Evidence map›Paper›PMID 40017808›Full record

ArticleWorld medical & health policy2021

Elevated Rates of Violence Victimization and Suicide Attempt Among Transgender and Gender Diverse Patients in an Urban, Safety Net Health System.

Ana M Progovac, Nathaniel M Tran, Brian O Mullin, Juliana De Mello Libardi Maia, Timothy B Creedon, Emilia Dunham, Sari L Reisner, Alex McDowell, Natalie Bird, María José Sánchez Román and 6 more

Abstract read
In one paragraph

Article in World medical & health policy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
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

8 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Observational
  5. Article
  6. Article
  7. Pain mechanisms in the transgender individual: a review.Frontiers in pain research (Lausanne, Switzerland) · 2024
    Review
  8. Diversion as a Pathway to Improving Service Utilization Among At-Risk Youth.Psychology, public policy, and law : an official law review of the University of Arizona College of Law and the University of Miami School of Law · 2022
    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

16 authors.

Ana M ProgovacDepartment of Psychiatry at Harvard Medical School, Boston, MA, USA.ORCID 0000-0002-8011-9305
Nathaniel M TranVanderbilt University, Nashville, TN, USA.ORCID 0000-0002-6222-032X
Brian O MullinHealth Equity Research Lab, Department of Psychiatry, Cambridge Health Alliance, Cambridge, MA, USA.
Juliana De Mello Libardi MaiaCambridge Health Alliance, Cambridge, MA, USA.
Timothy B CreedonHealth Equity Research Lab, Department of Psychiatry, Cambridge Health Alliance, Cambridge, MA, USA.
Emilia DunhamMassHealth Office of Behavioral Health at the Commonwealth of Massachusetts, Boston, MA, USA.
Sari L ReisnerTransgender Health Research at the Brigham and Women's Hospital and The Fenway Institute at Fenway Health.
Alex McDowellMongan Institute, Massachusetts General Hospital, Department of Medicine, Harvard Medical School, Boston, MA, USA.
Natalie BirdDepartment of Sexual and Reproductive Health, Cambridge Health Alliance, Cambridge, MA, USA.
María José Sánchez RománMilken Institute School of Public Health, George Washington University, Washington, DC.
Mason DunnDivision of Education and Training at The Fenway Institute, Boston, MA, USA.
Cynthia TelingatorHarvard Medical School, Boston, MA, USA.
Frederick LuBoston University School of Medicine, Boston, MA, USA.
Aaron Samuel BreslowPRIME Center for Health Equity, Department of Psychiatry and Behavioral Sciences, Albert Einstein College of Medicine/Montefiore Medical Center, Bronx, NY, USA.
Marshall ForsteinHarvard Medical School, Boston, MA, USA.
Benjamin Lê CookCambridge Health Alliance in Cambridge, MA, USA.

Funding

Harvard Clinical and Translational Science CenterUL1TR001102 · NCATS · HARVARD MEDICAL SCHOOL · PI NADLER, LEE MARSHALL · 2013 to 2017
$106.2M
Understanding the Role of Trauma Over the Lifecourse in Order to Improve Trauma-informed TreatmentP50MH126283 · NIMH · CAMBRIDGE HEALTH ALLIANCE · PI WEISS, MARGARET · 2021 to 2024
$6.6M
NCATS NIH HHS UL1 TR001102NIMH NIH HHS P50 MH126283
6 · The paper itself

Abstract

The extent to which violent victimization may explain higher rates of suicidality for transgender and gender diverse (TGD) populations is not well-understood. We identified likely-TGD patients using 2008-2019 electronic health record data and compared them with non-TGD patients to characterize differences in suicide attempt, ideation, and violent victimization. TGD patients (n = 916) had more suicide attempts (5.2 vs. 0.4 percent), ideation (20.5 vs. 1.8 percent), and violent victimization (5.4 vs. 1.7 percent, all p < .001) than non-TGDs (n = 511,026). Violent victimization and TGD cohort were independent predictors of suicide attempt (odds ratios [ORs], 7.23 and 10.84) and ideation (ORs, 6.83 and 11.03, all p < .001). We did not observe a differential impact of violent victimization for gender minorities. TGD patients are at higher baseline risk for suicidality, which is higher still for those experiencing violent victimization. Routine screening for both outcomes, including in primary care settings, may improve treatment.

Indexed as

electronic health recordLGBTQsuicide attempttransgender and gender diversevictimization

Identifiers

PMID40017808
PMCPMC11867620

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Registered trials

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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.