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 […]

Suicidality and protective factors among sexual and gender minority youth and adults in Canada: A cross‑sectional, population‑based study

Background Sexual and gender minority populations experience elevated risks for suicidality. This study aimed to assess prevalence and disparities in non-fatal suicidality and potential protective factors related to social support and health care access among sexual and gender minority youth and adults and their heterosexual and cisgender counterparts in Canada. The second objective was to […]

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), […]

Trans and gender diverse mental health, wellness and suicide prevention toolkit

Background and Purpose SPECTRUM, Waterloo Region’s Rainbow Community Space, developed this toolkit on trans mental wellness and suicide prevention in response to trans community needs and priorities. Given that many trans and gender  diverse people struggle with suicide, suicidal ideation and suicide attempts, this toolkit was created to 1) Help trans and gender diverse people […]

Social support and mental health among transgender and nonbinary youth in Quebec

Purpose: Transgender and nonbinary (TNB) youth face elevated levels of discrimination, stigma, mental health disorders, and suicidality when compared with their cisgender counterparts. Family and school support may mitigate some of the effects of the stressors facing TNB youth. This study aimed to better understand the impact of each of these sources of support on TNB […]

Research brief: Mental health of black transgender and nonbinary young people

Despite overall rates of suicidality among young people trending downward for the past 30 years, Black young people have experienced an increase in suicide attempts (Lindsey et al., 2019􀉣, with suicide rates among Black young people increasing 37% between 2018 and 2021 (Stone & Mack, 2023).

Demographic and psychosocial factors associated with recent suicidal ideation and suicide attempts among trans and gender diverse people in Australia

Introduction Correlates of suicidal ideation and suicide attempts among a large cross-section of trans and gender diverse populations in Australia were examined. Methods A national survey was conducted that included 1466 trans and gender diverse participants aged 18+ years. Multivariable regressions identified factors associated with recent suicidal ideation and suicide attempts. Results Overall, 62.4% reported […]

Gender identity-based disparities in self-injurious thoughts and behaviors among pre-teens in the United States

Introduction Transgender individuals are at heightened risk for self-injurious thoughts and behaviors (SITBs). Evidence suggests that middle childhood-aged transgender individuals experience elevated rates of non-suicidal self-injury (NSSI) and passive suicidal ideation (SI), compared to cisgender children. Little is known about gender identity-based disparities in SI more broadly and suicidal behavior (SB) in children aged 9 […]

Suicide-related outcomes following gender-affirming treatment: A review

Gender-affirming treatment remains a topic of controversy; of particular concern is whether gender-affirming treatment reduces suicidality. A narrative review was undertaken evaluating suicide-related outcomes following gender- affirming surgery, hormones, and/or puberty blockers. Of the 23 studies that met the inclusion criteria, the majority indicated a reduction in suicidality following gender-affirming treatment; however, the literature to […]

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 […]

Research brief: Mental health of black transgender and nonbinary young people

Despite overall rates of suicidality among young people trending downward for the past 30 years, Black young people have experienced an increase in suicide attempts (Lindsey et al., 2019), with suicide rates among  Black young people increasing 37% between 2018 and 2021 (Stone & Mack, 2023). Due to the already existing higher rates of suicide […]

Factors associated with suicidal ideation and suicide attempt in Brazilian transgender youth

The rates of suicidal ideation and suicide attempts among transgender youths are high. However, in Brazil, there are no studies about these outcomes in this population. The present study aims to investigate the prevalence of suicidal ideation and suicide attempts in Brazilian transgender youths (binary and non-binary), in association with predictor variables, following the Minority […]

Imputation methods for missing failure times in recurrent-event survival analysis: Application to suicide attempts in the transgender population

Suicide risk among transgender populations is an important public health issue. In a project evaluating association between gender affirmation and suicide attempts in the US Transgender Survey, we evaluated the relationship between gender affirmation and risk for suicide attempts. One of the challenges is that the age at suicide attempts was only collected for the […]

Suicidal ideation disparities among transgender and gender diverse compared to cisgender community health patients

Background Transgender and gender diverse (TGD) individuals experience more severe psychological distress and may be at higher risk for suicide compared to cisgender individuals. The existing literature largely consists of small-sample studies that do not assess subgroup differences. Objective To examine rates of self-reported suicidal ideation among four TGD groups compared to cisgender individuals. Design […]

Understanding past experiences of suicidal ideation and behavior in the life narratives of transgender older adults

Transgender people (collectively referred to here as trans) experience disproportionate rates of suicidal ideation and behavior (plans and attempts) attributed to complex constellations of structural and individual factors. Interpretive methods in suicide research elucidate and contextualize intricate patterns of risk factors and strategies for recovery. The life narratives of trans older adults offer unique insights […]

Proximal correlates of suicidal ideation among transgender and gender diverse people: A preliminary test of the three-step theory

Introduction Transgender and gender diverse (TGD) people experience higher rates of suicidal ideation than their cisgender peers; however, very little is known about factors that proximally relate to suicidal ideation in this population. This limited understanding may be due to the lack of theory-guided studies that are capable of testing proximal correlates of suicidal ideation […]

Self-injury in young bisexual people: A microlongitudinal investigation (SIBL) of thwarted belongingness and self-esteem on non-suicidal self-injury

Background Bisexual people are at an elevated risk for non-suicidal self-injury (NSSI). Psychological factors including self-esteem and thwarted belongingness may help explain this risk. The aim of the current study was to investigate associations between self-esteem, thwarted belongingness and NSSI urges and behavior in young bisexual people. Methods Participants aged 16–25 from 25 countries took […]

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 […]

Transgender-based disparities in suicidality: A population-based study of key predictions from four theoretical models

Introduction Numerous studies have reported a high prevalence of suicidality among transgender individuals. Yet few studies have reported results from population-based samples, leaving open questions about the generalizability of existing findings. Factors proposed to explain transgender individuals’ elevated risk of suicidality derive from several theoretical models (i.e., clinical model, interpersonal model, minority stress model, and […]

Factors that drive mental health disparities and promote well- being in transgender and nonbinary people

Transgender (or trans) is an umbrella term for individuals who experience their gender differently from what is associated with the sex they were assigned at birth. Individuals who are nonbinary experience their gender outside binary conceptions of gender. Although research has predominantly focused on negative mental health outcomes for transgender and non-binary (TNB) individuals, an […]

Syndemic relationship of depressive symptoms, substance use, and suicidality in transgender youth: A cross‑sectional study using the U.S. youth risk behavior surveillance system

Purpose Syndemics are co-occurring epidemics that cluster within populations due to shared socio-structural factors and are often in populations with intersecting forms of vulnerability. Suicide, depression, and substance use all disproportionately affect transgender and gender diverse (TGD) youth. In this study, we test a syndemic model of the relationship between these three mental health conditions […]

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 […]