FIGURE 1.

Percentages of self-reported suicide behavior among adolescents by gender identity. Subsamples include 0.2% (n = 202) transgender, male to female; 0.1% (n = 175) transgender, female to male; and 0.3% (n = 344) transgender, not exclusively male or female. Additionally, a small percentage of adolesscents reported that they were not sure of their gender identity (0.9% [n = 1052]; referred to as questioning), whereas 50.6% (n = 60 973) identified as female, and 48% (n = 57 871) identified as male. Different subscripts represent significant differences between groups (P < .001). ^a Female adolescents reported lower levels of suicide behavior compared to all transgender youth but higher levels compared to cisgender male adolescents. ^b Male adolescents reported the lowest levels of suicide behavior compared to all other groups. ^c Transgender, male to female, and questioning youth reported higher levels of suicide behavior compared to cisgender males and females but lower levels compared to transgender, female to male, and transgender, nonbinary youth. ^d Transgender, female to male, and transgender, nonbinary youth reported the highest levels of suicide behavior compared to all other groups.