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Purpose <p>Suicide is a critical public health concern, particularly among transgender and gender diverse (TGD) individuals The current study aims to identify structural and interpersonal barriers as well as protective factors that impact suicide risk among transgender and gender diverse adults.</p> Methods <p>The currently analyses utilize the TransPop dataset, the first national probability sample of 274 adult transgender adults in the United States. Elastic net regression was used to examine the relationships between the set of 17 healthcare predictor variables and STB outcome variables.</p> Results <p>Worries about negative evaluation from healthcare providers emerged as highly important variables across STB outcomes. Inability to access healthcare due to the cost of seeing a doctor was associated with increased suicide plans. Having insurance was associated with decreased odds of suicidal ideation with intent.</p> Conclusions <p>There is a need for increased supportiveness and acceptance from healthcare providers as well as a need to ensure that TGD individuals have access to high-quality mental and physical healthcare.</p>

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Healthcare experiences and barriers as predictors of suicidal thoughts and behaviors among transgender adults: an elastic net regression analysis

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年8月7日

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  • Annabelle M. Mournet,
  • Molly I. Ball,
  • Evan M. Kleiman

摘要

Purpose

Suicide is a critical public health concern, particularly among transgender and gender diverse (TGD) individuals The current study aims to identify structural and interpersonal barriers as well as protective factors that impact suicide risk among transgender and gender diverse adults.

Methods

The currently analyses utilize the TransPop dataset, the first national probability sample of 274 adult transgender adults in the United States. Elastic net regression was used to examine the relationships between the set of 17 healthcare predictor variables and STB outcome variables.

Results

Worries about negative evaluation from healthcare providers emerged as highly important variables across STB outcomes. Inability to access healthcare due to the cost of seeing a doctor was associated with increased suicide plans. Having insurance was associated with decreased odds of suicidal ideation with intent.

Conclusions

There is a need for increased supportiveness and acceptance from healthcare providers as well as a need to ensure that TGD individuals have access to high-quality mental and physical healthcare.