4.10 Exposure to Conversion Therapy for Gender Identity is Associated With Poor Adult Mental Health Outcomes Among Transgender People in the US

Author(s):  
Jack L. Turban ◽  
Noor Beckwith ◽  
Sari Reisner ◽  
Alex S. Keuroghlian
2017 ◽  
Vol 179 ◽  
pp. 109-116 ◽  
Author(s):  
Katarina Guttmannova ◽  
Rick Kosterman ◽  
Helene R. White ◽  
Jennifer A. Bailey ◽  
Jungeun Olivia Lee ◽  
...  

2018 ◽  
Vol 9 (1) ◽  
pp. 60-79
Author(s):  
Andrea L. Ruiz ◽  
Gabriel A. Acevedo ◽  
Raquel R. Marquez ◽  
Marcos Marquez

Despite the strong empirical evidence linking childhood abuse to negative mental health outcomes later in life, a number of questions remain regarding race variations in this association. Moreover, less is known about the salience of protective factors that can offset or ameliorate the negative effects of abuse on adult mental health, and whether these factors work differently by race. Using three waves of panel data from a nationally representative survey of American adults, the present study examined the long-term effects of childhood abuse on adult mental health over a span of 20 years. In addition, we assessed social support as a protective factor, and examined its differential effects on mental health outcomes for Whites and non-Whites. Results indicate that despite frequent childhood abuse, social support is associated with less depression for Whites—its positive effects being most pronounced for those with the most severe abuse experiences. However, social support is associated with worst depression for non-Whites—its negative effects being most pronounced for those with severe abuse experiences. These findings demonstrate that the factors commonly considered as protective and beneficial for adult victims of abuse work differently across racial groups and in fact, may be detrimental for non-Whites.


2019 ◽  
Vol 21 (7) ◽  
pp. 493-512 ◽  
Author(s):  
Jani Nöthling ◽  
Stefanie Malan-Müller ◽  
Naeemah Abrahams ◽  
Sian Megan Joanna Hemmings ◽  
Soraya Seedat

2021 ◽  
pp. 91-98
Author(s):  
Jack L. Turban ◽  
Dana King ◽  
Jeremi M. Carswell ◽  
Alex S. Keuroghlian

BACKGROUND AND OBJECTIVES Gonadotropin-releasing hormone analogues are commonly prescribed to suppress endogenous puberty for transgender adolescents. There are limited data regarding the mental health benefits of this treatment. Our objective for this study was to examine associations between access to pubertal suppression during adolescence and adult mental health outcomes. METHODS Using a cross-sectional survey of 20 619 transgender adults aged 18 to 36 years, we examined self-reported history of pubertal suppression during adolescence. Using multivariable logistic regression, we examined associations between access to pubertal suppression and adult mental health outcomes, including multiple measures of suicidality. RESULTS Of the sample, 16.9% reported that they ever wanted pubertal suppression as part of their gender-related care. Their mean age was 23.4 years, and 45.2% were assigned male sex at birth. Of them, 2.5% received pubertal suppression. After adjustment for demographic variables and level of family support for gender identity, those who received treatment with pubertal suppression, when compared with those who wanted pubertal suppression but did not receive it, had lower odds of lifetime suicidal ideation (adjusted odds ratio = 0.3; 95% confidence interval = 0.2–0.6). CONCLUSIONS This is the first study in which associations between access to pubertal suppression and suicidality are examined. There is a significant inverse association between treatment with pubertal suppression during adolescence and lifetime suicidal ideation among transgender adults who ever wanted this treatment. These results align with past literature, suggesting that pubertal suppression for transgender adolescents who want this treatment is associated with favorable mental health outcomes.


2020 ◽  
Vol 11 ◽  
Author(s):  
Bella Nichole Kantor ◽  
Jonathan Kantor

Pandemic coronavirus disease 2019 (COVID-19) may lead to significant mental health stresses, potentially with modifiable risk factors. We performed an internet-based cross-sectional survey of an age-, sex-, and race-stratified representative sample from the US general population. Degrees of anxiety, depression, and loneliness were assessed using the 7-item Generalized Anxiety Disorder-7 scale (GAD-7), the 9-item Patient Health Questionnaire, and the 8-item UCLA Loneliness Scale, respectively. Unadjusted and multivariable logistic regression analyses were performed to determine associations with baseline demographic characteristics. A total of 1,005 finished surveys were returned of the 1,020 started, yielding a completion rate of 98.5% in the survey panel. The mean (standard deviation) age of the respondents was 45 (16) years, and 494 (48.8%) were male. Overall, 264 subjects (26.8%) met the criteria for an anxiety disorder based on a GAD-7 cutoff of 10; a cutoff of 7 yielded 416 subjects (41.4%), meeting the clinical criteria for anxiety. On multivariable analysis, male sex (odds ratio [OR] = 0.65, 95% confidence interval [CI] [0.49, 0.87]), identification as Black (OR = 0.49, 95% CI [0.31, 0.77]), and living in a larger home (OR = 0.46, 95% CI [0.24, 0.88]) were associated with a decreased odds of meeting the anxiety criteria. Rural location (OR 1.39, 95% CI [1.03, 1.89]), loneliness (OR 4.92, 95% CI [3.18, 7.62]), and history of hospitalization (OR = 2.04, 95% CI [1.38, 3.03]) were associated with increased odds of meeting the anxiety criteria. Two hundred thirty-two subjects (23.6%) met the criteria for clinical depression. On multivariable analysis, male sex (OR = 0.71, 95% CI [0.53, 0.95]), identifying as Black (OR = 0.62, 95% CI [0.40, 0.97]), increased time outdoors (OR = 0.51, 95% CI [0.29, 0.92]), and living in a larger home (OR = 0.35, 95% CI [0.18, 0.69]) were associated with decreased odds of meeting depression criteria. Having lost a job (OR = 1.64, 95% CI [1.05, 2.54]), loneliness (OR = 10.42, 95% CI [6.26, 17.36]), and history of hospitalization (OR = 2.42, 95% CI [1.62, 3.62]) were associated with an increased odds of meeting depression criteria. Income, media consumption, and religiosity were not associated with mental health outcomes. Anxiety and depression are common in the US general population in the context of the COVID-19 pandemic and are associated with potentially modifiable factors.


2018 ◽  
Vol 35 (8) ◽  
pp. 700-716 ◽  
Author(s):  
Dylan Johnson ◽  
Gabrielle Dupuis ◽  
Justin Piche ◽  
Zahra Clayborne ◽  
Ian Colman

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