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

Background Transgender 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. Objective To ex...

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Bibliographic Details
Published in:Journal of general internal medicine : JGIM 2023-05, Vol.38 (6), p.1357-1365
Main Authors: Kirakosian, Norik, Stanton, Amelia M., McKetchnie, Samantha M., King, Dana, Dolotina, Brett, O’Cleirigh, Conall, Grasso, Chris, Potter, Jennifer, Mayer, Kenneth H., Batchelder, Abigail W.
Format: Article
Language:English
Subjects:
Age
Birth
Cisgender
Electronic health records
Electronic medical records
Ethnicity
Female
Gender
Gender Identity
Health care
Humans
Indigent care
Infant, Newborn
Insurance
Internal Medicine
Male
Medicine
Medicine & Public Health
Men
Mental health
Minority & ethnic groups
Non-binary gender
Original Research
Primary care
Psychological stress
Questionnaires
Race
Risk assessment
Self Report
Sexual and Gender Minorities
Sexual behavior
Sexual orientation
Subgroups
Suicidal Ideation
Suicide
Transgender persons
Transgender Persons - psychology
Women
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Summary:Background Transgender 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. Objective To examine rates of self-reported suicidal ideation among four TGD groups compared to cisgender individuals. Design Data 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. Participants 29,988 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 Results Younger 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
ISSN:0884-8734
1525-1497
DOI:10.1007/s11606-022-07996-2