ArticleSocial psychiatry and psychiatric epidemiology2022
An analysis of suicidal thoughts and behaviors among transgender and gender diverse adults.
Article in Social psychiatry and psychiatric epidemiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed, 35 citations in OpenAlex.
- Perceived Antecedents of Suicidal Thoughts Among Transgender, Nonbinary, and Gender-Expansive Black, Indigenous, and Other People of Color.Transgender health · 2026Article
- Age, Intersectional Discrimination, and Health in Black Transgender Women.Journal of racial and ethnic health disparities · 2025Article
- Forms of transphobia and their influence on health outcomes among transgender, nonbinary, and gender diverse individuals: a global systematic review.International journal of transgender health · 2025Article
- Minority Stress Across Proximal Contexts and Suicide in Transgender Young Adults: A Critical Scoping Review.Transgender health · 2025Review
- Mapping Progress in Workplace Protections: A Study of Global LGBTQI + Workplace Antidiscrimination Legislation in 2016 and 2023.Sexuality research & social policy : journal of NSRC : SR & SP · 2025Article
- Social-Ecological Determinants of Suicidal Ideation Among Sexual and Gender Minority Adults: A Cross-Sectional Study in the United States.Healthcare (Basel, Switzerland) · 2024Article
- Transgender in Detention: Victimization Experiences in Immigration Facilities.Transgender health · 2024Article
- Support Saves Lives: Exploring the Relationship Between Age of Transition, Family Support, and Retrospective K-12 Educational Experiences in Transgender Suicidality.Transgender health · 2024Article
- Review
- Structural transphobia is associated with psychological distress and suicidality in a large national sample of transgender adults.Social psychiatry and psychiatric epidemiology · 2024Article
- "Bulletin of applied transgender studies · 2024Article
- Patients' Perceived Level of Clinician Knowledge of Transgender Health Care, Self-rated Health, and Psychological Distress Among Transgender Adults.JAMA network open · 2023Article
- Mental health and substance use risks and resiliencies in a U.S. sample of transgender and gender diverse adults.Social psychiatry and psychiatric epidemiology · 2022Article
- Gender Identity, Disability, and Unmet Healthcare Needs among Disabled People Living in the Community in the United States.International journal of environmental research and public health · 2022Article
- Operationalizing and analyzing 2-step gender identity questions: Methodological and ethical considerations.Journal of the American Medical Informatics Association : JAMIA · 2022Article
- Family Rejection During COVID-19: Effects on Sexual and Gender Minority Stress and Mental Health Among LGBTQ University Students.LGBTQ+ family : an interdisciplinary journal · 2022Article
Corrections and comments
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Authors and funding
8 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeSuicidal thoughts and behaviors (STBs) remain a pressing public health problem for transgender and gender diverse (TGD) persons. The goal of this study was to apply social-ecological and minority stress frameworks to identify individual and interpersonal-level TGD-specific STB risk and protective factors.
methodsThis is a secondary analysis of the 2015 United States Transgender Health Survey, a comprehensive cross-sectional health assessment of a national sample of TGD adults (N = 27,658). Chi-square and Analysis of Variance (ANOVA) were used to identify bivariate correlates of 12-month and lifetime suicidal ideation (SI) and suicide attempt (SA). Logistic regression was employed to identify the strongest STB risk and protective factors across levels.
resultsSexual minority identification, racial minority identification, and having a disability were lifetime STB risk factors. TGD identity, sexual minority identification, racial minority identification (SA only), lower education, lower income, military experience, having a disability, and being uninsured were 12-month STB risk factors. Psychological distress was the most robust STB risk factor. Workplace discrimination, family rejection, healthcare discrimination, and childhood bias-based victimization were lifetime STB risk factors. All forms of discrimination and victimization (with the exception of family rejection for SI) were 12-month STB risk factors. Family and coworker support were protective factors for lifetime SA (but not SI) and all 12-month STBs. Being less out about TGD identity was a protective factor for STBs (except for 12-month SI).
conclusionFindings support social-ecological and minority stress STB risk frameworks. Recommendations are provided for a comprehensive approach to TGD suicide prevention.
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