{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T03:20:39Z","timestamp":1787714439318,"version":"build-2784847793"},"reference-count":21,"publisher":"MDPI AG","issue":"9","license":[{"start":{"date-parts":[[2022,4,20]],"date-time":"2022-04-20T00:00:00Z","timestamp":1650412800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>This study examines the association of access to concordant identity documents with attempting suicide in the last year among transgender and nonbinary youth. Data came from 6581 transgender and nonbinary youth who completed an online survey of lesbian, gay, bisexual, transgender, or queer (LGBTQ) youth ages 13\u201324 residing in the United States. Multivariate logistic regression was used to determine the adjusted odds of attempting suicide in the past year based on whether or not youth were able to change their identification documents. Both wanting to update one\u2019s documents but not being able to (aOR = 2.04, CI = 1.412\u20132.95; p &lt; 0.001) and being able to update one\u2019s documents but not having done so (aOR = 1.74, CI = 1.22\u20132.50; p &lt; 0.001) were associated with greater odds of attempting suicide in the last year, compared to youth who had changed their documents. Revising the way gender is captured on legal documents may be an efficacious public health intervention to reduce suicide risk among transgender and nonbinary youth.<\/jats:p>","DOI":"10.3390\/ijerph19095016","type":"journal-article","created":{"date-parts":[[2022,4,21]],"date-time":"2022-04-21T01:55:51Z","timestamp":1650506151000},"page":"5016","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Association of Updating Identification Documents with Suicidal Ideation and Attempts among Transgender and Nonbinary Youth"],"prefix":"10.3390","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9748-4256","authenticated-orcid":false,"given":"Jonah P.","family":"DeChants","sequence":"first","affiliation":[{"name":"The Trevor Project, P.O. Box 69232, West Hollywood, CA 90069, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Myeshia N.","family":"Price","sequence":"additional","affiliation":[{"name":"The Trevor Project, P.O. Box 69232, West Hollywood, CA 90069, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1043-4761","authenticated-orcid":false,"given":"Amy E.","family":"Green","sequence":"additional","affiliation":[{"name":"The Trevor Project, P.O. Box 69232, West Hollywood, CA 90069, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carrie K.","family":"Davis","sequence":"additional","affiliation":[{"name":"The Trevor Project, P.O. Box 69232, West Hollywood, CA 90069, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Casey J.","family":"Pick","sequence":"additional","affiliation":[{"name":"The Trevor Project, P.O. Box 69232, West Hollywood, CA 90069, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2022,4,20]]},"reference":[{"key":"ref_1","unstructured":"Byrne, J. (2014). License to Be Yourself: Laws and Advocacy for Legal Gender Recognition of Trans People, Open Society Foundation."},{"key":"ref_2","unstructured":"Grant, J.M., Mottet, L.A., Tanis, J., Harrison, J., Herman, J.L., and Keisling, M. (2011). Injustice at Every Turn: A Report of the National Transgender Discrimination Survey, National Center for Transgender Equality and National Gay and Lesbian Task Force."},{"key":"ref_3","first-page":"209","article-title":"Resilience in the study of minority stress and health of sexual and gender minorities","volume":"3","author":"Meyer","year":"2015","journal-title":"Psychol. Sex. Orient. Gend. Divers."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"467","DOI":"10.1016\/j.jadohealth.2018.07.006","article-title":"Minority stress factors associated with depression and anxiety among transgender and gender-nonconforming youth","volume":"64","author":"Chodzen","year":"2019","journal-title":"J. Adolesc. Health"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"684","DOI":"10.1016\/j.jadohealth.2019.11.314","article-title":"Understanding the mental health of transgender and nonbinary youth","volume":"66","author":"Green","year":"2020","journal-title":"J. Adolesc. Health"},{"key":"ref_6","unstructured":"Open Society Foundation (2014). License to Be Yourself: Trans Children and Youth, Open Society Foundation."},{"key":"ref_7","unstructured":"Movement Advancement Project (2021, December 15). Equality Maps: Identity Document Laws and Policies. Available online: https:\/\/www.lgbtmap.org\/equality-maps\/identity_document_laws."},{"key":"ref_8","unstructured":"JUSTIA (2022, January 14). Name Change Forms: 50-State Resources (18 October 2021). Retrieved 14 January 2022. Available online: https:\/\/www.justia.com\/estate-planning\/estate-planning-probate-forms-50-state-resources\/name-change-forms\/."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1007\/s13178-017-0289-6","article-title":"Exploring transgender legal name change as a potential structural intervention for mitigating social determinants of health among transgender women of color","volume":"15","author":"Hill","year":"2018","journal-title":"Sex. Res. Soc. Policy"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"e196","DOI":"10.1016\/S2468-2667(20)30032-3","article-title":"Gender-concordant identity documents and mental health among transgender adults in the USA: A cross-sectional study","volume":"5","author":"Scheim","year":"2020","journal-title":"Lancet Public Health"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"100595","DOI":"10.1016\/j.ssmph.2020.100595","article-title":"Legal gender marker and name change is associated with lower negative emotional response to gender-based mistreatment and improve mental health outcomes among trans populations","volume":"11","author":"Restar","year":"2020","journal-title":"SSM Popul. Health"},{"key":"ref_12","unstructured":"World Health Organization (2022, March 22). Adolescent Health. World Health Organization. Available online: https:\/\/www.who.int\/southeastasia\/health-topics\/adolescent-health."},{"key":"ref_13","unstructured":"(2022, January 18). Children\u2019s Online Privacy Protection Rule, 15 U.S.C. 6501\u20136508. 312.2 Code of Federal Regulations, Available online: https:\/\/www.ecfr.gov\/current\/title-16\/chapter-I\/subchapter-C\/part-312."},{"key":"ref_14","unstructured":"Centers for Disease Control and Prevention: YRBSS (2021, October 01). Youth Risk Behavior Surveillance System (YRBSS), Available online: https:\/\/www.cdc.gov\/healthyyouth\/data\/yrbs\/index.htm."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"379","DOI":"10.1177\/1073191110374285","article-title":"Validity of suicidality items from the Youth Risk Behavior Survey in a high school sample","volume":"18","author":"May","year":"2011","journal-title":"Assessment"},{"key":"ref_16","unstructured":"DeChants, J., Green, A.E., Price, M.N., and Davis, C. (2021). Measuring Youth Sexual Orientation and Gender Identity, The Trevor Project."},{"key":"ref_17","unstructured":"IBM Corporation (2021). IBM SPSS Statistics, IBM Corporation. Version 28.0."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"e20174218","DOI":"10.1542\/peds.2017-4218","article-title":"Transgender Adolescent Suicide Behavior","volume":"142","author":"Toomey","year":"2018","journal-title":"Pediatrics"},{"key":"ref_19","unstructured":"De La Cretaz, B. (2022, March 14). American Medical Association Recommends Removing Sex from Birth Certificates. Available online: https:\/\/www.them.us\/story\/american-medical-association-recommends-removing-sex-from-birth-certificates."},{"key":"ref_20","first-page":"1","article-title":"Association of gender-affirming hormone therapy with depression, thoughts of suicide, and attempted suicide among transgender and nonbinary youth","volume":"70","author":"Green","year":"2021","journal-title":"J. Adolesc. Health"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"e178","DOI":"10.1016\/S2468-2667(20)30054-2","article-title":"Gender-congruent government identification is crucial for gender affirmation","volume":"5","author":"Malta","year":"2020","journal-title":"Lancet Public Health"}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/19\/9\/5016\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T22:57:45Z","timestamp":1760137065000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/19\/9\/5016"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,4,20]]},"references-count":21,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2022,5]]}},"alternative-id":["ijerph19095016"],"URL":"https:\/\/doi.org\/10.3390\/ijerph19095016","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,4,20]]}}}