ArticleAmerican journal of preventive medicine2020
Disparities in Suicidality by Gender Identity Among Medicare Beneficiaries.
Article in American journal of preventive medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Fewer screens, greater needs: housing insecurity and healthcare costs for transgender patients in a safety-net system.Health affairs scholar · 2026Article
- Despite Higher Rates of Minimally Recommended Depression Treatment, Transgender and Gender Diverse Medicare Beneficiaries with Depression Have Poorer Mental Health Outcomes: Analysis of 2009-2016 Medicare Data.Transgender health · 2024Article
- Mental health of gender minority older adults in the United States: A systematic review.Psychology of sexual orientation and gender diversity · 2024Article
- Secondary trauma response in emergency services systems (STRESS) project: quantifying and predicting vicarious trauma in emergency medical services personnel.British paramedic journal · 2023Article
- Disparities in health condition diagnoses among aging transgender and cisgender medicare beneficiaries, 2008-2017.Frontiers in endocrinology · 2023Article
- Article
- Elevated Rates of Violence Victimization and Suicide Attempt Among Transgender and Gender Diverse Patients in an Urban, Safety Net Health System.World medical & health policy · 2021Article
- Primary Care for Transgender Adolescents and Young Adults in Rhode Island: An Analysis of the all Payers Claims Database.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2021Article
- Association of Nondiscrimination Policies With Mental Health Among Gender Minority Individuals.JAMA psychiatry · 2020Article
- It's not just about being queer: Intersectional risk of suicide and premature mortality in later life among LGBT veterans.The American psychologistArticle
Corrections and comments
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Authors and funding
12 authors.
Funding
Abstract
introductionSuicidality is higher for gender minorities than the general population, yet little is known about suicidality in disabled or older adult gender minorities.
methodsThis study used 2009-2014 Medicare claims to identify people with gender identity-related diagnosis codes (disabled, n=6,678; older adult, n=2,018) and compared their prevalence of suicidality with a 5% random non-gender minority beneficiary sample (disabled, n=535,801; older adult, n=1,700,008). Correlates of suicidality were assessed (via chi-square) for each of the 4 participant groups separately, and then disparities within eligibility status (disabled or older adult) were assessed using logistic regression models, adjusting first for age and mental health chronic conditions and then additionally for Medicaid eligibility, race/ethnicity, or U.S. region (each separately). The primary hypotheses were that gender minority beneficiaries would have higher suicidality but that suicidality disparities would persist after adjusting for covariates. Data were analyzed between 2017 and 2019.
resultsGender minority beneficiaries had higher unadjusted suicidality than non-gender minority beneficiaries in the disabled cohort (18.5% vs 7.1%, p<0.001). Significant suicidality predictors in all 4 groups included the following: age (except in older adult gender minorities), Medicaid eligibility, depression or behavioral health conditions, avoidable hospitalizations, and violence victimization. In age- and mental health-adjusted logistic regression models, gender minorities had higher odds of suicidality than non-gender minority beneficiaries (disabled, OR=1.95, p<0.0001; older adult, OR=2.10, p<0.0001). Disparities were not attenuated after adjusting for Medicaid eligibility, race/ethnicity, or region.
conclusionsHeightened suicidality among identified gender minority Medicare beneficiaries highlights a pressing need to identify and reduce barriers to wellness in this population.
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