This article is 1 year old
Reaction: Study examines the prevalence of hospital admissions for suicide attempts among transgender and non-binary youths

A study of hospitalised young people in the United States concludes that those with a diagnosis of gender dysphoria are four to five times more likely to be hospitalised for a suicide attempt or to have attempted self-harm. The research is published in The Lancet Child & Adolescent Health.

17/11/2022 - 00:30 CET
Expert reactions

Adrián Carrasco - suicidio trans EN

Adrián Carrasco Munera

Specialist in Family and Community Medicine and member of the LGTBIQ+ Health Group of the Madrid Society of Family and Community Medicine

Science Media Centre Spain

The press release in relation to the article highlights the important contribution this study makes: strong evidence that trans and non-binary children and young people are at higher risk of suicide and self-harm. 

The study is of high quality given the huge database available. The data strongly concludes that trans and non-binary youth are at risk of suicide and self-harm given their significant exposure to vulnerability and discrimination. This conclusion is reached by analysing the reason for admission of the child/youth population and comparing it between the trans and non-binary population and the cis population. In the case of the trans/non-binary population, there is a higher proportion of admissions in relation to events of self-harming or self-injurious intent.

This is the first study to show evidence on this issue, which we have strongly suspected for years.  

The article is in line with previous evidence, especially developed in North America, on the elevated risk of self-harm in trans and non-binary populations. Furthermore, it highlights, as in previous studies, that affirmative and respectful attention to gender identity are positive approaches to providing care in the health care setting to this population. 

The study makes explicit the limitations they have had. These limitations have not been a disadvantage in reaching the study's conclusion. It opens up new lines of study, especially in populations where, apparently, there is less registration of trans or non-binary identities: racialised and impoverished populations, among others. 

The study contributes to knowledge about the health of trans and non-binary children, showing that social discrimination and the lack of specific care expose them to a vulnerability that sometimes leads to suicidal or self-harming actions. It also shows that comprehensive, respectful and gender-affirmative care is a protective and health-generating factor for this population. 

The author has not responded to our request to declare conflicts of interest
Prevalence of gender dysphoria and suicidality and self-harm in a national database of paediatric inpatients in the USA: a population-based, serial cross-sectional study
  • Research article
  • Peer reviewed
  • People
The Lancet Child and Adolescent Health

Hannah K Mitchell et al.

Study types:
  • Research article
  • Peer reviewed
  • People
The 5Ws +1
Publish it