Recorded Diagnosis of Gender Identity Disorder Is Strongly Associated with Suicide Mortality.

IF 2 4区 医学 Q1 Social Sciences Transgender Health Pub Date : 2024-10-09 eCollection Date: 2024-10-01 DOI:10.1089/trgh.2022.0110
Geoffrey D Kahn, Elizabeth Lockhart, Gregory E Simon, Ashli A Owen-Smith, Rebecca C Rossom, Arne L Beck, Frances L Lynch, Yihe G Daida, Christine Y Lu, Stephen Waring, Hsueh-Han Yeh, Brian K Ahmedani
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Abstract

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), higher than depressive (3.96, 3.64-4.31), alcohol use (3.42, 3.04-3.84), bipolar (2.42, 2.10-2.80), and psychotic disorders (1.44, 1.22-1.70). These U.S. data support prior research demonstrating increased suicide risk among patients with diagnosed GID, who may benefit from targeted screening and intervention within health care systems.

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性别认同障碍的记录诊断与自杀死亡率密切相关
我们在一项回顾性病例对照研究中评估了性别认同障碍(GID)诊断与自杀之间的关系(N=300,364),该研究来自 2000 年至 2015 年间的九个医疗保健系统。对年龄和性别进行调整后,GID 的几率比为 18.6(95% 置信区间为 7.0-49.5)。再根据合并精神病诊断进行调整后,几率比为 4.75(1.78-12.68),高于抑郁症(3.96,3.64-4.31)、饮酒(3.42,3.04-3.84)、双相情感障碍(2.42,2.10-2.80)和精神病性障碍(1.44,1.22-1.70)。这些美国数据支持了之前的研究,这些研究表明,确诊的 GID 患者自杀风险增加,医疗保健系统可能会对他们进行有针对性的筛查和干预。
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来源期刊
Transgender Health
Transgender Health Social Sciences-Gender Studies
CiteScore
4.30
自引率
10.00%
发文量
122
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