TY  - JOUR
PY  - 2021//
TI  - Suicide, homicide, and all-cause mortality among transgender and cisgender patients in the Veterans Health Administration
JO  - LGBT health
A1  - Boyer, Taylor L.
A1  - Youk, Ada O.
A1  - Haas, Ann P.
A1  - Brown, George R.
A1  - Shipherd, Jillian C.
A1  - Kauth, Michael R.
A1  - Jasuja, Guneet K.
A1  - Blosnich, John R.
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - 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>
LA  - en
SN  - 2325-8292
UR  - http://dx.doi.org/10.1089/lgbt.2020.0235
ID  - ref1
ER  -