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In recent years, an increasing number of non-bi-nary individuals have sought recognition in Italian society. The Italian language must adapt to this new social complexity, encouraging gender-neutral pronouns and suffixes. As a new Italian proposal, Vera Gheno recommended the use of the “schwa” (ə) as a neutral suffix in written and spoken language, to promote greater inclusivity, while avoiding the overextended masculine. other Western languages, such as English, Spanish, Portuguese, and Swedish, have adopted neutral pronouns and suffixes as standard linguistic practice, thereby improving the well-being of non-binary individuals. This letter to the editor aims at discussing the clinical relevance of using the schwa to refer to non-binary people. the “Be as You Are” Clinical research Center for the study of sexual orientations and gender identities of Sapienza University of Rome supports the schwa’s use in respect of non-binary patients. The schwa may make the Italian language more respectful of everyone’s gender identities. evidence shows that use of a neutral pronoun may reduce gender dysphoria and encourage the development of gender euphoria, characterized by positive feelings (i.e., joy, pride) toward one’s non-binary identity.

Italian proposal for non-binary and inclusive language: The schwa as a non-gender–specific ending