{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T06:13:31Z","timestamp":1785564811473,"version":"3.56.0"},"reference-count":26,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2024,10,1]],"date-time":"2024-10-01T00:00:00Z","timestamp":1727740800000},"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":[[2024,10,1]]},"abstract":"<jats:p>\n                    We assessed the association between gender identity disorder (GID) diagnosis and suicide in a retrospective case\u2013control study (\n                    <jats:italic toggle=\"yes\">N<\/jats:italic>\n                    =300,364) from nine health care systems between 2000 and 2015. Adjusting for age and sex, the odds ratio for GID was 18.6 (95% confidence interval 7.0\u201349.5). Adjusting additionally for comorbid psychiatric diagnoses, the odds ratio was 4.75 (1.78\u201312.68), higher than depressive (3.96, 3.64\u20134.31), alcohol use (3.42, 3.04\u20133.84), bipolar (2.42, 2.10\u20132.80), and psychotic disorders (1.44, 1.22\u20131.70). These U.S. data support prior research demonstrating increased suicide risk among patients with diagnosed GID, who may benefit from targeted screening and intervention within health care systems.\n                  <\/jats:p>","DOI":"10.1089\/trgh.2022.0110","type":"journal-article","created":{"date-parts":[[2023,6,28]],"date-time":"2023-06-28T15:27:11Z","timestamp":1687966031000},"page":"454-458","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Recorded Diagnosis of Gender Identity Disorder Is Strongly Associated with Suicide Mortality"],"prefix":"10.1177","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8151-3059","authenticated-orcid":false,"given":"Geoffrey D.","family":"Kahn","sequence":"first","affiliation":[{"name":"Center for Health Policy &amp; Health Services Research, Henry Ford Health, Detroit, Michigan, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth","family":"Lockhart","sequence":"additional","affiliation":[{"name":"Center for Health Policy &amp; Health Services Research, Henry Ford Health, Detroit, Michigan, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gregory E.","family":"Simon","sequence":"additional","affiliation":[{"name":"Kaiser Permanente Washington Health Research Institute, Seattle, Washington, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashli A.","family":"Owen-Smith","sequence":"additional","affiliation":[{"name":"Department of Health Policy and Behavioral Sciences, Georgia State University School of Public Health, Atlanta, Georgia, USA."},{"name":"Center for Research and Evaluation, Kaiser Permanente Georgia, Atlanta, Georgia, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca C.","family":"Rossom","sequence":"additional","affiliation":[{"name":"HealthPartners Institute, Minneapolis, Minnesota, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arne L.","family":"Beck","sequence":"additional","affiliation":[{"name":"Institute for Health Research, Kaiser Permanente Colorado, Aurora, Colorado, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frances L.","family":"Lynch","sequence":"additional","affiliation":[{"name":"Center for Health Research, Kaiser Permanente Northwest, Portland, Oregon, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yihe G.","family":"Daida","sequence":"additional","affiliation":[{"name":"Center for Integrated Health Care Research, Kaiser Permanente Hawaii, Honolulu, Hawaii, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christine Y.","family":"Lu","sequence":"additional","affiliation":[{"name":"Department of Population Medicine, Harvard Medical School, Boston, Massachusetts, USA."},{"name":"Harvard Pilgrim Health Care Institute, Boston, Massachusetts, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen","family":"Waring","sequence":"additional","affiliation":[{"name":"Essentia Institute of Rural Health, Duluth, Minnesota, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hsueh-Han","family":"Yeh","sequence":"additional","affiliation":[{"name":"Center for Health Policy &amp; Health Services Research, Henry Ford Health, Detroit, Michigan, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brian K.","family":"Ahmedani","sequence":"additional","affiliation":[{"name":"Center for Health Policy &amp; Health Services Research, Henry Ford Health, Detroit, Michigan, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,10,9]]},"reference":[{"key":"e_1_3_6_2_2","doi-asserted-by":"publisher","DOI":"10.3390\/laws10030063"},{"key":"e_1_3_6_3_2","unstructured":"James SE Herman JL Rankin S et al. 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