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We used data from the Australian Child Maltreatment Study (ACMS), a nationally representative survey of Australian residents aged 16\u2009years and more, which was designed to understand the experience of child maltreatment (physical abuse, sexual abuse, emotional abuse, neglect, exposure to domestic violence). Mental disorders\u2014major depressive disorder, generalized anxiety disorder (GAD), alcohol use disorder, post-traumatic stress disorder (PTSD), and health risk behaviors\u2014smoking, binge drinking, cannabis dependence, self-harm, and suicide attempt in the past 12\u2009months were assessed. People with diverse gender identities who experienced child maltreatment were significantly more likely to have GAD (43.3%; 95% CI [30.3, 56.2]) than those who had experienced child maltreatment who were either cisgender men (13.8%; [12.0, 15.5]) or cisgender women (17.4%; [15.7, 19.2]). Similarly, higher prevalence was found for PTSD (21.3%; [11.1, 31.5]), self-harm (27.8%; [17.1, 38.5]) and suicide attempt (7.2%; [3.1, 11.3]) for people with diverse gender identities. Trauma-informed approaches, attuned to the high likelihood of any child maltreatment, and the co-occurrence of different kinds may benefit people with diverse gender identities experiencing GAD, PTSD, self-harm, suicidal behaviors, or other health risk behaviors.<\/jats:p>","DOI":"10.1177\/08862605241270077","type":"journal-article","created":{"date-parts":[[2024,8,17]],"date-time":"2024-08-17T04:58:05Z","timestamp":1723870685000},"page":"2281-2306","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Child Maltreatment, Mental Health Disorders, and Health Risk Behaviors in People With Diverse Gender Identities"],"prefix":"10.1177","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-7753-2686","authenticated-orcid":false,"given":"Monica","family":"Madzoska","sequence":"first","affiliation":[{"name":"Curtin University, Perth, WA, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4700-1425","authenticated-orcid":false,"given":"David","family":"Lawrence","sequence":"additional","affiliation":[{"name":"Curtin University, Perth, WA, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0268-8243","authenticated-orcid":false,"given":"Daryl J.","family":"Higgins","sequence":"additional","affiliation":[{"name":"Australian Catholic University, Melbourne, VIC, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Divna M.","family":"Haslam","sequence":"additional","affiliation":[{"name":"The University of Queensland, Brisbane, QLD, Australia"},{"name":"Queensland Centre for Mental Health Research, Wacol, QLD, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0421-0016","authenticated-orcid":false,"given":"Ben","family":"Mathews","sequence":"additional","affiliation":[{"name":"Queensland University of Technology, Brisbane, QLD, Australia"},{"name":"John Hopkins University, Baltimore, MD, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eva","family":"Malacova","sequence":"additional","affiliation":[{"name":"QIMR Berghofer, Medical Research Institute, Brisbane, QLD, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael P.","family":"Dunne","sequence":"additional","affiliation":[{"name":"Curtin University, Perth, WA, Australia"},{"name":"Australian Catholic University, Melbourne, VIC, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Holly E.","family":"Erskine","sequence":"additional","affiliation":[{"name":"The University of Queensland, Brisbane, QLD, Australia"},{"name":"QIMR Berghofer, Medical Research Institute, Brisbane, QLD, Australia"},{"name":"University of Greenwich, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9742-1957","authenticated-orcid":false,"given":"Rosana","family":"Pacella","sequence":"additional","affiliation":[{"name":"University of Greenwich, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Franziska","family":"Meinck","sequence":"additional","affiliation":[{"name":"University of Edinburgh, Edinburgh, UK"},{"name":"North-West University, Vanderbijlpark, South Africa"},{"name":"University of the Witwatersrand, Johannesburg, South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hannah J.","family":"Thomas","sequence":"additional","affiliation":[{"name":"The University of Queensland, Brisbane, QLD, Australia"},{"name":"Queensland Centre for Mental Health Research, Wacol, QLD, Australia"},{"name":"QIMR Berghofer, Medical Research Institute, Brisbane, QLD, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James G.","family":"Scott","sequence":"additional","affiliation":[{"name":"The University of Queensland, Brisbane, QLD, Australia"},{"name":"Queensland Centre for Mental Health Research, Wacol, QLD, Australia"},{"name":"QIMR Berghofer, Medical Research Institute, Brisbane, QLD, Australia"},{"name":"Children\u2019s Health Queensland, South Brisbane, QLD, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,8,17]]},"reference":[{"key":"e_1_3_3_2_1","doi-asserted-by":"crossref","unstructured":"Abreu R. 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