Rates and Determinants of Suicide Attempts in Transgender People: Data from Integrated Health Systems 公开

Abstract

Background: Transgender people, face greater discrimination and stigma and thus may have experience a variety of mental health problems. As suicide attempt is an important and severe manifestation of poor mental health, it is essential to estimate the frequency and determinants of these events among transgender individuals.

 

Methods: Longitudinal data on 6,327 transgender individuals from 2006 – 2016 STRONG cohort were analyzed to calculate rates of suicide attempts among study participants and to compare these rates across demographic and gender identity-specific groups and by mental health status at baseline.  Episode of possible and confirmed self-inflicted injuries and poisoning, transgender status, gender identity and other variables were ascertained based on electronic medical records from three integrated health systems.

 

Results: Using Poisson regression, we found that the rates of suicide attempt vary across subgroups. Participants of younger age, transmasculine individuals, and those with previous history of suicide attempt and poor mental health at baseline had higher rates of suicide attempt. Additionally, among transmasculine individuals, those who resided in an area that had less than 30% of residents with high school education and those who were racial/ethnic minorities had higher rates of suicide attempt. By contrast, among transfeminine study participants, racial/ethnic minorities had lower rates of suicide attempt relative to non-Hispanic whites and no association was observed with area-based level of education.

 

Conclusions: These results suggest that previous history of suicide attempt and multiple mental health diagnoses are powerful predictors of future suicide attempts among the transgender population.  Transmasculine study participants and younger individuals experience higher rates of suicide attempt compared to their respective reference groups. Future research should examine the impact of gender affirmation therapy on risk suicide attempts and help identify targets for suicide prevention interventions in this population.

Table of Contents

Table of Contents

INTRODUCTION          1

METHODS       3

STUDY DESIGN & COHORT ASCERTAINMENT           3

VARIABLES OF INTEREST       3

ANALYSIS        4

RESULTS         6

DISCUSSION    8

REFERENCES   14

TABLES                         16

About this Master's Thesis

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• Permission granted by the author to include this thesis or dissertation in this repository. All rights reserved by the author. Please contact the author for information regarding the reproduction and use of this thesis or dissertation.

School	Rollins School of Public Health
Department	Epidemiology
Subfield / Discipline	Epidemiology - MPH & MSPH
Degree	M.P.H.
Submission	Master's Thesis
Language	English
Research Field	Health Sciences, Public Health Health Sciences, Mental Health
关键词	Transgender Integrated Health Systems Suicide Attempt
Committee Chair / Thesis Advisor	Goodman, Michael, Emory University
Partnering Agencies	Does not apply (no collaborating organization)

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