ArticleAmerican journal of preventive medicine2018
Supporting Transgender and Gender Diverse Youth: Protection Against Emotional Distress and Substance Use.
Article in American journal of preventive medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 73 papers, 6 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
73 citing papers in PubMed, 6 syntheses or guidelines pooled it, 166 citations in OpenAlex.
- Prevalence, severity and risk factors for mental disorders among sexual and gender minority young people: a systematic review of systematic reviews and meta-analyses.European child & adolescent psychiatry · 2025Pooled it
- A sex- and gender-based analysis of alcohol treatment intervention research involving youth: A methodological systematic review.PLoS medicine · 2024Pooled it
- Interventions to Reduce Alcohol Use and HIV Risk among Sexual and Gender Minority Populations: a Systematic Review.Current HIV/AIDS reports · 2023Pooled it
- The roles of school in supporting LGBTQ+ youth: A systematic review and ecological framework for understanding risk for suicide-related thoughts and behaviors.Journal of school psychology · 2022Pooled it
- Correlates of Tobacco and Nicotine Use Among Transgender and Gender Diverse People: A Systematic Review Guided by the Minority Stress Model.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2022Pooled it
- Risk and Resilience Factors for Mental Health among Transgender and Gender Nonconforming (TGNC) Youth: A Systematic Review.Clinical child and family psychology review · 2021Pooled it
- Stigma and HIV service access among transfeminine and gender diverse women in South Africa - a narrative analysis of longitudinal qualitative data from the HPTN 071 (PopART) trial.BMC public health · 2020Trial
- PrEP Intentions, Heavy Substance Use, and Gender Affirmation among Black and Latine Transgender and Gender-Expansive Youth: A Structural Equation Modeling Analysis.AIDS and behavior · 2026Article
- Mental health practitioners' perspectives on supporting transgender and gender diverse youth: A scoping review.International journal of transgender health · 2026Review
- Bullying, minority stress and revenge impulse among autistic college students: group differences by sexual and gender minority status.Frontiers in public health · 2026Article
- Focus groups as a tool for enhancing pride and community connectedness among transgender and gender diverse research participants.International journal of transgender health · 2026Article
- To find oneself in existential motion through unfamiliar terrain: A phenomenological Reflective Lifeworld Research study of becoming a parent to a child expressing a transgender or gender diverse identity in Sweden.International journal of transgender health · 2026Article
- Parenting a Gender Diverse Child: Parent Experiences of a Child Coming Out.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2025Article
- The associations of childhood adversities and mental disorders with suicidal thoughts and behaviors - Results from the World Mental Health International College Student Initiative.Psychiatry research · 2025Article
- An ecological momentary assessment study of predictors for alcohol outcomes in transgender and gender diverse youth.Alcohol, clinical & experimental research · 2025Article
- Leveraging the Electronic Health Record to Characterize Health Care Utilization and Stressors Before a Suicide Attempt Among Transgender and Gender Diverse Patients.Transgender health · 2025Article
- Intentions to Use PrEP Among a National Sample of Transgender and Gender-Expansive Youth and Emerging Adults: Examining Gender Minority Stress, Substance Use, and Gender Affirmation.AIDS and behavior · 2025Article
- Article
- Depression and anxiety in transgender and non-binary adolescents: prevalence and associations between adolescent and caregiver reports.European journal of pediatrics · 2024Article
- Sibling Support for Transgender and Gender-Diverse Youth: A Scoping Review.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2024Article
13 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 3 institutions in 1 country.
Funding
Abstract
introductionImportant mental and physical health disparities exist for transgender and gender diverse youth compared with cisgender youth (i.e., those whose birth-assigned sex and gender identity align), yet little is known about factors that protect transgender and gender diverse youth from health problems. The objective of this paper is to identify modifiable protective factors in the lives of transgender and gender diverse adolescents, with the goal of informing efforts to eliminate disparities in depression, suicidality, and substance use in this population.
methodsSecondary data analysis of the 2016 Minnesota Student Survey examined associations between eight protective factors (connectedness to parents, adult relatives, friends, adults in the community, and teachers; youth development opportunities; and feeling safe in the community and at school) and depression, suicidality, and substance use (alcohol, binge drinking, marijuana, nicotine) among 2,168 adolescents who identified as transgender, genderqueer, genderfluid, or questioning their gender. Logistic regressions assessed the role of each protective factor separately and simultaneously.
resultsEach protective factor was associated with lower odds of emotional distress and substance use. When protective factors were examined simultaneously, parent connectedness was protective for all measures. Feeling safe at school and connected to adults in one's community protected against depression and suicidality; teacher connectedness buffered risk of substance use.
conclusionsGiven that transgender and gender diverse youth report lower levels of connectedness and safety, bolstering an explicitly transgender and gender diverse-friendly network of caring parents, safe and supportive schools, and connections to adults in the community may support efforts to eliminate disparities in depression, suicidality, and substance use.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.