Recorded diagnosis of gender identity disorder is strongly associated with suicide mortality

We assessed the association between gender identity disorder (GID) diagnosis and suicide in a retrospective case–control study (N=300,364) from nine health care systems between 2000 and 2015. Adjusting for age and sex, the odds ratio for GID was 18.6 (95% confidence interval 7.0–49.5). Adjusting additionally for comorbid psychiatric diagnoses, the odds ratio was 4.75 (1.78–12.68), […]

Dialectical behaviour therapy (DBT) for high-risk transgender and gender diverse (TGD) youth: A qualitative study of youth and mental health providers’ perspectives on intervention relevance

Objectives Despite the significant mental health challenges and unique treatment needs of transgender and gender diverse (TGD) youth, research on the acceptability of evidence-based treatments for these youth is limited. To address this gap, the current study explored the perceived relevance of dialectical behaviour therapy (DBT) for high-risk TGD youth. Methods Qualitative data were collected […]

Heterogeneity in gender dysphoria in a Brazilian sample awaiting gender-affirming surgery: A data-driven analysis

Background Population heterogeneity and the lack of clinical and sociodemographic information in transgender individuals with gender dysphoria (GD) remains a challenge for specialized services in mental health and surgical procedures. It aimed to identify and describe profiles in a sample waiting for gender-affirming surgery. Methods A sample of 100 outpatients with GD was assessed through […]

Experiences of suicide in transgender youth: A qualitative, community-based study

Objective: The aim was to develop understanding around the experience of suicide in transgender youth. Method: Qualitative analysis with 85 interviews with transgender youth about their histories with suicidality was performed. Participants were recruited from community clinics in three counties (United States, Canada, and Ireland) between 2010 and 2014. Results: Factors that precipitated participants’ suicide attempts included rejection based on […]

Suicide risk in the UK trans population and the role of gender transition in decreasing suicidal ideation and suicide attempt

Purpose The purpose of this paper is to present findings from the Trans Mental Health Study (McNeil et al., 2012) – the largest survey of the UK trans population to date and the first to explore trans mental health and well-being within a UK context. Findings around suicidal ideation and suicide attempt are presented and […]

Suicidality, self-harm, and body dissatisfaction in transgender adolescents and emerging adults with gender dysphoria.

Prevalence of suicide attempts, self-injurious behaviors, and associated psychosocial factors were examined in a clinical sample of transgender (TG) adolescents and emerging adults (n = 96). Twenty-seven (30.3%) TG youth reported a history of at least one suicide attempt and 40 (41.8%) reported a history of self-injurious behaviors. There was a higher frequency of suicide attempts in […]

Dysphoric Adolescents as Young Adults: a Prospective Study of the Psychological Sequelae of Depressed Mood in Adolescence

The longitudinal implications of age-18 dysphoric mood were evaluated in 87 23-year-old young adults, using a prospective multi-informant design. Elevated initial CES-D (Center for Epidemiological Studies-Depression)scores were found to predict chronic depressive symptoms and suicidal ideation in both genders. The results indicate that adolescent dysphoric mood is an important predictor of psychological distress in young […]

Difficulties Inherent in Certifying People With Gender Dysphoria

Individuals presenting with gender dysphoria often do not have problems indicative of coexisting psychiatric illness. Of 318 male-to-female and 117 female-to-male transitions, 12% of the former and 21% of the latter engaged in some form of suicidal gesture. All the suicidal attempts occurred prior to the gender treatment.