Evidence map›Paper›PMID 32072611›Full record

ArticleActa psychiatrica Scandinavica2020

Trends in suicide death risk in transgender people: results from the Amsterdam Cohort of Gender Dysphoria study (1972-2017).

C M Wiepjes, M den Heijer, M A Bremmer, N M Nota, C J M de Blok, B J G Coumou, T D Steensma

Open access · hybridAbstract read
In one paragraph

Article in Acta psychiatrica Scandinavica, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 2 pooled it
13.7field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

39 citing papers in PubMed, 2 syntheses or guidelines pooled it, 85 citations in OpenAlex.

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  8. The effects of gender-affirming hormone therapy and mastectomy on psychopathology, body image, and quality of life in adults with gender dysphoria who were assigned female at birth.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2024
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

C M WiepjesDepartment of Endocrinology, Amsterdam UMC, VU University Medical Center, Amsterdam, the Netherlands.
M den HeijerDepartment of Endocrinology, Amsterdam UMC, VU University Medical Center, Amsterdam, the Netherlands.
M A BremmerCenter of Expertise on Gender Dysphoria, Amsterdam UMC, VU University Medical Center, Amsterdam, the Netherlands.
N M NotaDepartment of Endocrinology, Amsterdam UMC, VU University Medical Center, Amsterdam, the Netherlands.
C J M de BlokDepartment of Endocrinology, Amsterdam UMC, VU University Medical Center, Amsterdam, the Netherlands.
B J G CoumouCenter of Expertise on Gender Dysphoria, Amsterdam UMC, VU University Medical Center, Amsterdam, the Netherlands.
T D SteensmaCenter of Expertise on Gender Dysphoria, Amsterdam UMC, VU University Medical Center, Amsterdam, the Netherlands.ORCID 0000-0003-1330-3644
Amsterdam University Medical Centers · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study explored the overall suicide death rate, the incidence over time, and the stage in transition where suicide deaths were observed in transgender people.

methodsA chart study, including all 8263 referrals to our clinic since 1972. Information on death occurrence, time, and cause of death was obtained from multiple sources.

resultsOut of 5107 trans women (median age at first visit 28 years, median follow-up time 10 years) and 3156 trans men (median age at first visit 20 years, median follow-up time 5 years), 41 trans women and 8 trans men died by suicide. In trans women, suicide deaths decreased over time, while it did not change in trans men. Of all suicide deaths, 14 people were no longer in treatment, 35 were in treatment in the previous two years. The mean number of suicides in the years 2013-2017 was higher in the trans population compared with the Dutch population.

conclusionsWe observed no increase in suicide death risk over time and even a decrease in suicide death risk in trans women. However, the suicide risk in transgender people is higher than in the general population and seems to occur during every stage of transitioning. It is important to have specific attention for suicide risk in the counseling of this population and in providing suicide prevention programs.

Indexed as

AdolescentAdultAgedAged, 80 and overChildCohort StudiesFemaleGender DysphoriaHumansMaleMiddle AgedNetherlandsSuicide, CompletedTransgender PersonsYoung Adultgender dysphoriasuicidetransgender

Identifiers

PMID32072611
PMCPMC7317390
OpenAlexW3007701891

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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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.