The study claims LGBTQ students are two to three times more likely than their peers to be assaulted or threatened, which in turn increases the likelihood they will attempt suicide.

Seven years ago, a rash of suicides triggered widespread public discussion about the extremely high rate of bullying queer and transgender students face. But a new study claims the prevalence of anti-LGBTQ harassment and violence has actually increased since then.

North Carolina-based research firm RTI International tracked 20 years of data on school bullying and conducted a meta-analysis of those findings.

The 2017 report, shared exclusively with The Daily Beast, is unprecedented in its scope. Despite assumptions that today’s youth are more welcoming and accepting of LGBTQ identities, RTI’s analysis concludes the widespread targeting such youth face has “not improved since the 1990s.”

“Some forms of victimization, particularly those affecting youth, appear to be worsening,” RTI states in the report, called Violence and LGBTQ Communities: What Do We Know, and What Do We Need to Know? “This has serious, lifelong impacts on the physical and behavioral health of LGBTQ youth and adults.”

Viral stories of trans people certainly send the impression things are improving: Last year, a transgender student in Santa Barbara, Calif., was voted prom queen at Santa Barbara High School, along with trans students crowned in states like North Carolina, Florida, and New York.

However, Diego Sanchez, the director of advocacy, policy, and partnerships for PFLAG National, explained that these cases don’t reflect the reality for many LGBTQ students.Read more via the Daily Beast