TABLE 3

aORs and 95% CIs for Each Lifetime Suicidality Outcome for Gender Identity Subgroups and Covariates

VariablePassive Death WishSuicidal IdeationPlanning AttemptSuicidal AttemptAttempt Requiring Medical CareNSSI
aOR (95% CI)aOR (95% CI)aOR (95% CI)aOR (95% CI)aOR (95% CI)aOR (95% CI)
Gender identity (cisgender male reference)
 Cisgender female2.53 (1.76–3.64)*2.04 (1.46–2.84)*1.90 (1.37–2.64)*1.49 (1.03–2.15)*5.85 (1.79–19.16)*3.02 (2.16–4.23)*
 Transgender male9.39 (5.41–16.27)*5.64 (3.77–8.42)*3.82 (2.66–5.50)*2.72 (1.86–3.99)*12.12 (3.70–39.66)*9.65 (6.41–14.54)*
 Transgender female4.52 (1.53–13.32)*6.30 (2.54–15.58)*2.98 (1.56–5.68)*2.90 (1.56–5.40)*3.91 (0.83–18.40)2.73 (1.42–5.23)*
 Nonbinary assigned female4.06 (2.37–6.96)*2.77 (1.83–4.19)*2.82 (1.90–4.17)*1.84 (1.22–2.78)*8.59 (2.55–28.97)*8.22 (5.21–12.99)*
 Nonbinary assigned male2.11 (0.82–5.43)1.76 (0.83–3.73)1.09 (0.55–2.15)1.75 (0.86–3.54)10.13 (2.36–43.51)*3.79 (1.73–8.31)*
 Questioning gender3.68 (1.23–10.98)*3.33 (1.50–7.39)*3.23 (1.61–6.49)*1.48 (0.76–2.90)7.59 (1.70–33.83)*3.64 (1.75–7.57)*
Race and/or ethnicity (white reference)
 African American1.27 (0.73–2.21)1.23 (0.82–1.83)1.12 (0.79–1.58)1.41 (1.10–1.97)*1.05 (0.61–1.81)0.83 (0.56–1.23)
 Latinx1.26 (0.73–2.17)1.04 (0.70–1.54)1.31 (0.92–1.86)1.51 (1.09–2.11)*1.57 (0.98–2.52)0.99 (0.66–1.48)
 Asian American or Pacific Islander0.74 (0.40–1.39)0.99 (0.58–1.69)1.04 (0.64–1.70)1.28 (0.78–2.10)1.14 (0.47–2.73)0.46 (0.28–0.77)*
 American Indian or other1.74 (0.39–7.77)1.25 (0.48–3.22)2.04 (0.85–4.90)2.61 (1.22–5.59)*1.68 (0.61–4.59)1.59 (0.57–4.42)
 Mixed0.87 (0.55–1.38)1.28 (0.88–1.86)1.18 (0.86–1.61)1.01 (0.74–1.36)1.03 (0.63–1.68)0.91 (0.63–1.32)
Sexual orientation (straight reference)
 Gay or lesbian1.72 (1.11–2.67)*2.37 (1.64–3.44)*1.90 (1.35–2.66)*1.57 (1.11–2.23)*1.71 (0.92–3.17)2.03 (1.39–2.97)*
 Bisexual or pansexual3.24 (2.22–4.74)*2.51 (1.88–3.37)*1.81 (1.38–2.38)*1.76 (1.32–2.36)*1.34 (0.77–2.31)2.18 (1.63–2.93)*
 Queer, other, or questioning1.92 (1.17–3.14)*1.91 (1.32–2.77)*1.64 (1.17–2.30)*1.55 (1.10–2.20)*0.97 (0.52–1.83)1.41 (0.97–2.07)
Age1.13 (1.00–1.29)1.08 (0.98–1.19)1.14 (1.04–1.23)*1.14 (1.05–1.24)*1.26 (1.10–1.43)*1.06 (0.96–1.17)
SSS0.81 (0.74–0.90)*0.84 (0.78–0.90)0.89 (0.84–0.95)*0.83 (0.78–0.88)*0.90 (0.81–0.99)*0.89 (0.82–0.96)*