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Intersectional analysis of suicide risk among transgender and non-binary people

Bibliographic Data

ID21257488
AuthorsHeather Santos (0000-0002-3819-2189), Greta R Bauer (0000-0003-0663-7160), Thomas Joiner, Agus Surachman (0000-0001-7474-9450), Félice Lê-Scherban (0000-0003-1920-724X), Ayden I Scheim (0000-0001-8498-9829)
Year2025
Volume8
Pages100496
Publication date2025-12-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueSSM - Mental Health (JOURNAL)
Journal identifiersISSN: 2666-5603 • E-ISSN: 2666-5603
PublisherElsevier BV (PUBLISHER)
DOI10.1016/j.ssmmh.2025.100496
OpenAlexW6903013283
LanguageEN
Citations received2
References cited43

Transgender and non-binary (TNB) people experience high rates of suicidal thoughts and behaviors, but less is known about how suicide risk varies within TNB communities. We investigated variation in suicidality among TNB people across intersecting social identities and positions. This study uses data from Trans PULSE Canada, a 2019 community-based survey of TNB people aged 14+ in Canada. Among 2054 participants aged 16+, conditional inference trees (CTREE) were used to identify subgroups with varying levels of past-year suicidal ideation and suicide attempts. Twelve predictor variables were chosen through literature review and community knowledge based on their relevance to suicide risk. Findings show that over the past year, 30.2 % of participants reported suicidal ideation and 4.2 % reported a suicide attempt. Six subgroups with varying levels of past-year suicidal ideation were identified, with a higher prevalence of ideation among those with lower educational attainment (particularly youth aged 16–24; 49.4 %) and among college-educated participants who identified as disabled (38.3 %). The CTREE for past-year suicide attempts identified variation across three subgroups: participants aged 16–19 (11.0 % attempted), and those aged 20+ with or without a history of sex work (8.4 % and 2.5 %, respectively). In conclusion, past-year suicidal ideation and attempts were high compared to general population estimates, although somewhat lower than in previous Canadian TNB studies. Suicide attempts were concentrated among those aged 16–19, and amongst those 20+ with a history of sex work. Suicide prevention research should investigate individual and structural level interventions to reduce disproportionate suicide risk among these groups

Injury prevention · Poison control · Population · Psychological intervention · Suicidal ideation · Suicide attempt · Suicide prevention · Transgender · LGBTQ Health, Identity, and Policy · Marriage and Sexual Relationships · Sexuality, Behavior, and Technology

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Unique citing works2
Citations per year2
Citation span2026 - 2026 (1)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 2

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