{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T19:41:22Z","timestamp":1790624482676,"version":"4.1.0"},"reference-count":17,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2019,10,1]],"date-time":"2019-10-01T00:00:00Z","timestamp":1569888000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2019,10,1]],"date-time":"2019-10-01T00:00:00Z","timestamp":1569888000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Transgender Health"],"published-print":{"date-parts":[[2019,10,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    We performed a cross-sectional analysis of the prevalence of psychiatric diagnoses among transgender patients in clinical care using an all-payer electronic health record database. Of 10,270 transgender patients identified, 58% (\n                    <jats:italic toggle=\"yes\">n<\/jats:italic>\n                    =5940) had at least one psychiatric diagnosis compared with 13.6% (\n                    <jats:italic toggle=\"yes\">n<\/jats:italic>\n                    =7,311,780) in the control patient population (\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    &lt;0.0005). Transgender patients had a statistically significant increase in prevalence for all psychiatric diagnoses queried, with major depressive disorder and generalized anxiety disorder being the most common diagnoses (31% and 12%, respectively). Utilizing an all-payer database, although not without limitations, enables assessment of mental health and substance use diagnoses in this otherwise small population.\n                  <\/jats:p>","DOI":"10.1089\/trgh.2019.0029","type":"journal-article","created":{"date-parts":[[2019,11,1]],"date-time":"2019-11-01T11:55:31Z","timestamp":1572609331000},"page":"313-315","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":111,"title":["Mental Health Diagnoses Among Transgender Patients in the Clinical Setting: An All-Payer Electronic Health Record Study"],"prefix":"10.1177","volume":"4","author":[{"given":"Jonathon W.","family":"Wanta","sequence":"first","affiliation":[{"name":"Residency Training Program, Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, Washington."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joshua D.","family":"Niforatos","sequence":"additional","affiliation":[{"name":"Residency Training Program, Department of Emergency Medicine, Baltimore, Maryland."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily","family":"Durbak","sequence":"additional","affiliation":[{"name":"Cleveland Clinic Lerner College of Medicine, Cleveland, Ohio."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adele","family":"Viguera","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Neurological Institute, Cleveland Clinic, Cleveland, Ohio."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Murat","family":"Altinay","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Neurological Institute, Cleveland Clinic, Cleveland, Ohio."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2019,11,1]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.112.121954"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychores.2004.08.010"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1089\/lgbt.2018.0136"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.3109\/09540261.2015.1115753"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2016.303578"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.annepidem.2016.01.004"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2017.1295"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.7326\/M17-2785"},{"key":"e_1_3_3_10_2","unstructured":"IBM Explorys. Available at: https:\/\/www.ibm.com\/watson\/health\/explorys Accessed August13 2018."},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1136\/amiajnl-2011-000782"},{"key":"e_1_3_3_12_2","volume-title":"Overview of SNOMED CT","author":"U.S. National Library of Medicine","year":"2016","unstructured":"U.S. National Library of Medicine. Overview of SNOMED CT. 2016. Available at: https:\/\/www.nlm.nih.gov\/healthit\/snomedct\/index.html Accessed April 20th, 2018."},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1373\/49.4.624"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1089\/lgbt.2018.0238"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2018.1536"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(16)00683-8"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1111\/jsm.12363"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2015-3223"}],"container-title":["Transgender Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1089\/trgh.2019.0029","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/trgh.2019.0029","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/trgh.2019.0029","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T22:39:29Z","timestamp":1777588769000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1089\/trgh.2019.0029"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,10,1]]},"references-count":17,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2019,10,1]]}},"alternative-id":["10.1089\/trgh.2019.0029"],"URL":"https:\/\/doi.org\/10.1089\/trgh.2019.0029","relation":{},"ISSN":["2688-4887","2380-193X"],"issn-type":[{"value":"2688-4887","type":"print"},{"value":"2380-193X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,10,1]]}}}