Gender Identity, Victimization, and Suicidal Ideation: Comparing Risk Factors Among Transgender and Non-Transgender Youth.
Whitney DeCamp
PMID 41485785WHAT IT FOUND
47.1% of transgender youth and 17.1% of non-transgender youth reported seriously considering suicide in the past 12 months.
Bullying and victimization were also linked to risk, but this survey cannot show cause.
Key findings
0147.1% of transgender youth and 17.1% of non-transgender youth reported seriously considering suicide in the past 12 months.
02All six victimization measures were significantly associated with higher odds of considering suicide, including digital bullying (OR = 1.854) and bullying at school (OR = 1.993).
03In the interaction model, transgender identity became the strongest predictor, and only alcohol and marijuana effects differed significantly by transgender identity.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Cross-sectional survey data cannot establish that bullying, substance use, or transgender identity caused suicidal ideation. The transgender measure treated 'not sure' and 'do not know' as missing, and nonbinary responses were not accommodated, so some gender nonconforming youth may be misclassified or excluded. Only 26 states contributed data, and some were represented only by county or city samples. The transgender subgroup was much smaller than the non-transgender subgroup, so separate model significance is not directly comparable. Missing data were imputed for most variables, and the final regression sample was smaller than the pooled dataset.
Declared interests
The author declares no conflicts of interest and reports nothing to disclose. No funding source is reported.
The easy way to misread this
Do not read the associations as proof that bullying, substance use, or being transgender causes suicidal ideation. The survey data are cross-sectional, so they show linked risk factors at the same time, not causes.