{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T00:10:55Z","timestamp":1791850255250,"version":"4.3.4"},"reference-count":46,"publisher":"Springer Science and Business Media LLC","issue":"6","license":[{"start":{"date-parts":[[2025,7,8]],"date-time":"2025-07-08T00:00:00Z","timestamp":1751932800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,7,8]],"date-time":"2025-07-08T00:00:00Z","timestamp":1751932800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Prev Sci"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:p>Individuals who identify as transgender\/gender diverse face an increased risk of discrimination, particularly in health care settings. This discrimination has been associated with higher odds of substance use coping and attempting suicide. However, risk and protective factors that can moderate this relationship remain under-evaluated. The present study examines the role of LGBTQ-friendly state policy climates in preventing discrimination-based outcomes of substance use coping and attempting suicide in the transgender\/gender diverse community. Data from the 2008\u20132009 National Transgender Discrimination Survey were merged with state policy climate scores. Policy climate scores were derived from the tracking of legislation through the Movement Advancement Project. Participants were asked about using substances to cope, prior suicide attempts, and three types of discrimination at mental health clinics (denied equal treatment, verbal harassment\/disrespect, physical assault). Being denied equal treatment or service and being verbally harassed or disrespected were both associated with increased odds of using substances to cope and attempting suicide. Residing in a more LGBTQ-friendly policy climate moderated the relationship between being denied equal treatment and a prior suicide attempt as well as the relationship between verbal harassment and both suicide attempt and use of substances to cope. Findings underscore the potential of LGBTQ-friendly policy climates to serve as a protective factor against discrimination faced by the transgender\/gender diverse community. A greater understanding of the role of policies in the relationship between discrimination and adverse outcomes can help form policy-based prevention in an effort to improve the lives of individuals in the transgender\/gender diverse community.<\/jats:p>","DOI":"10.1007\/s11121-025-01825-8","type":"journal-article","created":{"date-parts":[[2025,7,7]],"date-time":"2025-07-07T21:05:34Z","timestamp":1751922334000},"page":"899-907","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["The Role of Policy in Preventing Discrimination-Based Suicide and Substance Use Coping Outcomes Within the Transgender Community"],"prefix":"10.1007","volume":"26","author":[{"given":"Patrick","family":"O\u2019Neill","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Whitney","family":"Becker","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Casey A.","family":"Cunningham","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Damon E.","family":"Jones","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashley N.","family":"Linden-Carmichael","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,7,8]]},"reference":[{"issue":"5","key":"1825_CR1","doi-asserted-by":"publisher","first-page":"943","DOI":"10.2105\/AJPH.2013.301241","volume":"103","author":"WO Bockting","year":"2013","unstructured":"Bockting, W. O., Miner, M. H., Swinburne Romine, R. E., Hamilton, A., & Coleman, E. (2013). Stigma, mental health, and resilience in an online sample of the US transgender population. American Journal of Public Health, 103(5), 943\u2013951. https:\/\/doi.org\/10.2105\/AJPH.2013.301241","journal-title":"American Journal of Public Health"},{"key":"1825_CR2","doi-asserted-by":"publisher","DOI":"10.4324\/9781315849126","volume-title":"Changing social attitudes toward disability: Perspectives from historical, cultural, and educational studies","author":"D Bolt","year":"2014","unstructured":"Bolt, D. (2014). Changing social attitudes toward disability: Perspectives from historical, cultural, and educational studies. Routledge."},{"issue":"S2","key":"1825_CR3","doi-asserted-by":"publisher","first-page":"1454","DOI":"10.1111\/1475-6773.13229","volume":"54","author":"LS Casey","year":"2019","unstructured":"Casey, L. S., Reisner, S. L., Findling, M. G., Blendon, R. J., Benson, J. M., Sayde, J. M., & Miller, C. (2019). Discrimination in the United States: Experiences of lesbian, gay, bisexual, transgender, and queer Americans. Health Services Research, 54(S2), 1454\u20131466. https:\/\/doi.org\/10.1111\/1475-6773.13229","journal-title":"Health Services Research"},{"issue":"3","key":"1825_CR4","doi-asserted-by":"publisher","first-page":"325","DOI":"10.1177\/08901171231204472","volume":"38","author":"L Chai","year":"2024","unstructured":"Chai, L. (2024). Perceived community belonging as a moderator of the association between sexual orientation and health and well-being. American Journal of Health Promotion, 38(3), 325\u2013338. https:\/\/doi.org\/10.1177\/08901171231204472","journal-title":"American Journal of Health Promotion"},{"key":"1825_CR5","doi-asserted-by":"publisher","unstructured":"Clark, K. D., Lunn, M. R., Lev, E. M., Trujillo, M. A., Lubensky, M. E., Capriotti, M. R., Hoffmann, T. J., Obedin-Maliver, J., & Flentje, A. (2022). State-level policy environments, discrimination, and victimization among sexual and gender minority people. International Journal of Environmental Research and Public Health, 19(16), Article 16. https:\/\/doi.org\/10.3390\/ijerph19169916","DOI":"10.3390\/ijerph19169916"},{"issue":"6","key":"1825_CR6","doi-asserted-by":"publisher","first-page":"1021","DOI":"10.1016\/j.addbeh.2014.01.013","volume":"39","author":"TT Clark","year":"2014","unstructured":"Clark, T. T. (2014). Perceived discrimination, depressive symptoms, and substance use in young adulthood. Addictive Behaviors, 39(6), 1021\u20131025. https:\/\/doi.org\/10.1016\/j.addbeh.2014.01.013","journal-title":"Addictive Behaviors"},{"issue":"3","key":"1825_CR7","doi-asserted-by":"publisher","first-page":"53","DOI":"10.1300\/J082v51n03_04","volume":"51","author":"K Clements-Nolle","year":"2006","unstructured":"Clements-Nolle, K., Marx, R., & Katz, M. (2006). Attempted suicide among transgender persons. Journal of Homosexuality, 51(3), 53\u201369. https:\/\/doi.org\/10.1300\/J082v51n03_04","journal-title":"Journal of Homosexuality"},{"key":"1825_CR8","doi-asserted-by":"publisher","unstructured":"Cotaina, M., Peraire, M., Bosc\u00e1, M., Echeverria, I., Benito, A., & Haro, G. (2022). Substance use in the transgender population: A meta-analysis. Brain Sciences, 12(3), Article 3. https:\/\/doi.org\/10.3390\/brainsci12030366","DOI":"10.3390\/brainsci12030366"},{"key":"1825_CR9","doi-asserted-by":"publisher","unstructured":"Crasnow, S. J. (2021). The legacy of \u2018Gender Ideology\u2019: Anti-trans legislation and conservative Christianity\u2019s ongoing influence on U.S. law. Religion and Gender, 11(1), 67\u201371. https:\/\/doi.org\/10.1163\/18785417-01101005","DOI":"10.1163\/18785417-01101005"},{"issue":"4","key":"1825_CR10","doi-asserted-by":"publisher","first-page":"222","DOI":"10.1089\/lgbt.2021.0106","volume":"9","author":"J de Lange","year":"2022","unstructured":"de Lange, J., Baams, L., van Bergen, D. D., Bos, H. M. W., & Bosker, R. J. (2022). Minority stress and suicidal ideation and suicide attempts among LGBT adolescents and young adults: A meta-analysis. LGBT Health, 9(4), 222\u2013237. https:\/\/doi.org\/10.1089\/lgbt.2021.0106","journal-title":"LGBT Health"},{"issue":"1","key":"1825_CR11","doi-asserted-by":"publisher","first-page":"220","DOI":"10.1089\/trgh.2018.0031","volume":"3","author":"SN Du Bois","year":"2018","unstructured":"Du Bois, S. N., Yoder, W., Guy, A. A., Manser, K., & Ramos, S. (2018). Examining associations between state-level transgender policies and transgender health. Transgender Health, 3(1), 220\u2013224. https:\/\/doi.org\/10.1089\/trgh.2018.0031","journal-title":"Transgender Health"},{"key":"1825_CR12","doi-asserted-by":"publisher","unstructured":"Eisenberg, M. E., McMorris, B. J., Rider, G. N., Gower, A. L., & Coleman, E. (2020). \u201cIt\u2019s kind of hard to go to the doctor\u2019s office if you\u2019re hated there.\u201d A call for gender-affirming care from transgender and gender diverse adolescents in the United States. Health & Social Care in the Community, 28(3), 1082\u20131089. https:\/\/doi.org\/10.1111\/hsc.12941","DOI":"10.1111\/hsc.12941"},{"issue":"2","key":"1825_CR13","doi-asserted-by":"publisher","first-page":"112","DOI":"10.1176\/appi.ps.201900029","volume":"71","author":"JK Felner","year":"2020","unstructured":"Felner, J. K., Wisdom, J. P., Williams, T., Katuska, L., Haley, S. J., Jun, H.-J., & Corliss, H. L. (2020). Stress, coping, and context: Examining substance use among LGBTQ young adults with probable substance use disorders. Psychiatric Services, 71(2), 112\u2013120. https:\/\/doi.org\/10.1176\/appi.ps.201900029","journal-title":"Psychiatric Services"},{"issue":"3","key":"1825_CR14","doi-asserted-by":"publisher","first-page":"314","DOI":"10.1080\/10538720.2019.1616023","volume":"31","author":"AL Gower","year":"2019","unstructured":"Gower, A. L., Saewyc, E. M., Corliss, H. L., Kne, L., Erickson, D. J., & Eisenberg, M. E. (2019). The LGBTQ Supportive Environments Inventory: Methods for quantifying supportive environments for LGBTQ youths. Journal of Gay & Lesbian Social Services, 31(3), 314\u2013331. https:\/\/doi.org\/10.1080\/10538720.2019.1616023","journal-title":"Journal of Gay & Lesbian Social Services"},{"key":"1825_CR15","doi-asserted-by":"publisher","unstructured":"Grant, J. M., Mottet, L., Tanis, J. E., Harrison, J., Herman, J., & Keisling, M. (2020). National Transgender Discrimination Survey, [United States], 2008\u20132009: Version 1 (Version v1). ICPSR - Interuniversity Consortium for Political and Social Research. https:\/\/doi.org\/10.3886\/ICPSR37888.V1","DOI":"10.3886\/ICPSR37888.V1"},{"issue":"1","key":"1825_CR16","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1037\/cou0000558","volume":"69","author":"SG Horne","year":"2022","unstructured":"Horne, S. G., McGinley, M., Yel, N., & Maroney, M. R. (2022). The stench of bathroom bills and anti-transgender legislation: Anxiety and depression among transgender, nonbinary, and cisgender LGBQ people during a state referendum. Journal of Counseling Psychology, 69(1), 1\u201313. https:\/\/doi.org\/10.1037\/cou0000558","journal-title":"Journal of Counseling Psychology"},{"key":"1825_CR17","doi-asserted-by":"publisher","DOI":"10.1007\/s11121-023-01521-5","author":"MM Johns","year":"2023","unstructured":"Johns, M. M., Gordon, A. R., Andrzejewski, J., Harper, C. R., Michaels, S., Hansen, C., Fordyce, E., & Dunville, R. (2023). Differences in health care experiences among transgender and gender diverse youth by gender identity and race\/ethnicity. Prevention Science. https:\/\/doi.org\/10.1007\/s11121-023-01521-5","journal-title":"Prevention Science"},{"issue":"2","key":"1825_CR18","doi-asserted-by":"publisher","first-page":"68","DOI":"10.1080\/15532739.2015.1064336","volume":"16","author":"SK Kattari","year":"2015","unstructured":"Kattari, S. K., Walls, N. E., Whitfield, D. L., & Langenderfer-Magruder, L. (2015). Racial and ethnic differences in experiences of discrimination in accessing health services among transgender people in the United States. International Journal of Transgenderism, 16(2), 68\u201379. https:\/\/doi.org\/10.1080\/15532739.2015.1064336","journal-title":"International Journal of Transgenderism"},{"issue":"3","key":"1825_CR19","doi-asserted-by":"publisher","first-page":"104","DOI":"10.1080\/15532739.2011.663243","volume":"13","author":"N Khobzi Rotondi","year":"2012","unstructured":"Khobzi Rotondi, N. (2012). Depression in trans people: A review of the risk factors. International Journal of Transgenderism, 13(3), 104\u2013116. https:\/\/doi.org\/10.1080\/15532739.2011.663243","journal-title":"International Journal of Transgenderism"},{"issue":"4","key":"1825_CR20","doi-asserted-by":"publisher","first-page":"258","DOI":"10.1089\/lgbt.2015.0135","volume":"3","author":"JH Lee","year":"2016","unstructured":"Lee, J. H., Gamarel, K. E., Bryant, K. J., Zaller, N. D., & Operario, D. (2016). Discrimination, mental health, and substance use disorders among sexual minority populations. LGBT Health, 3(4), 258\u2013265. https:\/\/doi.org\/10.1089\/lgbt.2015.0135","journal-title":"LGBT Health"},{"issue":"2","key":"1825_CR21","doi-asserted-by":"publisher","first-page":"111","DOI":"10.1089\/lgbt.2022.0334","volume":"11","author":"MK Lee","year":"2024","unstructured":"Lee, M. K., Yih, Y., Willis, D. R., Fogel, J. M., & Fortenberry, J. D. (2024). The impact of gender affirming medical care during adolescence on adult health outcomes among transgender and gender diverse individuals in the United States: The role of state-level policy stigma. LGBT Health, 11(2), 111\u2013121.","journal-title":"LGBT Health"},{"key":"1825_CR22","unstructured":"Massachusetts General Laws c.151B. (n.d.). Mass.gov. Retrieved August 8, 2023, from https:\/\/www.mass.gov\/lists\/mass-general-laws-c151b"},{"issue":"9","key":"1825_CR23","doi-asserted-by":"publisher","first-page":"952","DOI":"10.1001\/jamapsychiatry.2020.0770","volume":"77","author":"A McDowell","year":"2020","unstructured":"McDowell, A., Raifman, J., Progovac, A. M., & Rose, S. (2020). Association of nondiscrimination policies with mental health among gender minority individuals. JAMA Psychiatry, 77(9), 952\u2013958. https:\/\/doi.org\/10.1001\/jamapsychiatry.2020.0770","journal-title":"JAMA Psychiatry"},{"issue":"1","key":"1825_CR24","doi-asserted-by":"publisher","first-page":"38","DOI":"10.2307\/2137286","volume":"36","author":"IH Meyer","year":"1995","unstructured":"Meyer, I. H. (1995). Minority stress and mental health in gay men. Journal of Health and Social Behavior, 36(1), 38\u201356. https:\/\/doi.org\/10.2307\/2137286","journal-title":"Journal of Health and Social Behavior"},{"key":"1825_CR25","doi-asserted-by":"publisher","first-page":"674","DOI":"10.1037\/0033-2909.129.5.674","volume":"129","author":"IH Meyer","year":"2003","unstructured":"Meyer, I. H. (2003). Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: Conceptual issues and research evidence. Psychological Bulletin, 129, 674\u2013697. https:\/\/doi.org\/10.1037\/0033-2909.129.5.674","journal-title":"Psychological Bulletin"},{"issue":"1","key":"1825_CR26","doi-asserted-by":"publisher","first-page":"325","DOI":"10.1186\/s12909-019-1727-3","volume":"19","author":"M Morris","year":"2019","unstructured":"Morris, M., Cooper, R. L., Ramesh, A., Tabatabai, M., Arcury, T. A., Shinn, M., Im, W., Juarez, P., & Matthews-Juarez, P. (2019). Training to reduce LGBTQ-related bias among medical, nursing, and dental students and providers: A systematic review. BMC Medical Education, 19(1), 325. https:\/\/doi.org\/10.1186\/s12909-019-1727-3","journal-title":"BMC Medical Education"},{"key":"1825_CR27","unstructured":"Movement Advancement Project. (2020, February). Mapping LGBTQ equality: 2010 to 2020. Movement Advancement Project. Retrieved August 8, 2023, from https:\/\/www.lgbtmap.org\/2020-tally-report"},{"key":"1825_CR28","unstructured":"North Carolina General Assembly. (2016). Public Facilities Privacy & Securities Act, SL 2016-3 (House Bill 2). North Carolina General Assembly. Retrieved August 8, 2023, from https:\/\/www.ncleg.gov\/BillLookup\/2015E2\/H2"},{"issue":"2","key":"1825_CR29","doi-asserted-by":"publisher","first-page":"223","DOI":"10.1080\/01488376.2018.1441097","volume":"44","author":"KR Painter","year":"2018","unstructured":"Painter, K. R., Scannapieco, M., Blau, G., Andre, A., & Kohn, K. (2018). Improving the mental health outcomes of LGBTQ youth and young adults: A longitudinal study. Journal of Social Service Research, 44(2), 223\u2013235. https:\/\/doi.org\/10.1080\/01488376.2018.1441097","journal-title":"Journal of Social Service Research"},{"key":"1825_CR30","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2021.102113","volume":"91","author":"MJ Pellicane","year":"2022","unstructured":"Pellicane, M. J., & Ciesla, J. A. (2022). Associations between minority stress, depression, and suicidal ideation and attempts in transgender and gender diverse (TGD) individuals: Systematic review and meta-analysis. Clinical Psychology Review, 91, Article 102113. https:\/\/doi.org\/10.1016\/j.cpr.2021.102113","journal-title":"Clinical Psychology Review"},{"issue":"3","key":"1825_CR31","doi-asserted-by":"publisher","first-page":"164","DOI":"10.1080\/08964289.2015.1028322","volume":"41","author":"A Perez-Brumer","year":"2015","unstructured":"Perez-Brumer, A., Hatzenbuehler, M. L., Oldenburg, C. E., & Bockting, W. (2015). Individual- and structural-level risk factors for suicide attempts among transgender adults. Behavioral Medicine, 41(3), 164\u2013171. https:\/\/doi.org\/10.1080\/08964289.2015.1028322","journal-title":"Behavioral Medicine"},{"issue":"8","key":"1825_CR32","doi-asserted-by":"publisher","first-page":"457","DOI":"10.1089\/lgbt.2020.0114","volume":"7","author":"A Rabasco","year":"2020","unstructured":"Rabasco, A., & Andover, M. (2020). The influence of state policies on the relationship between minority stressors and suicide attempts among transgender and gender-diverse adults. LGBT Health, 7(8), 457\u2013460. https:\/\/doi.org\/10.1089\/lgbt.2020.0114","journal-title":"LGBT Health"},{"issue":"3","key":"1825_CR33","doi-asserted-by":"publisher","first-page":"484","DOI":"10.1111\/1468-0009.12127","volume":"93","author":"SL Reisner","year":"2015","unstructured":"Reisner, S. L., White Hughto, J. M., Dunham, E. E., Heflin, K. J., Begenyi, J. B. G., Coffey-Esquivel, J., & Cahill, S. (2015). Legal protections in public accommodations settings: A critical public health issue for transgender and gender-nonconforming people. Milbank Quarterly, 93(3), 484\u2013515.","journal-title":"Milbank Quarterly"},{"key":"1825_CR34","unstructured":"RStudio Team. (2022).\u00a0RStudio: Integrated development environment for R. RStudio, PBC. URL http:\/\/www.rstudio.com\/"},{"issue":"4","key":"1825_CR35","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1002\/j.2379-3988.2010.tb00065.x","volume":"24","author":"ST Russell","year":"2010","unstructured":"Russell, S. T., Horn, S., Kosciw, J., & Saewyc, E. (2010). Safe schools policy for LGBTQ students and commentaries. Social Policy Report, 24(4), 1\u201325. https:\/\/doi.org\/10.1002\/j.2379-3988.2010.tb00065.x","journal-title":"Social Policy Report"},{"issue":"3","key":"1825_CR36","doi-asserted-by":"publisher","first-page":"S17","DOI":"10.1016\/j.jadohealth.2022.11.018","volume":"72","author":"J Schanzle","year":"2023","unstructured":"Schanzle, J., Kennedy, J., Rahman, F., & Hill, S. (2023). Anti-trans legislation in the US: Potential implications on self-reported victimization and suicidality among trans youth. Journal of Adolescent Health, 72(3), S17\u2013S18. https:\/\/doi.org\/10.1016\/j.jadohealth.2022.11.018","journal-title":"Journal of Adolescent Health"},{"issue":"6","key":"1825_CR37","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0235112","volume":"15","author":"H Seale","year":"2020","unstructured":"Seale, H., Heywood, A. E., Leask, J., Sheel, M., Thomas, S., Durrheim, D. N., Bolsewicz, K., & Kaur, R. (2020). COVID-19 is rapidly changing: Examining public perceptions and behaviors in response to this evolving pandemic. PLoS ONE, 15(6), Article e0235112. https:\/\/doi.org\/10.1371\/journal.pone.0235112","journal-title":"PLoS ONE"},{"issue":"5","key":"1825_CR38","doi-asserted-by":"publisher","first-page":"337","DOI":"10.1089\/lgbt.2016.0117","volume":"4","author":"ME Slater","year":"2017","unstructured":"Slater, M. E., Godette, D., Huang, B., Ruan, W. J., & Kerridge, B. T. (2017). Sexual orientation-based discrimination, excessive alcohol use, and substance use disorders among sexual minority adults. LGBT Health, 4(5), 337\u2013344. https:\/\/doi.org\/10.1089\/lgbt.2016.0117","journal-title":"LGBT Health"},{"issue":"1","key":"1825_CR39","doi-asserted-by":"publisher","first-page":"12","DOI":"10.1089\/trgh.2015.0001","volume":"1","author":"D Su","year":"2016","unstructured":"Su, D., Irwin, J. A., Fisher, C., Ramos, A., Kelley, M., Mendoza, D. A. R., & Coleman, J. D. (2016). Mental health disparities within the LGBT population: A comparison between transgender and nontransgender individuals. Transgender Health, 1(1), 12\u201320. https:\/\/doi.org\/10.1089\/trgh.2015.0001","journal-title":"Transgender Health"},{"key":"1825_CR40","doi-asserted-by":"publisher","unstructured":"Tao, X., Yip, T., & Fisher, C. B. (2022). Psychological well-being and substance use during the COVID-19 pandemic: Ethnic\/racial identity, discrimination, and vigilance. Journal of Racial and Ethnic Health Disparities. https:\/\/doi.org\/10.1007\/s40615-022-01497-y","DOI":"10.1007\/s40615-022-01497-y"},{"issue":"1","key":"1825_CR41","doi-asserted-by":"publisher","first-page":"65","DOI":"10.1037\/sgd0000081","volume":"2","author":"RJ Testa","year":"2015","unstructured":"Testa, R. J., Habarth, J., Peta, J., Balsam, K., & Bockting, W. (2015). Development of the gender minority stress and resilience measure. Psychology of Sexual Orientation and Gender Diversity, 2(1), 65\u201377. https:\/\/doi.org\/10.1037\/sgd0000081","journal-title":"Psychology of Sexual Orientation and Gender Diversity"},{"key":"1825_CR42","unstructured":"The Trevor Project. (2022). 2022 national survey on LGBTQ youth mental health. The Trevor Project. Retrieved August 8, 2023, from https:\/\/www.thetrevorproject.org\/survey-2022\/"},{"issue":"22","key":"1825_CR43","doi-asserted-by":"publisher","first-page":"2251","DOI":"10.1001\/jama.2021.7764","volume":"325","author":"JL Turban","year":"2021","unstructured":"Turban, J. L., Kraschel, K. L., & Cohen, I. G. (2021). Legislation to criminalize gender-affirming medical care for transgender youth. JAMA, 325(22), 2251\u20132252. https:\/\/doi.org\/10.1001\/jama.2021.7764","journal-title":"JAMA"},{"issue":"3","key":"1825_CR44","doi-asserted-by":"publisher","first-page":"374","DOI":"10.1037\/ort0000441","volume":"90","author":"SM Vargas","year":"2020","unstructured":"Vargas, S. M., Huey, S. J., Jr., & Miranda, J. (2020). A critical review of current evidence on multiple types of discrimination and mental health. American Journal of Orthopsychiatry, 90(3), 374\u2013390. https:\/\/doi.org\/10.1037\/ort0000441","journal-title":"American Journal of Orthopsychiatry"},{"key":"1825_CR45","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2021.108659","volume":"221","author":"RJ Watson","year":"2021","unstructured":"Watson, R. J., Fish, J. N., Denary, W., Caba, A., Cunningham, C., & Eaton, L. A. (2021). LGBTQ state policies: A lever for reducing SGM youth substance use and bullying. Drug and Alcohol Dependence, 221, Article 108659. https:\/\/doi.org\/10.1016\/j.drugalcdep.2021.108659","journal-title":"Drug and Alcohol Dependence"},{"issue":"10042","key":"1825_CR46","doi-asserted-by":"publisher","first-page":"401","DOI":"10.1016\/S0140-6736(16)00682-6","volume":"388","author":"K Wylie","year":"2016","unstructured":"Wylie, K., Knudson, G., Khan, S. I., Bonierbale, M., Watanyusakul, S., & Baral, S. (2016). Serving transgender people: Clinical care considerations and service delivery models in transgender health. The Lancet, 388(10042), 401\u2013411. https:\/\/doi.org\/10.1016\/S0140-6736(16)00682-6","journal-title":"The Lancet"}],"container-title":["Prevention Science"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11121-025-01825-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s11121-025-01825-8\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11121-025-01825-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,7]],"date-time":"2025-09-07T01:21:16Z","timestamp":1757208076000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s11121-025-01825-8"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7,8]]},"references-count":46,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2025,8]]}},"alternative-id":["1825"],"URL":"https:\/\/doi.org\/10.1007\/s11121-025-01825-8","relation":{},"ISSN":["1389-4986","1573-6695"],"issn-type":[{"value":"1389-4986","type":"print"},{"value":"1573-6695","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,7,8]]},"assertion":[{"value":"18 June 2025","order":1,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"8 July 2025","order":2,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Approval for the present study was given by the institutional review board (IRB) at The Pennsylvania State University (STUDY00023566). Given the present study is secondary data analysis, it was ruled not human research by the IRB.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics Approval"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to Participate"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of Interest"}},{"value":"Not applicable.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Clinical Trial Registration"}}]}}