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International Journal of Transgender Health logoLink to International Journal of Transgender Health
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. 2025 Oct 15;27(5):2782–2784. doi: 10.1080/26895269.2025.2573036

Artificial intelligence as ally? Rethinking community education in transgender youth trauma research

Andika Pratama 1,✉, Fanny Zakkiyah MR 1, Adruni Arifina 1
PMCID: PMC13618145  PMID: 42807904

The article ‘Mental health care research priorities for trans and gender-diverse young people: Findings from community consultations on improving trauma-related mental health care for trans and gender-diverse communities’ represents a significant advance in participatory research (Walker et al., 2025). By foregrounding the lived realities of transgender and gender diverse (TGD) youth, the study identifies a comprehensive agenda that encompasses practitioner training, Indigenous and Two-Spirit perspectives, racial equity, geographical inequities, neurodivergence, co-occurring conditions, definitional plurality of trauma, and the evaluation of therapeutic approaches. This agenda marks a decisive departure from deficit-centered framings and instead locates responsibility within systems and practitioners.

While the study succeeds in reframing research priorities, it remains silent on the transformative role of artificial intelligence in community education. We propose the concept of algorithmic allyship as a novel extension to the agenda, where Artificial Intelligence (AI) is designed not simply to deliver neutral outputs but to act as an ally to communities by aligning with their epistemologies and educational needs.

It is increasingly evident that the future of health and social care will be shaped by AI-driven tools. In mental health, AI chatbots, adaptive learning platforms, and predictive analytics are already being deployed to support service delivery, triage, and patient education (Russell et al., 2023; Sisk et al., 2020). However, the integration of AI within transgender health research and practice has barely begun to be considered. The omission is striking, given that TGD youth often face barriers of geography, cost, stigma, and lack of affirming providers (Green et al., 2022; Poquiz et al., 2021). AI technologies, if developed and governed responsibly, could significantly reduce these barriers by delivering scalable, personalized, and accessible forms of community education about trauma, coping strategies, and available pathways to care.

Community education is implicit in several of the priorities identified. The call for practitioner training is pedagogical in essence (Papachris­topoulos et al., 2023; Pratama et al., 2025). The demand for trauma to be defined through lived experience is an educational question. The recognition of geographical inequities is fundamentally about the distribution of knowledge and resources. Algorithmic allyship situates AI as a pedagogical partner within these domains. For example, adaptive learning systems could provide dynamic practitioner training, tailoring modules to real-world scenarios drawn from TGD narratives. Natural language processing could transform community testimonies into case-based learning resources, thereby ensuring that practitioner education is grounded in reflexive and culturally safe perspectives of trauma.

For TGD youth, algorithmic allyship could expand access to trauma literacy and service navigation. The article highlights geographical barriers and disrupted pathways to care. AI-enabled tele-education platforms, co-designed with communities, could deliver interactive trauma-related educational resources across diverse literacy levels and cultural contexts. These tools would not displace human educators but would serve as scalable companions to community learning, helping to reduce disparities in access and continuity of support.

The novelty of algorithmic allyship lies in its deliberate orientation toward justice. It insists that AI systems should not only avoid bias but should actively embody the values of the communities they serve. Three methodological conditions are critical. Participatory ontology design ensures that trauma is represented according to the meanings articulated by TGD youth rather than imposed biomedical definitions. Privacy-preserving computational methods such as federated learning protect sensitive data while maintaining community sovereignty. Continuous algorithmic audits interrogate both technical accuracy and cultural assumptions, preventing epistemic injustices that risk erasing Indigenous and racially marginalized voices already identified in the article as central to the research agenda.

An expanded agenda that incorporates algorithmic allyship would involve three interrelated strands of research. Firstly, empirical trials should evaluate AI-based trauma literacy programs for TGD youth, focusing on outcomes such as empowerment, self-advocacy, and help-seeking behavior. Secondly, AI-enabled practitioner training modules should be assessed for their effectiveness in enhancing cultural competence, responsiveness to Indigenous knowledge, and recognition of co-occurring conditions. Thirdly, governance frameworks must be established to regulate AI in TGD health, ensuring transparency, accountability, and community co-governance.

The question posed in this title, when algorithms become allies?, captures the urgency of this debate. The article under review has offered a vital foundation by identifying research priorities through community consultation. Extending this trajectory to include algorithmic allyship acknowledges that technological infrastructures are no longer peripheral but are already shaping the landscapes of education and health. Embedding AI within community education, under principles of justice, cultural safety, and participatory governance, ensures that algorithms function not as instruments of harm but as genuine allies in advancing equity and resilience.

In sum, AI need not be an external imposition upon community education. If developed through participatory design, tested with rigorous mixed methods, and governed with a commitment to epistemic justice and privacy by design, AI can function as a scalable, reflexive instrument to translate community priorities into measurable improvements in trauma-informed care. The research priorities delineated by the authors will be realized most completely if AI, understood as a socio-technical system, is made an explicit focus of both inquiry and governance within transgender health research.

Andika Pratama, Fanny Zakkiyah MR and Adruni Arifina
Community Education, Universitas Sriwijaya, Palembang, South Sumatra, Indonesia
andikapratama@fkip.unsri.ac.id

Funding Statement

The author(s) reported there is no funding associated with the work featured in this article.

Ethical approval

As this work does not include original data collection or research involving human or animal participants, the requirement for ethical approval did not apply.

Disclosure statement

The authors declare that there are no conflicts of interest relevant to the content of this article.

References

  1. Green, A. E., DeChants, J. P., Price, M. N., & Davis, C. K. (2022). Association of gender-affirming hormone therapy with depression, thoughts of suicide, and attempted suicide among transgender and nonbinary youth. The Journal of Adolescent Health: Official Publication of the Society for Adolescent Medicine, 70(4), 643–649. 10.1016/j.jadohealth.2021.10.036 [DOI] [PubMed] [Google Scholar]
  2. Papachristopoulos, I., Sazakli, E., & Leotsinidis, M. (2023). General practitioners’ views towards management of common mental health disorders: Τhe critical role of continuing medical education. BMC Primary Care, 24(1), 63. 10.1186/s12875-023-02017-5 [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Poquiz, J., Moser, C. N., Grimstad, F., Boman, K., Sonneville, S. A., Turpin, A., & Egan, A. (2021). Gender-affirming care in the Midwest: Reaching rural populations. Journal of Rural Mental Health, 45(2), 121–128. 10.1037/rmh0000174 [DOI] [Google Scholar]
  4. Pratama, A., Nanola, N., & Sahendra, Y. (2025). Integrating community education into primary care: Lessons from Indonesia for a resilient global health workforce. Education for Primary Care, 1–2. 10.1080/14739879.2025.2556167 [DOI] [PubMed] [Google Scholar]
  5. Russell, R. G., Novak, L. L., Patel, M., Garvey, K. V., Craig, K. J. T., Jackson, G. P., Moore, D. E., & Miller, B. M. (2023). Competencies for the use of artificial intelligence-based tools by health care professionals. Academic Medicine, 98(3), 348–356. 10.1097/acm.0000000000004963 [DOI] [PubMed] [Google Scholar]
  6. Sisk, B. A., Antes, A. L., Burrous, S., & DuBois, J. M. (2020). Parental attitudes toward artificial intelligence-driven precision medicine technologies in pediatric healthcare. Children, 7(9), 145. 10.3390/children7090145 [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Walker, M., Ballendine, O., Heit, L., Lachowsky, N., & Devor, A. (2025). Mental health care research priorities for trans and gender-diverse young people: Findings from community consultations on improving trauma-related mental health care for trans and gender-diverse communities. International Journal of Transgender Health, 1–18. 10.1080/26895269.2025.2556971 [DOI] [Google Scholar]

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