Evidence map›Paper›PMID 36650322›Full record

ArticleJournal of general internal medicine2023

Suicidal Ideation Disparities Among Transgender and Gender Diverse Compared to Cisgender Community Health Patients.

Norik Kirakosian, Amelia M Stanton, Samantha M McKetchnie, Dana King, Brett Dolotina, Conall O'Cleirigh, Chris Grasso, Jennifer Potter, Kenneth H Mayer, Abigail W Batchelder

Open access · bronzeAbstract read
In one paragraph

Article in Journal of general internal medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
6.0field-weighted citation impact, top 4% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Observational
  9. Article
  10. Article
  11. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 7 institutions in 1 country.

Norik KirakosianDepartment of Psychology, University of Miami, Coral Gables, FL, USA.
Amelia M StantonDepartment of Psychological and Brain Sciences, Boston University, Boston, MA, USA.
Samantha M McKetchnieSchool of Social Work, Boston College, Newton, MA, USA.
Dana KingThe Fenway Institute, Fenway Health, Boston, MA, USA.
Brett DolotinaDepartment of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY, USA.
Conall O'CleirighThe Fenway Institute, Fenway Health, Boston, MA, USA.
Chris GrassoThe Fenway Institute, Fenway Health, Boston, MA, USA.
Jennifer PotterThe Fenway Institute, Fenway Health, Boston, MA, USA.
Kenneth H MayerThe Fenway Institute, Fenway Health, Boston, MA, USA.
Abigail W BatchelderThe Fenway Institute, Fenway Health, Boston, MA, USA. abatchelder@mgh.harvard.edu.
Fenway Health · USHarvard University · USBeth Israel Deaconess Medical Center · USBoston University · USColumbia University · USMassachusetts General Hospital · USUniversity of Miami · US

Funding

Understanding and Addressing Internalized Stigma and Shame as Barriers to Engagement in HIV Care among Men who Have Sex with Men who Use Substances.K23DA043418 · NIDA · MASSACHUSETTS GENERAL HOSPITAL · PI BATCHELDER, ABIGAIL WINSTON · 2017 to 2021
$1.1M
Reducing psychological barriers to PrEP persistence among pregnant and postpartum women in Cape Town, South AfricaK23MH131438 · NIMH · BOSTON UNIVERSITY (CHARLES RIVER CAMPUS) · PI Amelia M. Stanton · 2022 to 2026
$933k
NIDA NIH HHS K23 DA043418NIMH NIH HHS K23 MH131438
6 · The paper itself

Abstract

backgroundTransgender and gender diverse (TGD) individuals experience more severe psychological distress and may be at higher risk for suicide compared to cisgender individuals. The existing literature largely consists of small-sample studies that do not assess subgroup differences.

objectiveTo examine rates of self-reported suicidal ideation among four TGD groups compared to cisgender individuals.

designData were extracted from the electronic health records of patients receiving primary care at a community health center specializing in sexual and gender minority health. A logistic regression was used to examine the relationship between sociodemographic variables and the presence of current suicidal ideation.

participants29,988 patients receiving care at a community health center in Northeastern US between 2015 and 2018. MAIN MEASURES: Demographic questionnaire, 9-item Patient Health Questionnaire KEY

resultsYounger age, sexual and gender minority identity, and public/grants-based insurance were associated with significantly higher odds of suicidal ideation. Relative to cisgender men, transgender men (OR=2.08; 95% CI=1.29-3.36; p=.003), transgender women (OR=3.08; 95% CI=2.05-4.63; p<.001), nonbinary (NB) individuals assigned male at birth (AMAB; OR=3.55; 95% CI=1.86-6.77; p<001), and NB individuals assigned female at birth (AFAB; OR=2.49; 95% CI=1.52-4.07; p<001) all endorsed significantly higher odds of current suicidal ideation, controlling for age, race, ethnicity, sexual orientation, and insurance status. Larger proportions of transgender women (23.6%) and NB AMAB individuals (26.7%) reported suicidal ideation not only compared to cisgender men (6.1%) and women (6.6%), but also compared to transgender men (17.4%; χ

conclusionsTGD patients were at significantly increased risk of suicidal ideation, even after accounting for age, race, ethnicity, sexual orientation, and insurance status. Findings suggest distinct risk profiles by assigned sex at birth. Consistent assessment of and intervention for suicidal ideation should be prioritized in settings that serve TGD patients.

Indexed as

Sexual and Gender MinoritiesTransgender PersonsAdultFemaleGender IdentityHumansMaleSelf ReportSuicidal IdeationYoung Adultcommunity healthgender diversesuicidal ideationsuicidetransgender

Identifiers

PMID36650322
PMCPMC9844943
OpenAlexW4316881872

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.