. 2018 Oct 1;142(4):e20174218. doi: 10.1542/peds.2017-4218

TABLE 3.

aORs With 95% CIs Used to Predict Suicide Behavior by Gender Identity Group

	Female	Male	Transgender, Male to Female	Transgender, Female to Male	Transgender, Not Exclusively Male or Female	Questioning
Age	1.01 (1.00–1.02)	1.04 (1.03–1.04)^a	0.95 (0.84–1.07)	0.98 (0.88–1.10)	0.99 (0.91–1.08)	0.98 (0.94–1.03)
Parent education	0.91 (0.90–0.92)^a	0.93 (0.92–0.94)^a	1.03 (0.90–1.17)	0.96 (0.84–1.10)	0.94 (0.85–1.03)	0.90 (0.85–0.95)^a
Urbanicity^b	0.95 (0.92–0.98)	0.93 (0.89–0.96)^a	1.35 (0.80–2.27)	0.98 (0.55–1.75)	1.04 (0.73–1.50)	0.83 (0.65–1.06)
Sexual orientation^c
Mostly heterosexual	1.75 (1.67–1.83)^a	1.74 (1.63–1.87)^a	2.44 (1.16–5.13)	2.55 (1.10–5.89)	0.75 (0.41–1.37)	1.14 (0.88–1.47)
Bisexual	3.05 (2.90–3.20)^a	2.70 (2.46–2.97)^a	2.47 (1.39–4.39)	3.33 (1.72–6.43)^a	1.46 (0.88–2.43)	1.69 (1.33–2.16)^a
Mostly lesbian or gay	2.60 (2.26–2.99)^a	2.03 (1.67–2.45)^a	3.19 (1.69–6.05)^a	2.89 (1.38–6.02)	1.46 (0.84–2.54)	2.01 (1.43–2.83)^a
Only lesbian or gay	2.48 (2.12–2.89)^a	2.14 (1.87–2.44)^a	3.75 (1.87–7.51)^a	3.65 (1.76–7.59)^a	1.38 (0.78–2.42)	1.81 (1.26–2.58)^a
Race and/or ethnicity^d
American Indian or Alaskan native	1.45 (1.28–1.64)^a	1.30 (1.15–1.47)^a	2.04 (0.84–4.95)	0.79 (0.22–2.88)	1.19 (0.57–2.50)	1.02 (0.67–1.56)
Asian American	1.00 (0.95–1.05)	1.09 (1.03–1.16)	0.76 (0.34–1.70)	0.78 (0.39–1.53)	0.73 (0.44–1.20)	0.90 (0.65–1.24)
Black or African American	1.20 (1.14–1.26)^a	1.24 (1.17–1.32)^a	1.16 (0.50–2.69)	0.72 (0.28–1.83)	1.06 (0.60–1.88)	0.96 (0.66–1.39)
Hispanic or Latino	1.45 (1.39–1.50)^a	1.34 (1.27–1.40)^a	1.53 (0.73–3.20)	0.87 (0.41–1.85)	1.18 (0.66–2.12)	1.04 (0.71–1.51)
Native Hawaiian or Pacific Islander	1.41 (1.19–1.68)^a	1.62 (1.37–1.91)^a	1.00 (0.37–2.69)	0.46 (0.18–1.20)	1.15 (0.59–2.24)	1.01 (0.52–1.94)
Other	1.23 (1.15–1.32)^a	1.26 (1.17–1.37)^a	1.67 (0.69–4.04)	0.47 (0.13–1.71)	1.08 (0.62–1.88)	0.83 (0.60–1.13)
Multiracial and/or multiple ethnicities	1.36 (1.30–1.43)^a	1.40 (1.33–1.48)^a	1.33 (0.72–2.44)	1.16 (0.62–2.18)	1.25 (0.78–1.99)	0.95 (0.73–1.23)

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 adolescents 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.

Significantly differs from P < .003.

The reference group for urbanicity is rural and small cities.

The reference group for sexual orientation is only heterosexual.

The reference group for race and/or ethnicity is white, non-Latino.