Transgender individuals are at higher risk for suicidal ideation and preparation than cisgender individuals in substance use treatment

Frontiers in Psychiatry

Psychiatry

Jennifer L. Glick¹  Martin Hochheimer²  Andrew S. Huhn²  Henri Garrison-Desany³ 

[1] Department of Health, Behavior, and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States;Department of Psychiatry and Behavioral Sciences, School of Medicine, Johns Hopkins University, Baltimore, MD, United States;Department of Social and Behavioral Science, Harvard University T.H. Chan School of Public Health, Boston, MA, United States;

关键词: substance use disorder;    gender identity;    transgender;    suicide;    treatment retention;    propensity score matching;   

DOI  :  10.3389/fpsyt.2023.1225673

 received in 2023-05-19, accepted in 2023-08-14,  发布年份 2023

来源: Frontiers

【 摘 要 】

IntroductionThis study describes the differences and similarities in mental health, substance use, and substance use treatment outcomes between people presenting for SUD treatment who identified as transgender and those who identified as cisgender men or women.MethodsWe compared 64 individuals who self-identified as transgender and presented for SUD treatment to samples of cisgender men and women (separately) matched based on propensity scores which were created based on sociodemographic factors known to influence both the nature of substance use and patterns of treatment engagement including age, education, race, stable housing, and employment status. Comparisons were made using χ2 tests and t-tests in over 150 variables collected at treatment intake regarding physical and mental health, substance use patterns, events that led to treatment, reasons for seeking treatment, and treatment outcomes.ResultsThe transgender sample endorsed six of the seven suicide-related items more often than at least one of the cisgender-matched samples. Furthermore, the transgender sample remained in treatment significantly longer (M = 32.3, SD = 22.2) than the cisgender male sample (M = 19.5, SD = 26.1, t = 2.17, p = 0.03).DiscussionThis study is a first step into understanding gender minority population experiences during SUD treatment. While there was no significant difference between the cisgender and transgender samples on most variables, there was an elevated prevalence of suicidal ideation and behaviors in the transgender sample, which warrants further investigation.

【 授权许可】

Unknown   
Copyright © 2023 Hochheimer, Glick, Garrison-Desany and Huhn.