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 […]

Being safe, being me 2019: Results of the Canadian trans and non-binary youth health survey

In 2014, Stigma and Resilience Among Vulnerable Youth Centre (SARAVYC) conducted a bilingual survey to learn about the health of transgender youth in Canada. It was the first and largest of its kind in Canada, with 923 young people responding. From this report, recommendations—such as developing safe, more inclusive schools and providing support for families […]

Past-year suicidal ideation among transgender individuals in the United States

This study assessed potential correlates to past-year suicide ideation among a national sample of transgender adults in the United States. A secondary analysis of the 2015 Transgender Survey was conducted. The 2015 Transgender Survey is the first and largest survey assessing health behaviors among transgender individuals living in the United States. Participants were recruited by […]

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 relationship between […]

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 […]

Predictors of self-harm and suicide in LGBT youth: The role of gender, socio-economic status, bullying and school experience

Background Lesbian, gay and bisexual (LGB) young people’s increased risk of self-harm, suicidal attempts and suicide compared with heterosexual youth is well established. The current study sought to examine whether these findings also apply to the trans (T) population and which factors act as additional risk or protective factors. Methods In a national cross-sectional survey, […]

Mental health outcomes in transgender and nonbinary youths receiving gender-affirming care

Objective  To investigate changes in mental health over the first year of receiving gender-affirming care and whether initiation of puberty blockers (PBs) and gender-affirming hormones (GAHs) was associated with changes in depression, anxiety, and suicidality. Design, Setting, and Participants  This prospective observational cohort study was conducted at an urban multidisciplinary gender clinic among TNB adolescents and young […]

Examining the mental health presentations of treatment‑seeking transgender and gender nonconforming (TGNC) youth

Recent research suggests that transgender and/or gender nonconforming (TGNC) youth present with heightened levels of mental health problems compared to peers. This study seeks to examine the mental health needs of a large sample of treatment-seeking TGNC youth by comparing them to cisgender males and females. Participants were 94,804 children and youth ages 4–18 years […]

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 […]

Responsible journalism, imitative suicide, and transgender populations: A systematic review of UK newspapers

Purpose: The risk of suicide is high in the transgender population. Imitative suicide occurs when excess suicidal behavior is observed following news media coverage of suicide. The purpose of this study is to evaluate how often UK newspapers adhere to suicide reporting guidelines designed to minimize imitative suicide when they report the suicides of transgender […]

Gender-diverse: A spotlight on the health of trans and non-binary young people in BC. Results of the 2018 BC Adolescent Health Survey

This report provides a profile of the health of gender-diverse youth in British Columbia (BC). The report uses data from the 2018 BC Adolescent Health Survey (BC AHS). The BC AHS is the most reliable, comprehensive health survey of adolescents ages 12–19 in public schools in BC. Repeated every five years since 1992, the survey […]

Peer support as a protective factor against suicide in trans populations: A scoping review

Rationale There is a growing body of research involving transgender (trans) individuals that foregrounds elevated rates of suicidality in trans populations. Although peer support is increasingly studied as a protective factor against suicide among trans persons, the scholarship in this area continues to be limited and has yet to be synthesized and appraised. Objective In this paper, […]

Suicidality among gender minority youth: Analysis of 2017 Youth Risk Behavior Survey data

We examined differences in suicidality based on gender identity while adjusting for known suicide risk factors in a sample of United States adolescents. Using data from the 2017 Youth Risk Behavior Survey we used logistic regression models to examine three suicide-related outcomes. Youth were categorized as transgender (1.3%), gender-questioning (1.4%), or cisgender (97.3%). In fully […]

Suicide, homicide, and all-cause mortality among transgender and cisgender patients in the Veterans Health Administration

Purpose: This study examines the differences in suicide, homicide, and all-cause mortality between transgender and cisgender Veterans Health Administration (VHA) patients. 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 […]

Factors associated with suicide attempts among Australian transgender adults

Background Transgender, including gender diverse and non-binary people, henceforth referred to collectively as trans people, are a highly marginalised population with alarming rates of suicidal ideation, attempted suicide and self-harm. We aimed to understand the risk and protective factors of a lifetime history of attempted suicide in a community sample of Australian trans adults to […]

Self-harm prevalence and ideation in a community sample of cis, trans and other youth

Background: Trans youth have been reported to have high rates of self-harm, depression and bullying, and find it difficult to seek support. However, much of this research comes from gender identity clinics; non-clinical samples and those who reject gender binaries remain under-researched. Aims: This study investigated the experiences of a community school-based sample of Trans, identifying youth, […]

Suicide attempts among a cohort of transgender and gender diverse people

Introduction Transgender and gender diverse people often face discrimination and may experience disproportionate emotional distress that leads to suicide attempts. Therefore, it is essential to estimate the frequency and potential determinants of suicide attempts among transgender and gender diverse individuals. Methods Longitudinal data on 6,327 transgender and gender diverse individuals enrolled in 3 integrated healthcare […]

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 exposure in transgender and gender diverse adults

Objective The purpose of this study is to examine the psychological effects of suicide exposure for Transgender and Gender Diverse (TGD) adults. Method Using data from a national online survey of 2,784 self-identified TGD adults, the current study investigated the prevalence of suicide death and suicide attempt exposure and demographic and mental health correlates. Results […]

Associations between recalled exposure to gender identity conversion efforts and psychological distress and suicide attempts among transgender adults.

Importance  Gender identity conversion efforts (GICE) have been widely debated as potentially damaging treatment approaches for transgender persons. The association of GICE with mental health outcomes, however, remains largely unknown. Objective  To evaluate associations between recalled exposure to GICE (by a secular or religious professional) and adult mental health outcomes. Design, Setting, and Participants  In this cross-sectional study, […]

Suicidal disparities between transgender and cisgender adolescents

BACKGROUND AND OBJECTIVES: Emerging evidence indicates transgender adolescents (TGAs) exhibit elevated rates of suicidal ideation and attempt compared with cisgender adolescents (CGAs). Less is known about risk among subgroups of TGAs because of limited measures of gender identity in previous studies. We examined disparities in suicidality across the full spectrum of suicidality between TGAs and CGAs […]