Figure 1. Model Framework.

LGBTQ indicates lesbian, gay, bisexual, transgender, queer, or questioning; QALY, quality-adjusted life-year; and SOGICE, sexual orientation and gender identity change efforts.

^aBecause the adverse events are not mutually exclusive, the decision tree evaluates these outcomes separately. The adverse event can be anxiety or depression or suicide attempts with or without fatal suicide or alcohol use disorder or illicit drug use.

^bThe absolute economic effect is the difference in total economic costs between the interventions. The relative economic effect is the percentage change in economic costs for an intervention when compared with another.