How does sexual identity-attraction discordance influence suicide risk? A study on male and female adults in the U.S.

Background: Suicide continues to be one of the main causes of death among adults in the U.S. Research showed an association between sexual identity-attraction discordance (IAD) and adverse health outcomes, including suicidal ideation. Methods: We sought to determine whether sexual IAD is associated with self-injurious thoughts and behaviors (SITBs), namely suicidal thoughts, plans, and suicide attempts, in […]

Suicide-related disclosure patterns among culturally minoritized youth: Examining differences across race, ethnicity, gender identity, and sexual orientation

Objective Sharing one’s suicidal thoughts and behaviors, or suicide-related disclosure, allows adolescents to recruit help from others. Despite elevated risk among culturally minoritized youth, their suicide-related disclosure remains understudied. Methods 191 adolescents (M = 15.98, SD = 1.04, range = 13–17), including minoritized youth (38% racially, 19% ethnically, 40% gender, and 77% sexually), were recruited via social media ads and completed an anonymous […]

Suicidal thoughts and behaviors among gender and sexual minorities: Adults ages 25–44 show highest rates of past month suicidal thoughts

Introduction Sexual and gender minority (SGM) people are at increased risk for suicidal thoughts and behaviors relative to their cisgender heterosexual peers. However, most research in this area has focused on youth, limiting our understanding of suicide risk among SGM adults. Methods To address this gap in the literature, the present study examined suicidal thoughts […]

Transgender individuals are at higher risk for suicidal ideation and preparation than cisgender individuals in substance use treatment

Introduction: This study describes the differences and similarities in mental health, substance use, and substance use treatment outcomes between people presenting for SUD treatment who identified as transgender and those who identified as cisgender men or women. Methods: We compared 64 individuals who self-identified as transgender and presented for SUD treatment to samples of cisgender men and […]

Suicide ideation and the related factors among Iranian transgender people: A cross-sectional study

Objective Suicide is a significant public health concern worldwide, and efforts to prevent it are crucial. This study aims to assess suicide ideation among transgender individuals in Iran. A cross-sectional design was used, with 235 transgender participants recruited through snowball sampling across Iran. The data collection included a questionnaire containing demographic inquiries, while the Beck […]

Psychological distress, self-harm and suicide attempts in gender minority compared with cisgender adolescents in the UK

Background: Few population-based studies have compared the mental health of gender minority and cisgender adolescents. Aims: To compare reports of psychological distress, behavioural and emotional difficulties, self-harm and suicide attempts between gender minority and cisgender adolescents. Method: Data came from the Millennium Cohort Study (n = 10 247), a large nationally representative birth cohort in the UK. At a […]

Training death investigators to identify decedents’ sexual orientation and gender identity: A feasibility study

There is growing impetus within mortality surveillance to identify decedents’ sexual orientation and gender identity (SOGI), but key personnel to this effort (eg, death investigators) are not currently trained to collect SOGI information. To address this gap, we developed a training for death investigators on this topic and tested its feasibility with 114 investigators in […]

Understanding the processes underlying selfharm ideation and behaviors within LGBTQ+ young people: A qualitative study

Objective: This study aims to understand the processes underlying self-harmful thoughts and behaviors, with and without suicidal intent, among LGBTQ+ young people. Method: Nineteen semi-structured interviews took place between October 2019 and May 2020. Participants were aged between 16 and 25 years, had experiences of self-harm ideation and behaviors, and were part of the LGBTQ+ umbrella. A […]

Analysis of psychiatric symptoms and suicide risk among younger adults in China by gender identity and sexual orientation

Importance  Younger adults in China who are transgender and gender nonconforming (TGNC) and lesbian, gay, and bisexual (LGB) experience high levels of minority stress (eg, stigma and bullying) and adverse mental health symptoms. However, there is a lack of research documenting mental health disparities compared with their cisgender and heterosexual peers. Studies that disaggregate TGNC and […]

Sexual and gender identity and note-leaving among adult suicide decedents in the USA

Background: Suicide is one of the leading causes of preventable death in the USA, representing a critical public health threat. Suicide risks differ for different populations. In particular, the sexual and gender minority (SGM) population remains at increased risk for suicide. One of the circumstances that may differ for SGM and non-SGM individuals is the […]

Sexual and gender identity and note-leaving among adult suicide decedents in the USA

Background: Suicide is one of the leading causes of preventable death in the USA, representing a critical public health threat. Suicide risks differ for different populations. In particular, the sexual and gender minority (SGM) population remains at increased risk for suicide. One of the circumstances that may differ for SGM and non-SGM individuals is the […]

Sexual identity-behavior profiles, and suicide outcomes among heterosexual, lesbian, and gay sexually active adolescents

Objective Adolescents’ sexual behaviors can be incongruent with those assumed to align with their sexual identity. Identity–behavior profiles permit the characterization of youth who might remain undetected using a single-dimensional assessment of sexual orientation. This study examined suicide risks among four distinct sexual identity–behavior profiles of youth: heterosexual with other-sex partners only, heterosexual with any […]

Experiences of hospitalization for suicide ideation and suicide attempt in gender diverse adults

Introduction This study sought to investigate general perceptions of suicide-related hospital-based care that Transgender/Gender Diverse (TGD) adults have experienced as well as correlates of their perceived usefulness of this care. Methods Data were collected via a cross-sectional online survey of N = 3718 self-identified TGD individuals. Single-item self-report measures of all constructs of interest were used. Results A […]

Associations between minority stress, depression, and suicidal ideation and attempts in transgender and gender diverse (TGD) individuals: Systematic review and meta-analysis

Minority stress theory posits that transgender and gender diverse (TGD) individuals exhibit greater rates of depression and suicidality due to internal (proximal) and external (distal) stressors related to their TGD identity. Yet, the magnitude of the relationship between minority stress processes and mental health outcomes has not been quantitatively summarized. The current research meta-analyzed the […]

Association of gender-affirming hormone therapy with depression, thoughts of suicide, and attempted suicide among transgender and nonbinary youth

Purpose: There are no large-scale studies examining mental health among transgender and nonbinary youth who receive gender-affirming hormone therapy (GAHT). The purpose of this study is to examine associations among access to GAHT with depression, thoughts of suicide, and attempted suicide among a large sample of transgender and nonbinary youth. Methods: Data were collected as […]

An analysis of suicidal thoughts and behaviors among transgender and gender diverse adults

Purpose Suicidal thoughts and behaviors (STBs) remain a pressing public health problem for transgender and gender diverse (TGD) persons. The goal of this study was to apply social-ecological and  minority stress frameworks to identify individual and interpersonal-level TGD-specifc STB risk and protective factors. Methods This is a secondary analysis of the 2015 United States Transgender […]