria, a deep sense of incongruence between the biological sex he was assigned at birth (female) and his gender identity (male). Though well‐intentioned, his parents made it clear that his desire to be male was sinful and would not be tolerated in their family. He felt hopeless — “repulsive” even. Alex decided he could suppress his female identity interminably, risk coming out and being rejected by his family and community, or end his life.

The death of a child can result in complicated grief. Thirty-one adults, 60 years of age or older, who lost an adult child, participated in a qualitative study using a focus group format that allowed them to discuss their experience. A hermeneutical approach was used to develop an overall thematic description of what it meant to an older person to lose an adult child. Four major themes emerged: losses, limited influence/decision making power, regrets, and decreased quality of life. Suggested interventions to prevent complicated grief in elders who experienced the death of an adult child include attentive listening, storytelling, and the use of metaphors.

Medical management for children with type 1 diabetes mellitus, including insulin administration to control high blood glucose levels (BGL), is crucial. However, a child-controlled behavioural strategy, like physical activity, to maintain target BGL may be warranted. To demonstrate, pre- and post-activity BGL were collected for 73 children aged 8- to 14-years attending a diabetes camp. Change in BGL across one session of a free-play swimming activity was analysed. Average BGL was significantly reduced from 197.18 mg/dl to 177.78 mg/dl across one 45 min session, and male gender predicted larger reductions. With safety precautions and within the context of appropriate medical management, free-play activity could be used as a strategy for maintaining target BGL.