Citation

Progovac AM, Tran NM, Mullin BO, De Mello Libardi Maia J, Creedon TB, Dunham E, Reisner SL, Mcdowell A, Bird N, Sánchez Román MJ, Dunn M, Telingator C, Lu F, Breslow AS, Forstein M, Cook BL. World Med. Health Policy 2021; 13(2): 176-198.

Copyright

(Copyright © 2021, Policy Studies Organization, Publisher John Wiley and Sons)

DOI

10.1002/wmh3.403

PMID

unavailable

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. © 2021 Policy Studies Organization

Language: en

Keywords

adult; human; violence; female; male; transgender; suicidal ideation; depression; suicide attempt; hospitalization; gender identity; risk factor; primary medical care; victim; health care policy; self report; automutilation; emergency ward; health care; cohort analysis; transsexualism; ICD-10; victimization; Article; ICD-9; electronic health record; LGBTQ; transgender and gender diverse