Publications - Sexual Orientation and Gender Identity

How A Hospital And A School District Teamed Up To Help Kids In Emotional Crisis, by Rhitu Chatterjee, NPR, Jun 11 2021.

“The concerning rise in mental health issues noticed by school administrators mirrors national trends. Roughly 1 in 5 U.S. children meet criteria for a mental health disorder, and the rate of suicide attempts among youth has risen over the past decade, according to the U.S. Centers for Disease Control and Prevention.  Around the country, most kids who have mental health issues don't get treatment. There's a shortage of providers who work with children and it can take months to get an appointment.  "The wait times on an average to see a mental health specialist on an emergency basis is somewhere between two to three months, and for regular basis is up to 12 months, which is an unacceptable wait time," says Dr. Ujjwal Ramtekkar, a child and adolescent psychiatrist at Nationwide Children's Hospital. ”

A Guide To Gender Identity Terms, by Laurel Wamsley, NPR, Jun 2 2021.

“Issues of equality and acceptance of transgender and nonbinary people — along with challenges to their rights — have become a major topic in the headlines. These issues can involve words and ideas and identities that are new to some.  That's why we've put together a glossary of terms relating to gender identity. Our goal is to help people communicate accurately and respectfully with one another.  Proper use of gender identity terms, including pronouns, is a crucial way to signal courtesy and acceptance. Alex Schmider, associate director of transgender representation at GLAAD, compares using someone's correct pronouns to pronouncing their name correctly – "a way of respecting them and referring to them in a way that's consistent and true to who they are." ”

Gender-affirming surgery linked to better mental health, study finds, by Dan Avery, NBC News, May 1 2021.

“The report, published Wednesday in JAMA Surgery, compared the psychological distress levels, suicide risk and substance use in trans and gender-diverse people who had undergone gender-affirming surgery with those who wanted such procedures but had not yet had them. ”

More transgender youth seeking care in U.S. military health system, by Will Boggs, MD, Reuters, Mar 26 2019.

“The number of transgender children and adolescents receiving care in the U.S. military health system rose substantially from 2010 to 2017, a new study shows. During that time, the number of children of active or retired military personnel seeking gender-affirming care more than quadrupled, researchers found. Until September 2016, gender-affirming care was not covered for the 1.7 million youth who may be eligible for military health service care based on their parents’ current or prior service. At that point, the Department of Defense enacted a policy allowing children of service members to receive full coverage for nonsurgical transgender and gender-diverse care, researchers note in JAMA Pediatrics. ”

Fresh Challenges To State Exclusions On Transgender Health Coverage, by Keren Landman, NPR, Mar 12 2019.

“Studies assessing the financial implications of covering transgender-related health care have demonstrated that the cost of care to insurers, including hormones and surgical therapies, is relatively small. Hormone therapy, which around 75 percent of transgender people seek, starts at $20 to $80 a month and is usually taken for the duration of a person's life after transition. Surgeries range widely in type and cost anywhere from $5,000 to $50,000 each, although many trans people don't desiresurgical treatment. Perhaps of even greater significance is the finding that providing this coverage is cost-effective. Untreated gender dysphoria leads to high rates of adverse — and expensive – outcomes, including HIV infection, depression, suicidality and drug abuse. The cost of accepting these outcomes outweighs the cost of treating their cause. ”

One in four pre-teen suicides may be LGBT youth, by Lisa Rapaport , Reuters, Feb 21 2019.

“Youth 12 to 14 years old who identify as lesbian, gay, bisexual and transgender (LGBT) are much more likely to die by suicide than their heterosexual peers, a disparity that persists but becomes less pronounced by early adulthood, a U.S. study suggests. While 24 percent of the suicide deaths in the 12 to 14 age group were among LGBT youth in 2013-2015, this dropped to 8 percent of suicides among young adults 25 to 29 years old, researchers report in the Journal of Adolescent Health. ”

LGBT Navajos Discover Unexpected Champions: Their Grandparents, by Laurel Morales, NPR, Jan 26 2019.

“Nationwide, the share of gay, lesbian and bisexual teens who attempt suicide is high — 23 percent. For Navajo LGBTQ youth, the rate is 70 percent, according to the Navajo Nation's Diné Policy Institute. [...] It's not unusual that Navajo grandparents are accepting of being LGBT while parents are not. Historians say federally run boarding schools and other assimilation tactics taught a generation of Navajos that same-sex relationships are wrong. ”

Even with insurance, getting mental health treatment is a struggle in Mass., study says, by Liz Kowalczyk, Boston Globe, Dec 11 2018.

“Massachusetts residents who need health care are colliding with a hard reality: Having medical insurance doesn’t guarantee you can get treatment, particularly for psychiatric problems. More than half of adults who sought mental health or addiction treatment in recent months had difficulty getting that care, according to a survey of 2,201 residents by the Blue Cross Blue Shield of Massachusetts Foundation in Boston...The obstacle wasn’t a lack of insurance; the vast majority of patients were insured. Rather, the problem was that providers either did not accept their insurance or their practices were closed to new patients. ”

LGBT youth at higher risk for suicide attempts, by Linda Carroll, Reuters, Oct 8 2018.

“LGBT adolescents are more likely than other kids their age to try to kill themselves, a new analysis confirms. Data pooled from 35 earlier studies show that sexual minority youth were more than three times as likely to attempt suicide as heterosexual peers, researchers report in JAMA Pediatrics. Transsexual youth were at highest risk, nearly six times as likely to attempt suicide as heterosexual peers, researchers reported. ”

Lesbian, Gay, Bisexual Youth at Increased Risk of Using Multiple Substances, by Janice Wood, Psych Central, Sep 16 2018.

“Young people who identify as lesbian, gay, or bisexual are at increased risk of using substances such as alcohol, nicotine, and marijuana, according to a new study. The study from researchers at Oregon State University also found that these teens are at a higher risk of using more than one substance, known as polysubstance use...Among youth, alcohol, marijuana, and nicotine are the three most commonly used drugs. That is a concern because kids who use those substances are at risk of negative health and social outcomes, including addiction and poor cognitive, social and academic function, the researcher noted. ”

Religious faith linked to suicidal behavior in LGBQ adults, by Anne Harding, Reuters, Apr 13 2018.

“Although religiosity is generally tied to reduced suicide risk, the opposite may be true for some young lesbian, gay and questioning adults, researchers say. Based on data from more than 21,000 U.S. college students, researchers found that greater religious feeling and engagement was tied to increased risk of suicidal thoughts and actions for participants who identified as LGBQ...Questioning youth had the highest rate of recent thoughts about suicide, at 16.4 percent, compared with 3.7 percent of heterosexuals, 6.5 percent of lesbian/gay individuals and 11.4 percent of bisexuals. ”

Using transgender youths' chosen names may lower suicide risk, by Rachel Gurevich , Reuters, Apr 10 2018.

“When a transgender youth chooses a new name, it’s important for friends, relatives and acquaintances to use that chosen name, a new study suggests.  For those who selected a different name from the one given at birth, being called by the chosen name reduced depressive symptoms and overall suicidal risk, researchers found.  The reduction in mental health risks was strongest when the chosen name was used in multiple contexts, like at home, at school, at work, and among friends. ”

Impossible Perfection, by Daniel Summers, Slate, Mar 30 2018.

“Earlier this year, a survey conducted jointly by the Trevor Project, the National Eating Disorders Association (NEDA), and Reasons Eating Disorder Center reported a shockingly high rate of eating disorders among LGBTQ youth. Of the 1,034 respondents to the survey, all LGBTQ-identifying people between 13–24 years old, 54 percent had been diagnosed with an eating disorder, and an additional 21 percent suspected they may have one despite lacking a formal diagnosis. While these results aren’t perfectly representative, they call much-needed attention to a serious problem within our community.  ”

Written on the Body: Letters from Trans and Non-Binary Survivors of Sexual Assault and Domestic Violence, by Edited by Lexie Bean. Foreword and additional pieces by Dean Spade, Nyala Moon, Alex Valdes, Sawyer DeVuyst and Leshai Bailey., Mar 21 2018.

“Written by and for trans and non-binary survivors of domestic violence and sexual assault, Written on the Body offers support, guidance and hope for those who struggle to find safety at home, in the body, and other unwelcoming places. This collection of letters written to body parts weaves together narratives of gender, identity, and abuse. It is the coming together of those who have been fragmented and often met with disbelief. The book holds the concerns and truths that many trans people share while offering space for dialogue and reclamation. ”

Sexual orientation top risk for suicidal thoughts in college freshmen, by Cheryl Platzman Weinstock, Reuters, Mar 15 2018.

“ Nearly one third of first-year college students have thought about suicide, according to a study across eight countries, and non-heterosexual identity or feelings were the biggest risks for this kind of thinking or behavior. Having a religion other than Christianity, being female, having unmarried parents or at least one deceased parent and being age 20 or older were also important risk factors, though being a sexual minority also carried the highest risk of transitioning from suicidal thoughts to plans to attempts, the researchers found. ”