{"doi":"10.1007/s00127-023-02482-4","title":"Structural transphobia is associated with psychological distress and suicidality in a large national sample of transgender adults","abstract":null,"journal":"Social Psychiatry and Psychiatric Epidemiology","year":2024,"id":686406,"datarank":0.6476232170304466,"base_score":4.31748811353631,"endowment":4.31748811353631,"self_citation_contribution":0.6476232170304466,"citation_network_contribution":0.0,"self_endowment_contribution":0.6476232170304466,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":74,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":1,"is_dataset":false,"is_dataset_confidence":null,"is_data_producer":false,"deposit_databanks":null,"is_oa":false,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":null,"fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":1793240,"name":"Nathan L. Hollinsaid","orcid":"0000-0001-8808-607X","position":1,"is_corresponding":false},{"id":329164,"name":"Sarah McKetta","orcid":"0000-0001-8953-1809","position":2,"is_corresponding":false},{"id":339989,"name":"Emily Mellen","orcid":"0000-0002-0797-5981","position":3,"is_corresponding":false},{"id":1793242,"name":"Marina Rakhilin","orcid":"0000-0003-0416-8399","position":4,"is_corresponding":false},{"id":812472,"name":"Maggi Price","orcid":"0000-0001-9825-6925","position":0,"is_corresponding":false}],"reference_count":0,"raw_metadata":{"has_enrichment":true,"resolved":true,"title":"Structural transphobia is associated with psychological distress and suicidality in a large national sample of transgender adults","abstract":"<h4>Purpose</h4>Transgender adults face increasingly discriminatory laws/policies and prejudicial attitudes in many regions of the United States (US), yet research has neither quantified state-level transphobia using indicators of both, nor considered their collective association with transgender adults' psychological wellbeing, hindering the identification of this potential social determinant of transgender mental health inequity.<h4>Methods</h4>We therefore used factor analysis to develop a more comprehensive structural transphobia measure encompassing 29 indicators of transphobic laws/policies and attitudes at the state level, which we linked to individual-level mental health data from a large national sample of 27,279 transgender adults (ages 18-100) residing in 45 US states and the District of Columbia (DC).<h4>Results</h4>Controlling for individual- (i.e., demographics), interpersonal- (i.e., perceived discrimination), and state- (i.e., income inequality, religiosity) level covariates, transgender adults from US states with higher (vs. lower) levels of structural transphobia reported more severe past-month psychological distress and were more likely to endorse past-year and lifetime suicidal thoughts, plans, and attempts.<h4>Conclusion</h4>Findings provide novel evidence that state-level transphobic laws/policies and attitudes collectively shape a range of important mental health outcomes among transgender adults in the US. Multilevel intervention strategies, such as affirming mental health treatments, provider-training interventions, and supportive legislation, are needed to address structural transphobia's multifaceted nature and negative mental health consequences.","is_dataset_classified":null,"base_score":4.31748811353631,"endowment":4.31748811353631,"datacite_reuse_total":1,"file_count":0,"downloads":0,"views":0,"has_version_chain":false,"is_dataset":false,"is_oa":false,"pmid":"37165214","pmcid":"PMC10171731","openalex_id":"https://openalex.org/W4376131392","authors":[],"funders":[{"funder_name":"NIMH","grant_id":"K23MH124670","title":null},{"funder_name":"National Institutes of Health","grant_id":"5K23MH124670-02","title":"Development of a Training Intervention to Improve Mental Health Treatment for Gender Minority Youth"}],"total_grants":2,"fwci":19.3459,"citation_percentile":0.9972021,"influential_citations":0,"citation_trend":[{"year":2023,"count":9},{"year":2024,"count":24},{"year":2025,"count":25},{"year":2026,"count":16}],"oa_status":"bronze","license":"Springer Nature TDM","oa_locations":[{"url":"https://link.springer.com/content/pdf/10.1007/s00127-023-02482-4.pdf","host_type":"journal"},{"url":"https://link.springer.com/content/pdf/10.1007/s00127-023-02482-4.pdf","host_type":"publisher"},{"url":"https://link.springer.com/article/10.1007/s00127-023-02482-4/fulltext.html","host_type":"publisher"},{"url":"https://doi.org/10.1007/s00127-023-02482-4","host_type":"journal"},{"url":"https://pubmed.ncbi.nlm.nih.gov/37165214","host_type":"repository"},{"url":"https://www.ncbi.nlm.nih.gov/pmc/articles/10171731","host_type":"repository"},{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC10171731/pdf/127_2023_Article_2482.pdf","host_type":"repository"},{"url":"https://europepmc.org/articles/PMC10171731","host_type":"Europe_PMC"},{"url":"https://europepmc.org/articles/PMC10171731?pdf=render","host_type":"Europe_PMC"},{"url":"http://dx.doi.org/10.1007/s00127-023-02482-4","host_type":""}],"fields_of_study":["LGBTQ Health, Identity, and Policy","Sexuality, Behavior, and Technology","Marriage and Sexual Relationships","Adult","Humans","United States","Transgender Persons","Suicidal Ideation","Suicide","Prejudice","Psychological Distress","Male","Female"],"mesh_terms":["Psychological Distress","Adult","Female","Humans","Male","Prejudice","Suicide","United States","Suicidal Ideation","Transgender Persons"],"keywords":["Transphobia","Transgender","Psychological distress","Poison control","Clinical psychology","Distress","Suicide prevention","Epidemiology","Psychology","Injury prevention","Occupational safety and health","Sample (material)","Medicine","Psychiatry","Mental health","Medical emergency","stigma","Suicidality","Mental Health Equity","Transgender Adults","Structural Transphobia","Adult","Male","Suicide","Research","Humans","Female","Transgender Persons","United States","Prejudice","Suicidal Ideation"],"sdg_mappings":[{"sdg_number":0,"sdg_label":"Reduced inequalities"}],"linked_datasets":[{"doi":"10.3886/icpsr37229","title":"2015 U.S. Transgender Survey (USTS)","publisher":"ICPSR - Interuniversity Consortium for Political and Social Research","resource_type":"Dataset"}],"clinical_trials":[],"software_tools":[],"database_accessions":[],"source":"live","citation_network_status":"fetched"},"created_at":"2026-08-18T19:24:17.229339Z","pmid":null,"pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}