About 41 percent of young transgender women had one or more mental health or substance dependence diagnoses and nearly 1 in 5 had two or more psychiatric diagnoses in a study of participants enrolled in a human immunodeficiency virus (HIV) prevention intervention trial, according to an article published online by JAMA Pediatrics.
Transgender youth — including adolescent and young adult transgender women assigned a male sex at birth who identify as girls, women, transgender women, transfemale, male-to-female or another diverse gender identity on the transfeminine spectrum — are a vulnerable population at risk for negative mental health and substance use outcomes.
Sari L. Resiner, Sc.D., of Boston Children’s Hospital/Harvard Medical School, Boston, and coauthors used a diagnostic interview in an at-risk sample of young transgender women to assess the prevalence of mental health, substance dependence and coexisting psychiatric disorders.
The study included 298 sexually active transgender women (ages 16 through 29) enrolled in Project LifeSkills in Chicago and Boston. Nearly three-quarters of the study group was unemployed and nearly half had an annual income of less than $10,000.
The authors report prevalence for:
Lifetime and current major depressive episodes were 35.4 percent and 14.7 percent, respectively Past 30-day suicidality was 20.2 percent Past 6-month generalized anxiety disorder and posttraumatic stress disorder were 7.9 percent and 9.8 percent, respectively Past 12-month alcohol dependence and nonalcohol psychoactive substance use were 11.2 percent and 15.2 percent, respectively
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