Prevalence of gender identity disorder and suicide risk among transgender veterans utilizing veterans health administration care.

Abstract:

OBJECTIVES:We estimated the prevalence and incidence of gender identity disorder (GID) diagnoses among veterans in the Veterans Health Administration (VHA) health care system and examined suicide risk among veterans with a GID diagnosis. METHODS:We examined VHA electronic medical records from 2000 through 2011 for 2 official ICD-9 diagnosis codes that indicate transgender status. We generated annual period prevalence estimates and calculated incidence using the prevalence of GID at 2000 as the baseline year. We cross-referenced GID cases with available data (2009-2011) of suicide-related events among all VHA users to examine suicide risk. RESULTS:GID prevalence in the VHA is higher (22.9/100 000 persons) than are previous estimates of GID in the general US population (4.3/100 000 persons). The rate of suicide-related events among GID-diagnosed VHA veterans was more than 20 times higher than were rates for the general VHA population. CONCLUSIONS:The prevalence of GID diagnosis nearly doubled over 10 years among VHA veterans. Research is needed to examine suicide risk among transgender veterans and how their VHA utilization may be enhanced by new VA initiatives on transgender care.

journal_name

Am J Public Health

authors

Blosnich JR,Brown GR,Shipherd Phd JC,Kauth M,Piegari RI,Bossarte RM

doi

10.2105/AJPH.2013.301507

subject

Has Abstract

pub_date

2013-10-01 00:00:00

pages

e27-32

issue

10

eissn

0090-0036

issn

1541-0048

journal_volume

103

pub_type

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