@article{87bf04abfcf74086bf7aa3eaaf3f6af5,
title = "Elevated Rates of Violence Victimization and Suicide Attempt Among Transgender and Gender Diverse Patients in an Urban, Safety Net Health System",
abstract = "The extent to which violent victimization may explain higher rates of suicidality for transgender and gender diverse (TGD) populations is not well-understood. We identified likely-TGD patients using 2008–2019 electronic health record data and compared them with non-TGD patients to characterize differences in suicide attempt, ideation, and violent victimization. TGD patients (n = 916) had more suicide attempts (5.2 vs. 0.4 percent), ideation (20.5 vs. 1.8 percent), and violent victimization (5.4 vs. 1.7 percent, all p <.001) than non-TGDs (n = 511,026). Violent victimization and TGD cohort were independent predictors of suicide attempt (odds ratios [ORs], 7.23 and 10.84) and ideation (ORs, 6.83 and 11.03, all p <.001). We did not observe a differential impact of violent victimization for gender minorities. TGD patients are at higher baseline risk for suicidality, which is higher still for those experiencing violent victimization. Routine screening for both outcomes, including in primary care settings, may improve treatment.",
keywords = "LGBTQ, electronic health record, suicide attempt, transgender and gender diverse, victimization",
author = "Progovac, {Ana M.} and Tran, {Nathaniel M.} and Mullin, {Brian O.} and {De Mello Libardi Maia}, Juliana and Creedon, {Timothy B.} and Emilia Dunham and Reisner, {Sari L.} and Alex McDowell and Natalie Bird and {S{\'a}nchez Rom{\'a}n}, {Mar{\'i}a Jos{\'e}} and Mason Dunn and Cynthia Telingator and Frederick Lu and Breslow, {Aaron Samuel} and Marshall Forstein and Cook, {Benjamin L.{\^e}.}",
note = "Funding Information: We would like to thank all of the participants in our September 2018 Community Forum for their valuable direction and feedback. Preliminary data from this work were previously presented at the Dupont Summit in Washington, D.C. in December 2019. This work was conducted with support from Harvard Catalyst, The Harvard Clinical and Translational Science Center (National Center for Research Resources and the National Center for Advancing Translational Sciences, NIH Award UL1 TR001102-05), and financial contributions from Harvard University and its affiliated academic healthcare centers. Primary funding is through a sub-award pilot grant through Harvard Catalyst (Principal Investigator, Ana Progovac). The content is solely the responsibility of the authors and does not necessarily represent the official views of Harvard Catalyst, Harvard University and its affiliated academic healthcare centers, the NIH, or the Centers for Medicare and Medicaid Services. Conflicts of interest: Brian Mullin reports stock ownership in the following healthcare-related companies: Proctor & Gamble, Shire PLC, Baxter International, Abbott Labs, Bristol-Meyers Squibb, and AbbVie Inc. No other financial disclosures were reported by the authors of this paper. Corresponding author: Ana M. Progovac, aprogovac@cha.harvard.edu Funding Information: We would like to thank all of the participants in our September 2018 Community Forum for their valuable direction and feedback. Preliminary data from this work were previously presented at the Dupont Summit in Washington, D.C. in September 2019. This work was conducted with support from Harvard Catalyst, The Harvard Clinical and Translational Science Center (National Center for Research Resources and the National Center for Advancing Translational Sciences, NIH Award UL1 TR001102‐05), and financial contributions from Harvard University and its affiliated academic health‐care centers. Primary funding is through a sub‐award pilot grant through Harvard Catalyst (Principal Investigator, Ana Progovac). The content is solely the responsibility of the authors and does not necessarily represent the official views of Harvard Catalyst, Harvard University and its affiliated academic health‐care centers, the NIH, or the Centers for Medicare and Medicaid Services. Publisher Copyright: {\textcopyright} 2021 Policy Studies Organization",
year = "2021",
month = jun,
doi = "10.1002/wmh3.403",
language = "English (US)",
volume = "13",
pages = "176--198",
journal = "World Medical and Health Policy",
issn = "2153-2028",
publisher = "Berkeley Electronic Press",
number = "2",
}
