ArticleCMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne2022
Suicidality among sexual minority and transgender adolescents: a nationally representative population-based study of youth in Canada.
Article in CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.
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Who cites it
26 citing papers in PubMed, 60 citations in OpenAlex.
- Do Victimization and Hopelessness Relate to Suicidality Differently Across Sexual Orientation? Evidence from the 2015-2023 U.S. Youth Risk Behavior Surveys.Archives of sexual behavior · 2026Article
- Mental Health Service Use in Sexually and Gender Diverse Youths and Cisgender Heterosexual Youths.JAMA network open · 2026Article
- Mental health status of sexually diverse youth at age 23: Cross-sectional data from the Quebec Longitudinal Study of Child Development.Canadian journal of public health = Revue canadienne de sante publique · 2026Article
- Using Digital Mental Health and Measurement-Based Care With Youth Experiencing Suicidal Thoughts and Behaviors: Qualitative Study of Clinician Barriers and Facilitators.JMIR human factors · 2026Article
- Latent class analysis of sexual behavior patterns and multidimensional health characteristics among Korean adolescents: a cross-sectional study.Child health nursing research · 2026Article
- Timing of suicide attempts by children and adolescents admitted to an inpatient psychiatry unit: a retrospective study.Child and adolescent psychiatry and mental health · 2026Article
- Effects of gender-affirming hormone therapy from adolescence to adulthood on bone mineral density, body composition and muscle strength.EClinicalMedicine · 2026Article
- Pathways to inclusion: A scoping review exploring equity, diversity, and inclusion in mental health and addictions patient navigation programs.PLOS mental health · 2026Article
- The role of sleep quality and duration in associations between daily minority stress and next-day suicidal ideation in LGBTQ+ youth.Journal of affective disorders · 2025Article
- Examining the Experiences of Transgender and Non-Binary Nursing Students and Nurses in Canada.The Canadian journal of nursing research = Revue canadienne de recherche en sciences infirmieres · 2025Article
- Article
- Sexual identity, child maltreatment, mental health, and substance use among emerging adults aged 18 to 23 years.Canadian journal of public health = Revue canadienne de sante publique · 2025Article
- Mental health among sexually and gender diverse adolescents in Indonesia and Vietnam: Results from the National Adolescent Mental Health Surveys.Child and adolescent psychiatry and mental health · 2025Article
- Identifying Intersecting Factors Associated With Suicidal Thoughts and Behaviors Among Transgender and Gender Diverse Adults: Preliminary Conditional Inference Tree Analysis.Journal of medical Internet research · 2025Article
- Sexual and gender minority youth in Canada: An investigation of disparities in positive mental health.Canadian journal of public health = Revue canadienne de sante publique · 2025Article
- Suicidality in first-generation, second-generation and non-immigrant youth in Canada.Journal of migration and health · 2025Article
- Shifting Paradigms: A Deep Dive Into Public Perceptions of Gender-affirming Surgery.Plastic and reconstructive surgery. Global open · 2025Article
- Mental Disorders and Suicidality in Transgender and Gender-Diverse People.JAMA network open · 2024Article
- Suicidal Ideation and Attempts Among Youth With Physical-Mental Comorbidity in Canada: Proposal for an Epidemiological Study.JMIR research protocols · 2024Article
- The Effects of Gender-Affirming Hormone Therapy on Quality of Life: The Importance of Research on Youth.Healthcare (Basel, Switzerland) · 2024Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundVery little research has described risk of suicidal ideation and suicide attempt among transgender youth using high-quality, nationally representative data. We aimed to assess risk of suicidality among transgender and sexual minority adolescents in Canada.
methodsWe analyzed a subsample of adolescents aged 15-17 years from the 2019 Canadian Health Survey on Children and Youth, a nationally representative, cross-sectional survey. We defined participants' transgender identity (self-reported gender different from sex assigned at birth) and sexual minority status (self-reported attraction to people of the same gender) as exposures, and their self-reported previous-year suicidal ideation and lifetime suicide attempt as outcomes.
resultsWe included 6800 adolescents aged 15-17 years, including 1130 (16.5%) who indicated some degree of same-gender attraction, 265 (4.3%) who were unsure of their attraction and 50 (0.6%) who reported a transgender identity. Compared with cisgender, heterosexual adolescents, transgender adolescents showed 5 times the risk of suicidal ideation (95% confidence interval [CI] 3.63 to 6.75; 58% v. 10%) and 7.6 times the risk of suicide attempt (95% CI 4.76 to 12.10; 40% v. 5%). Among cisgender adolescents, girls attracted to girls had 3.6 times the risk of previous-year suicidal ideation (95% CI 2.59 to 5.08) and 3.3 times the risk of having ever attempted suicide (95% CI 1.81 to 6.06), compared with their heterosexual peers. Adolescents attracted to multiple genders had 2.5 times the risk of suicidal ideation (95% CI 2.12 to 2.98) and 2.8 times the risk of suicide attempt (95% CI 2.18 to 3.68). Youth questioning their sexual orientation had twice the risk of having attempted suicide in their lifetime (95% CI 1.23 to 3.36).
interpretationWe observed that transgender and sexual minority adolescents were at increased risk of suicidal ideation and attempt compared with their cisgender and heterosexual peers. These findings highlight the need for inclusive prevention approaches to address suicidality among Canada's diverse youth population.
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