There is a theological component,sure.
But delusional people attack people who don’t share their delusions. I had a relative with Alzheimer’s who would get violent if we told her something wasn’t as she believed.
Religious people, in general, reject transgender delusions, usually rather openly. So they’re a target.
*** I had a relative with Alzheimer’s who would get violent if we told her something wasn’t as she believed.***
Yes, this happens. I’ve seen it with my own eyes.