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Prevalence and Correlates of Suicidal Ideation Among Transgender Youth in California: Findings From a Representative, Population-Based Sample of High School Students

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Perez-Brumer, Amaya, Day, Jack K., Russell, Stephen T., Hatzenbuehler, Mark L.·2017·Journal of the American Academy of Child & Adolescent Psychiatry

Abstract

Objective No representative population-based studies of youth in the US exist on gender identity-related disparities in suicidal ideation or on factors that underlie this disparity. To address this, we: (1) examined gender identity-related disparities in the prevalence of suicidal ideation; (2) evaluated whether established psychosocial factors explained these disparities; and (3) identified correlates of suicidal ideation among all youth and stratified by gender identity. Method Data were derived from the 2013–2015 California Healthy Kids Survey (CHKS; N=621,189) and a weighted subsample representative of the Californian student population (Biennial Statewide California Student Survey [CSS; N = 28,856]). Results Prevalence of past 12-month self-reported suicidal ideation was nearly twice as high for transgender compared to non-transgender youth (33.73% versus 18.85%; χ2 = 35.48, p <.001). In fully adjusted models within the representative sample, transgender youth had 2.99 higher odds (95% CI: 2.25, 3.98) of reporting past-year suicidal ideation compared to non-transgender youth. Among transgender youth, only depressive symptoms (AOR: 5.44, 95% CI:1.81, 16.38) and victimization (AOR: 2.66, 95 CI%: 1.26, 5.65) remained significantly associated with higher odds of suicidal ideation in fully adjusted models. In multiple mediation analyses, depression attenuated the association between gender identity and suicidal ideation by 17.95%, and victimization by 14.71%. Conclusion This study uses the first representative population-based sample of youth in the US that includes a measure of gender identity to report on gender identity-related disparities in suicidal ideation and to identify potential mechanisms underlying this disparity in a representative sample.

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Metadata

Authors
Perez-Brumer, A., Day, J. K., Russell, S. T., & Hatzenbuehler, M. L.
Venue
Journal of the American Academy of Child & Adolescent Psychiatry
Publisher
Elsevier BV
Published
2017-09
Volume
56
Issue
9
Pages
739-746
ISSN
0890-8567 (ISSN-L)
OpenAlex
W2732554830
Cited by
271
References
11
FWCI
37.19
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Prevalence and Correlates of Suicidal Ideation Among Transgender Youth in California: Findings From a Representative, Population-Based Sample of High School Students. https://app.cochat.ai/papers/10.1016/j.jaac.2017.06.010
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Perez-Brumer, A., Day, J. K., Russell, S. T., & Hatzenbuehler, M. L. (2017). Prevalence and Correlates of Suicidal Ideation Among Transgender Youth in California: Findings From a Representative, Population-Based Sample of High School Students. Journal of the American Academy of Child & Adolescent Psychiatry. https://doi.org/10.1016/j.jaac.2017.06.010

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