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. Author manuscript; available in PMC: 2022 Dec 1.
Published in final edited form as: J Adolesc Health. 2021 Jul 13;69(6):991–998. doi: 10.1016/j.jadohealth.2021.06.001

Table 2. Outcomes.

Childhood Social Transition, 3-9
(compared to Adults, 18+)
(N=165)
Adolescent Social Transition,
10-17
(compared to Adults, 18+)
(N=1196)
Childhood Social Transition, 3-9
(compared to Adolescents, 10-17)
(N=165)
aOR
(95% CI)
p aOR
(95% CI)
p aOR
(95% CI)
p
Suicidality (Past 12 months)
Lifetime suicidal ideation a 0.8 (0.4 – 2.0) .80 1.0 (0.7 – 1.3) .90 1.7 (0.5 – 6.2) .44
Past-year suicidal ideation b 1.0 (0.6 – 1.8) .89 1.2 (1.01 – 1.5) .04 0.7 (0.3 – 1.6) .58
Past-year suicidal ideation with plan c 1.3 (0.7 – 2.6) .45 1.2 (0.9 – 1.5) .22
Lifetime suicide attempt d 1.5 (0.9 – 2.6) .12 1.3 (1.1 – 1.7) .004
Past-year suicide attempt b 1.3 (0.5 – 3.1) .63 1.2 (0.9 – 1.7) .28
Past-year suicide attempt resulting in medical attention e 1.8 (0.5 – 6.7) .36 1.1 (0.7 – 1.7) .82
Mental Health & Substance Use
Past-month severe psychological distress (K6 ≥ 13) b 0.8 (0.4 – 1.4) .43 1.1 (0.8 – 1.3) .60 1.1 (0.4 – 2.7) .83
Lifetime illicit drug use f 1.0 (0.5 – 1.7) .87 1.0 (0.8 – 1.2) .75
Lifetime marijuana use g 0.7 (0.6 – 0.9) <.001 0.7 (0.5 – 1.2) .21

Note: All models were adjusted for the following covariates: Current age, education level, family support for gender identity, and ever received treatment with gender-affirming hormones.

a

Also adjusted for gender identity, sexual orientation, race, employment status, total household income, lifetime exposure to gender identity change efforts, time to social transition, and ever received treatment with pubertal suppression.

b

Also adjusted for gender identity, sexual orientation, race, employment status, relationship status, total household income, lifetime exposure to gender identity change efforts, and time to social transition.

c

Also adjusted for gender identity, sexual orientation, employment status, total household income, lifetime exposure to gender identity change efforts.

d

Also adjusted for sexual orientation, race, education level, employment status, total household income, lifetime exposure to gender identity change efforts, and time to social transition.

e

Also adjusted for relationship status and time to social transition.

f

Adjusted for gender identity, sexual orientation, employment status, relationship status, total household income, lifetime exposure to gender identity change efforts, and time to social transition.

g

Adjusted for gender identity, sexual orientation, employment status, relationship status, total household income, and time to social transition.