Table 3.

State-level Structural Stigma and Suicide Attempts

	Lifetime Suicide Attempts (n = 1060)				Past-12 Month Suicide Attempts (n = 766)
	Multivariable				Multivariable
	AOR	95% CI	AOR	95% CI	AOR	95% CI	AOR	95% CI
Gender Identity¹	0.61	0.45–0.83	0.59	0.43–0.80	1.49	0.74–3.01	1.45	0.71–2.94
Age	0.99	0.97–1.00	0.99	0.98–1.00	0.99	0.96–1.02	0.99	0.96–1.02
Race²	0.58	0.42–0.80	0.57	0.41–0.78	0.66	0.33–1.31	0.64	0.33–1.28
Education
High School or less	ref	--	ref	--	ref	--	ref	--
Some College	0.67	0.45–1.00	0.69	0.46–1.03	0.58	0.28–1.24	0.58	0.28–1.24
College or higher	0.49	0.31–0.75	0.50	0.32–0.78	0.26	0.10–0.66	0.26	0.10–0.66
Gross annual household income³	1.00	0.90–1.11	1.00	0.90–1.11	0.90	0.74–1.09	0.90	0.74–1.09
Urbanicity	0.84	0.62–1.14	0.85	0.62–1.15	1.27	0.68–2.38	1.27	0.68–2.39
Stigma
Structural Stigma	0.96	0.92–0.999	0.96	0.92–0.997	1.01	0.92–1.10	1.00	0.92–1.10
Internalized Transphobia⁴	--	--	1.18	1.04–1.33	--	--	1.11	0.85–1.46

Gender identity corresponds to male-to-female transgender, with female-to-male transgender as reference group

Race corresponds to White, with non-White as reference group

Natural log of gross annual household income

⁴

A higher score indicates more internalized transphobia (i.e., more negative attitudes about one’s transgender status)

Bolded text signifies p-value ≤ 0.05;

Abbreviations: OR, odds ratio; AOR, adjusted odds ratio; CI, confidence interval