ArticleSuicide & life-threatening behavior2022
Transgender-based disparities in suicidality: A population-based study of key predictions from four theoretical models.
Article in Suicide & life-threatening behavior, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 3 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.
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Who cites it
22 citing papers in PubMed, 3 syntheses or guidelines pooled it, 40 citations in OpenAlex.
- Suicide Risk Among Transgender Adolescents and Young Adults: A Meta-Analysis of Nearly One Million Participants.International journal of methods in psychiatric research · 2026Pooled it
- Group Therapies for Gender Minority Stress: Systematic Review and Affirmative Cognitive Behavioral Group Therapy Process PresentationTurk psikiyatri dergisi = Turkish journal of psychiatry · 2025Pooled it
- A systematic review of psychosocial functioning changes after gender-affirming hormone therapy among transgender people.Nature human behaviour · 2023Pooled it
- Training in LGBTQ-affirmative cognitive behavioral therapy: A randomized controlled trial across LGBTQ community centers.Journal of consulting and clinical psychology · 2022Trial
- Intersecting Epidemics: Examining the Impact of Internalized Homophobia and Depression Symptoms on HIV Testing Through a Suicide Syndemic Among Young Black Men Who Have Sex with Men.Journal of racial and ethnic health disparities · 2026Article
- Mental health treatment among transgender and gender diverse people following gender affirming hormone therapy: evidence from whole-of-population Australian administrative data.EClinicalMedicine · 2026Article
- Gender minority stress, resilience, and mental health in clinic-referred transgender and gender-diverse adolescents: a network analysis.Child and adolescent psychiatry and mental health · 2026Article
- "You get a better idea of what you want to do with your life": needs and experiences of transgender and gender diverse individuals participating in an internet delivered emotion regulation treatment.Frontiers in psychiatry · 2026Article
- Resilience and distinct lifeways: sexual orientation and gender minority status differences in health, well-being, and social determinants of health in a population-based sample of older adults.BMC public health · 2025Article
- Implementing LGBTQ-affirmative CBT: study protocol for an effectiveness-implementation trial at 90 LGBTQ community centers.BMC health services research · 2025Article
- From rejection by others to affirmation of self: Understanding the dynamics of cissexism-based stress, resilience factors, and suicidal ideation among bi+ transgender and gender diverse adults.Psychology of sexual orientation and gender diversity · 2025Article
- Gender Minority Stressors, Hopelessness, and Their Associations with Internalizing and Externalizing Mental Health Outcomes in a Hungarian Trans Adult Sample.Archives of sexual behavior · 2025Article
- The Association Between Sexual Violence and Suicidal Ideation Among Transgender Women and the Role of Gender-Affirming Healthcare Providers in Seven Urban Areas in the United States, 2019 to 2020.Journal of interpersonal violence · 2025Article
- Being trans in Korea: key milestones and stigmatization across life stages in a nationwide survey of 585 transgender and non-binary young adults.Epidemiology and health · 2025Article
- Article
- Kept in the Closet: Structural Stigma and the Timing of Sexual Minority Developmental Milestones Across 28 European Countries.Journal of youth and adolescence · 2023Article
- A systematic review on gender dysphoria in adolescents and young adults: focus on suicidal and self-harming ideation and behaviours.Child and adolescent psychiatry and mental health · 2023Review
- Changes in Health Insurance During COVID-19 Among a U.S. National Cohort of Cisgender Gay and Bisexual Men and Transgender Individuals.Annals of LGBTQ public and population health · 2023Article
- The Impact of Sexual Violence on Quality of Life and Mental Wellbeing in Transgender and Gender-Diverse Adolescents and Young Adults: A Mixed-Methods Approach.Healthcare (Basel, Switzerland) · 2023Article
- Disparities in health condition diagnoses among aging transgender and cisgender medicare beneficiaries, 2008-2017.Frontiers in endocrinology · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionNumerous studies have reported a high prevalence of suicidality among transgender individuals. Yet few studies have reported results from population-based samples, leaving open questions about the generalizability of existing findings. Factors proposed to explain transgender individuals' elevated risk of suicidality derive from several theoretical models (i.e., clinical model, interpersonal model, minority stress model, and societal integration model). These models identify both general risk factors (e.g., mental health risks and interpersonal risks) assumed to be elevated among transgender individuals because of transgender individuals' exposure to stigma-related disadvantage and the stigma-specific risks themselves (e.g., minority stressors such as discrimination). This is one of the first population-based studies to examine differences in suicidality between transgender and cisgender individuals and theoretically derived factors potentially explaining such differences.
methodsA sample of 533 transgender and 104,757 cisgender individuals (age 16-84) was analyzed.
resultsCompared to cisgender individuals, transgender individuals were at a substantially higher risk of reporting both lifetime and past 12-month suicidality. Several factors partially mediated the increased risk of suicidality among transgender compared to cisgender individuals, including depressive symptoms, lack of social support, and exposure to discrimination.
conclusionsThis study suggests that transgender people experience multiple psychosocial health threats and calls for interventions to reduce these threats.
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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.