Kids

Suicidality, self-harm for children with gender dysphoria

THURSDAY 17 Nov. 2022 (HealthDay News) — Children hospitalized with gender dysphoria-related diagnoses have an increased prevalence of suicidality and self-harm, according to a study published in the December 2022 issue of The Lancet Child and Adolescent Health.

Hannah K. Mitchell, BMBS, of Evelina London Children’s Hospital, and colleagues identified transgender and non-binary youth aged 6 to 20 to examine the association with hospitalization for suicidality or self-harm. Data were included for 1,090,544 individuals from Kids’ Inpatient Database (KID) 2016 and 1,026,752 from KID 2019.

The researchers found that gender dysphoria-related diagnoses were common at 161 and 475 per 100,000 hospital admissions, respectively, in KID 2016 and KID 2019. Proportionately more individuals who were white, privately insured, or from zip code areas with a higher median income had gender dysphoria-related codes in KID 2016 and KID 2019. The prevalence of suicidality was increased among individuals with versus without gender dysphoria-related codes in KID 2016 and KID 2019 (unadjusted prevalence ratios, 7.19 and 5.45, respectively). In multivariable modelling, adjusted for confounders, these associations persisted in KID 2016 and KID 2019 (adjusted prevalence ratios, 5.02 and 4.14, respectively). In both KID 2016 and KID 2019, increased unadjusted and adjusted prevalence ratios were also seen for individuals with versus without gender dysphoria-related self-harm codes and when suicidality was combined with self-harm.

“Structural and health care-level interventions are needed to reduce discrimination and improve access to gender-affirming care to prevent adverse outcomes,” the authors write.

An author disclosed financial ties to Pfizer.

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