Table 3.
Variable | na | NSSI % | Unadjusted model (N=185) |
Adjusted model (N=183) |
||
---|---|---|---|---|---|---|
OR (95% CI) | p | OR (95% CI) | p | |||
Age (years)a | ||||||
<14 | 66 | 39.4 | 1.00 | — | ||
15–17 | 49 | 30.6 | 0.68 (0.31–1.49) | 0.332 | ||
18–25 | 70 | 38.6 | 0.97 (0.49–1.93) | 0.922 | ||
Assigned sex at birthb | ||||||
Male | 53 | 17.0 | 1.00 | — | 1.00 | — |
Female | 131 | 44.3 | 3.88 (1.75–8.61) | <0.001 | 4.56 (1.80–11.52) | 0.001 |
Gender identityc | ||||||
Transfeminine spectrum | 49 | 18.4 | 1.00 | — | ||
Transmasculine spectrum | 127 | 42.5 | 3.29 (1.47–7.35) | 0.004 | ||
Race | ||||||
White or Caucasian | 162 | 36.4 | 1.00 | — | ||
Non-White | 19 | 31.6 | 0.81 (0.29–2.23) | 0.678 | ||
Ethnicity | ||||||
Non-Hispanic or Latino | 156 | 35.9 | 1.00 | — | ||
Hispanic or Latino | 14 | 50.0 | 1.78 (0.60–5.35) | 0.301 | ||
Socially transitionedd | ||||||
No | 19 | 21.1 | 1.00 | — | ||
Yes | 160 | 38.1 | 2.31 (0.73–7.28) | 0.153 | ||
Medically transitioninge | ||||||
No | 26 | 23.1 | 1.00 | — | ||
Yes | 159 | 39.0 | 2.13 (0.81–5.60) | 0.125 | ||
Rural zip code residencef | ||||||
No | 98 | 31.6 | 1.00 | — | ||
Yes | 87 | 42.5 | 1.60 (0.88–2.92) | 0.126 | ||
Nonmetro county residenceg | ||||||
No | 146 | 35.6 | 1.00 | — | ||
Yes | 39 | 41.0 | 1.26 (0.61–2.59) | 0.534 | ||
History of anxiety | ||||||
No | 107 | 30.8 | 1.00 | — | ||
Yes | 78 | 44.9 | 1.83 (1.00–3.35) | 0.052 | ||
History of mood disorder | ||||||
No | 72 | 15.3 | 1.00 | — | 1.00 | — |
Yes | 113 | 50.4 | 5.64 (2.69–11.83) | <0.001 | 3.68 (1.54–8.79) | 0.003 |
History of suicidal ideation or attempt | ||||||
No | 98 | 16.3 | 1.00 | — | 1.00 | — |
Yes | 87 | 59.8 | 7.61 (3.83–15.12) | <0.001 | 5.59 (2.62–11.93) | <0.001 |
History of abuseh | ||||||
No | 118 | 30.5 | 1.00 | — | 1.00 | — |
Yes | 66 | 47.0 | 2.02 (1.08–3.76) | 0.027 | 0.99 (0.46–2.13) | 0.975 |
Age reflects subject age at the most recent clinic visit (the last visit captured in the registry).
One intersex patient was excluded from both the univariate and multivariate analyses.
NB/GNC youth were excluded from the gender identity variable due to the small sample of youth represented in this gender identity subcategory (n=9), which resulted in unstable ORs. The gender identity variable was ultimately excluded from the multivariate, adjusted model due to a high degree of collinearity with the variable assigned sex at birth.
Social transition was defined as presenting as one's affirmed gender at home and/or in public spaces, including school and the workplace (i.e., through dress and use of preferred pronouns and name).
Medical transition was defined as lifetime or current use of GnRH analogs and/or GAHT, and/or history of gender-affirming surgery.
Zip code with a population <10,000.33
County that includes some combination of open countryside, rural towns (<2500 people), and urban areas with populations <50,000 that are not part of larger metropolitan areas.33
History of abuse included any history of physical, sexual, or emotional abuse or bullying/victimization.
CI, confidence interval; GNC, gender nonconforming; NB, nonbinary; OR, odds ratio.