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. 2021 Feb 15;6(1):43–50. doi: 10.1089/trgh.2020.0031

Table 3.

Univariate and Multivariate Associations Between Study Variables and Nonsuicidal Self-Injury

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
a

Age reflects subject age at the most recent clinic visit (the last visit captured in the registry).

b

One intersex patient was excluded from both the univariate and multivariate analyses.

c

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.

d

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).

e

Medical transition was defined as lifetime or current use of GnRH analogs and/or GAHT, and/or history of gender-affirming surgery.

f

Zip code with a population <10,000.33

g

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

h

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.