Evidence map›Paper›PMID 42541935›Full record

ArticlePsychiatry research2026

Situated vulnerabilities and resiliencies associated with lifetime and past 6-month suicide attempt among transgender and gender diverse primary care patients.

David R Pletta, Meg Quint, Alex S Keuroghlian, Asa E Radix, Madeline B Deutsch, Kenneth H Mayer, Jennifer Potter, Dana J Pardee, Juwan Campbell, Jaclyn M W Hughto and 1 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Psychiatry research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

11 authors.

David R PlettaDepartment of Epidemiology, University of Michigan School of Public Health, Ann Arbor, MI, USA; The Fenway Institute, Fenway Health, Boston, MA, USA. Electronic address: dpletta@umich.edu.
Meg QuintThe Fenway Institute, Fenway Health, Boston, MA, USA; Stanford University School of Medicine, Stanford, CA, USA.
Alex S KeuroghlianThe Fenway Institute, Fenway Health, Boston, MA, USA; Department of Psychiatry, Harvard Medical School, Boston, MA, USA; Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA.
Asa E RadixCallen-Lorde Community Health Center, New York City, NY, USA.
Madeline B DeutschDepartment of Family and Community Medicine, University of California, San Francisco, San Francisco, CA, USA.
Kenneth H MayerThe Fenway Institute, Fenway Health, Boston, MA, USA; Department of Medicine, Harvard Medical School, Boston, MA, USA; Division of Infectious Diseases, Department of Medicine, Beth Israel Deaconess Medical Center, Boston, MA, USA; Department of Global Health and Population, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Jennifer PotterThe Fenway Institute, Fenway Health, Boston, MA, USA; Department of Medicine, Harvard Medical School, Boston, MA, USA; Division of General Internal Medicine, Department of Medicine, Beth Israel Deaconess Medical Center, Boston, MA, USA.
Dana J PardeeThe Fenway Institute, Fenway Health, Boston, MA, USA.
Juwan CampbellThe Fenway Institute, Fenway Health, Boston, MA, USA.
Jaclyn M W HughtoThe Fenway Institute, Fenway Health, Boston, MA, USA; Department of Behavioral and Social Sciences, Brown University School of Public Health, Providence, RI, USA; Department of Epidemiology, Brown University School of Public Health, Providence, RI, USA.
Sari L ReisnerDepartment of Epidemiology, University of Michigan School of Public Health, Ann Arbor, MI, USA; The Fenway Institute, Fenway Health, Boston, MA, USA.

Funding

Strategies to Prevent HIV Acquisition for At-Risk Men in the USR01MH129175 · NIMH · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI REISNER, SARI · 2022 to 2025
$2.9M
NIMH NIH HHS R01 MH129175
6 · The paper itself

Abstract

Transgender, nonbinary, and gender diverse (TGD) adults experience elevated suicide attempt (SA) risk relative to cisgender adults, yet modifiable vulnerabilities and resiliencies remain understudied. This cross-sectional study examined correlates of lifetime and past 6-month SA among TGD adults receiving primary care. Electronic surveys were completed by 2131 TGD patients at two urban health centers, assessing demographics, gendered contexts, social determinants, interpersonal violence, mental health, and protective factors. Bivariate and multivariable log-Poisson generalized estimating equation models estimated associations with lifetime and past 6-month SA risk. The median age was 28 years; 29.2% had a non-White racial identity and 30.8% were nonbinary. Overall, 30.8% reported a lifetime SA and 2.5% a past 6-month SA. Higher gender dysphoria, childhood physical and sexual violence, lifetime intimate partner violence, and mild or severe depression/anxiety symptoms were associated with increased lifetime SA risk (adjusted risk ratios [aRRs]=1.19-2.12, p < 0.05). Past 6-month SA was associated with high gender dysphoria, lack of health insurance, recent homelessness, childhood sexual violence, and severe depression/anxiety symptoms (aRRs=2.12-4.22, p < 0.05). Ages 31-40 years and college degree attainment were protective against lifetime SA. Findings underscore the importance of addressing early-life trauma and current structural vulnerabilities to reduce suicide risk among TGD adults.

Indexed as

Gender DysphoriaSuicide, AttemptedTransgender PersonsAdolescentAdultCross-Sectional StudiesDepressionFemaleGender-Nonconforming PersonsHumansIntimate Partner ViolenceMaleMiddle AgedPrimary Health CareRisk FactorsYoung AdultClinical sampleProtective factorsRisk factorsSuicide attemptTransgender

Identifiers

PMID42541935
PMCPMC13673580

What OpenQuestion holds

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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.