This was such a great game! It's hard to tackle tough topics like suicide, but I think you did it well. Though I can't relate to being trans, I have also had thoughts spiral when trying to go to sleep. How you shared your experience with depression and suicidal thoughts, especially as it relates to your identity, felt so genuine. I'll definitely look into your other works!
PS, I did notice a tiny typo in the third passage (second, not counting the title screen.) In the fourth thought, there's a space missing between "but" and "they." Like I said, small, just wanted to let you know! It doesn't affect the experience that much.
Once again, awesome game! :)