%0 Journal Article
%T Suicide, homicide, and all-cause mortality among transgender and cisgender patients in the Veterans Health Administration
%J LGBT health
%D 2021
%A Boyer, Taylor L.
%A Youk, Ada O.
%A Haas, Ann P.
%A Brown, George R.
%A Shipherd, Jillian C.
%A Kauth, Michael R.
%A Jasuja, Guneet K.
%A Blosnich, John R.
%V ePub
%N ePub
%P ePub-ePub
%X PURPOSE: This study examines the differences in suicide, homicide, and all-cause mortality between transgender and cisgender Veterans Health Administration (VHA) patients. <br><br>METHODS: VHA electronic medical record data from October 1, 1999 to December 31, 2016 were used to create a sample of transgender and cisgender patients (n = 32,441). Cox proportional hazard regression was used to evaluate differences in survival time (date of birth to death date/study end). Death data were from the National Death Index. <br><br>RESULTS: Transgender patients had more than twofold greater hazard of suicide than cisgender patients (adjusted hazard ratio [aHR] = 2.77, 95% confidence interval [CI] = 1.88-4.09), especially among younger (18-39 years) (aHR = 3.35, 95% CI = 1.30-8.60) and older (≥65 years) patients (aHR = 9.48, 95% CI = 3.88-23.19). Alternatively, transgender patients had an overall lower hazard of all-cause mortality (aHR = 0.90, 95% CI = 0.84-0.97) compared with cisgender patients, which was driven by patients 40-64 years old (aHR = 0.78, 95% CI = 0.72-0.86) and reversed by those 65 years and older (aHR = 1.17, 95% CI = 1.03-1.33). <br><br>CONCLUSION: Transgender patients' hazard of suicide mortality was significantly greater than that of cisgender VHA patients.<p /> <p>Language: en</p>
%G en
%I Mary Ann Liebert Publishers
%@ 2325-8292
%U http://dx.doi.org/10.1089/lgbt.2020.0235