{"id":"https://openalex.org/W2913258673","doi":"https://doi.org/10.1089/lgbt.2018.0136","title":"Psychiatric Epidemiology of Transgender and Nonbinary Adult Patients at an Urban Health Center","display_name":"Psychiatric Epidemiology of Transgender and Nonbinary Adult Patients at an Urban Health Center","publication_year":2019,"publication_date":"2019-02-01","ids":{"openalex":"https://openalex.org/W2913258673","doi":"https://doi.org/10.1089/lgbt.2018.0136","mag":"2913258673","pmid":"https://pubmed.ncbi.nlm.nih.gov/30707624","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/6434596"},"language":"en","primary_location":{"id":"doi:10.1089/lgbt.2018.0136","doi":"https://doi.org/10.1089/lgbt.2018.0136","is_oa":false,"landing_page_url":"https://doi.org/10.1089/lgbt.2018.0136","pdf_url":null,"source":{"id":"https://openalex.org/S2764447103","display_name":"LGBT Health","issn_l":"2325-8292","issn":["2325-8292","2325-8306"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","jufo-1","ki-jl-1","medline","norway-1","poland-100","vabb-shw"],"host_organization":"https://openalex.org/P4310320443","host_organization_name":"Mary Ann Liebert, Inc.","host_organization_lineage":["https://openalex.org/P4310320443","https://openalex.org/P4310320017"],"host_organization_lineage_names":["Mary Ann Liebert, Inc.","SAGE Publishing"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"LGBT Health","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"http://europepmc.org/pmc/articles/PMC6434596","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5005054875","display_name":"Noor Beckwith","orcid":"https://orcid.org/0000-0001-6025-8642","observed_orcids":["https://orcid.org/0000-0001-6025-8642"]},"institutions":[{"id":"https://openalex.org/I136199984","display_name":"Harvard University","ror":"https://ror.org/03vek6s52","country_code":"US","type":"education","lineage":["https://openalex.org/I136199984"]},{"id":"https://openalex.org/I4210087915","display_name":"Massachusetts General Hospital","ror":"https://ror.org/002pd6e78","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210087915","https://openalex.org/I48633490"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Noor Beckwith","raw_affiliation_strings":["Department of Psychiatry, Massachusetts General Hospital, Boston, Massachusetts","Harvard Medical School, Boston, Massachusetts"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Psychiatry, Massachusetts General Hospital, Boston, Massachusetts","institution_ids":["https://openalex.org/I4210087915"]},{"raw_affiliation_string":"Harvard Medical School, Boston, Massachusetts","institution_ids":["https://openalex.org/I136199984"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5061750063","display_name":"Michal J. McDowell","orcid":"https://orcid.org/0000-0002-7619-1005","observed_orcids":["https://orcid.org/0000-0002-7619-1005"]},"institutions":[{"id":"https://openalex.org/I136199984","display_name":"Harvard University","ror":"https://ror.org/03vek6s52","country_code":"US","type":"education","lineage":["https://openalex.org/I136199984"]},{"id":"https://openalex.org/I4210087915","display_name":"Massachusetts General Hospital","ror":"https://ror.org/002pd6e78","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210087915","https://openalex.org/I48633490"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Michal J. McDowell","raw_affiliation_strings":["Department of Psychiatry, Massachusetts General Hospital, Boston, Massachusetts","Harvard Medical School, Boston, Massachusetts"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Psychiatry, Massachusetts General Hospital, Boston, Massachusetts","institution_ids":["https://openalex.org/I4210087915"]},{"raw_affiliation_string":"Harvard Medical School, Boston, Massachusetts","institution_ids":["https://openalex.org/I136199984"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5070617032","display_name":"Sari L. Reisner","orcid":"https://orcid.org/0000-0001-7868-4746","observed_orcids":["https://orcid.org/0000-0001-7868-4746"]},"institutions":[{"id":"https://openalex.org/I1288882113","display_name":"Boston Children's Hospital","ror":"https://ror.org/00dvg7y05","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1288882113"]},{"id":"https://openalex.org/I136199984","display_name":"Harvard University","ror":"https://ror.org/03vek6s52","country_code":"US","type":"education","lineage":["https://openalex.org/I136199984"]},{"id":"https://openalex.org/I44580034","display_name":"Fenway Health","ror":"https://ror.org/04ztdzs79","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I44580034"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Sari L. Reisner","raw_affiliation_strings":["Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, Massachusetts","Division of General Pediatrics, Boston Children's Hospital, Boston, Massachusetts","Harvard Medical School, Boston, Massachusetts","The Fenway Institute, Fenway Health, Boston, Massachusetts"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, Massachusetts","institution_ids":["https://openalex.org/I136199984"]},{"raw_affiliation_string":"Division of General Pediatrics, Boston Children's Hospital, Boston, Massachusetts","institution_ids":["https://openalex.org/I1288882113"]},{"raw_affiliation_string":"Harvard Medical School, Boston, Massachusetts","institution_ids":["https://openalex.org/I136199984"]},{"raw_affiliation_string":"The Fenway Institute, Fenway Health, Boston, Massachusetts","institution_ids":["https://openalex.org/I44580034"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5015606326","display_name":"Shayne Zaslow","orcid":"https://orcid.org/0000-0002-5705-6553","observed_orcids":["https://orcid.org/0000-0002-5705-6553"]},"institutions":[{"id":"https://openalex.org/I44580034","display_name":"Fenway Health","ror":"https://ror.org/04ztdzs79","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I44580034"]},{"id":"https://openalex.org/I51556381","display_name":"University of Virginia","ror":"https://ror.org/0153tk833","country_code":"US","type":"education","lineage":["https://openalex.org/I51556381"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Shayne Zaslow","raw_affiliation_strings":["Department of Sociology, University of Virginia, Charlottesville, Virginia","The Fenway Institute, Fenway Health, Boston, Massachusetts"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Sociology, University of Virginia, Charlottesville, Virginia","institution_ids":["https://openalex.org/I51556381"]},{"raw_affiliation_string":"The Fenway Institute, Fenway Health, Boston, Massachusetts","institution_ids":["https://openalex.org/I44580034"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5012668362","display_name":"Roger D. Weiss","orcid":"https://orcid.org/0000-0001-7503-828X","observed_orcids":["https://orcid.org/0000-0001-7503-828X"]},"institutions":[{"id":"https://openalex.org/I136199984","display_name":"Harvard University","ror":"https://ror.org/03vek6s52","country_code":"US","type":"education","lineage":["https://openalex.org/I136199984"]},{"id":"https://openalex.org/I2801148111","display_name":"McLean Hospital","ror":"https://ror.org/01kta7d96","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2801148111"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Roger D. Weiss","raw_affiliation_strings":["Division of Alcohol and Drug Abuse, McLean Hospital, Belmont, Massachusetts","Harvard Medical School, Boston, Massachusetts"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Alcohol and Drug Abuse, McLean Hospital, Belmont, Massachusetts","institution_ids":["https://openalex.org/I2801148111"]},{"raw_affiliation_string":"Harvard Medical School, Boston, Massachusetts","institution_ids":["https://openalex.org/I136199984"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5025150770","display_name":"Kenneth Hugh Mayer","orcid":"https://orcid.org/0000-0001-7460-733X","observed_orcids":["https://orcid.org/0000-0001-7460-733X","https://orcid.org/0000-0001-8034-5110"]},"institutions":[{"id":"https://openalex.org/I1316535847","display_name":"Beth Israel Deaconess Medical Center","ror":"https://ror.org/04drvxt59","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1316535847"]},{"id":"https://openalex.org/I136199984","display_name":"Harvard University","ror":"https://ror.org/03vek6s52","country_code":"US","type":"education","lineage":["https://openalex.org/I136199984"]},{"id":"https://openalex.org/I44580034","display_name":"Fenway Health","ror":"https://ror.org/04ztdzs79","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I44580034"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Kenneth H. Mayer","raw_affiliation_strings":["Department of Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts","Harvard Medical School, Boston, Massachusetts","The Fenway Institute, Fenway Health, Boston, Massachusetts"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts","institution_ids":["https://openalex.org/I1316535847"]},{"raw_affiliation_string":"Harvard Medical School, Boston, Massachusetts","institution_ids":["https://openalex.org/I136199984"]},{"raw_affiliation_string":"The Fenway Institute, Fenway Health, Boston, Massachusetts","institution_ids":["https://openalex.org/I44580034"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5075501004","display_name":"Alex Sogomon Keuroghlian","orcid":"https://orcid.org/0000-0002-6624-8354","observed_orcids":["https://orcid.org/0000-0002-6624-8354"]},"institutions":[{"id":"https://openalex.org/I136199984","display_name":"Harvard University","ror":"https://ror.org/03vek6s52","country_code":"US","type":"education","lineage":["https://openalex.org/I136199984"]},{"id":"https://openalex.org/I4210087915","display_name":"Massachusetts General Hospital","ror":"https://ror.org/002pd6e78","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210087915","https://openalex.org/I48633490"]},{"id":"https://openalex.org/I44580034","display_name":"Fenway Health","ror":"https://ror.org/04ztdzs79","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I44580034"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Alex S. Keuroghlian","raw_affiliation_strings":["Department of Psychiatry, Massachusetts General Hospital, Boston, Massachusetts","Harvard Medical School, Boston, Massachusetts","The Fenway Institute, Fenway Health, Boston, Massachusetts"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Psychiatry, Massachusetts General Hospital, Boston, Massachusetts","institution_ids":["https://openalex.org/I4210087915"]},{"raw_affiliation_string":"Harvard Medical School, Boston, Massachusetts","institution_ids":["https://openalex.org/I136199984"]},{"raw_affiliation_string":"The Fenway Institute, Fenway Health, Boston, Massachusetts","institution_ids":["https://openalex.org/I44580034"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":7,"corresponding_author_ids":["https://openalex.org/A5075501004"],"corresponding_institution_ids":["https://openalex.org/I136199984","https://openalex.org/I4210087915","https://openalex.org/I44580034"],"apc_list":null,"apc_paid":null,"fwci":7.8486,"has_fulltext":false,"cited_by_count":52,"citation_normalized_percentile":{"value":0.97245381,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":96,"max":99},"biblio":{"volume":"6","issue":"2","first_page":"51","last_page":"61"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10156","display_name":"LGBTQ Health, Identity, and Policy","score":1.0,"subfield":{"id":"https://openalex.org/subfields/3207","display_name":"Social Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10156","display_name":"LGBTQ Health, Identity, and Policy","score":1.0,"subfield":{"id":"https://openalex.org/subfields/3207","display_name":"Social Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10272","display_name":"Mental Health Treatment and Access","score":0.0,"subfield":{"id":"https://openalex.org/subfields/3207","display_name":"Social Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T12823","display_name":"Adolescent and Pediatric Healthcare","score":0.0,"subfield":{"id":"https://openalex.org/subfields/3616","display_name":"Speech and Hearing"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/transgender-adults","display_name":"transgender adults","score":0.9610000252723694},{"id":"https://openalex.org/keywords/psychiatric-diagnosis","display_name":"psychiatric diagnosis","score":0.7900000214576721},{"id":"https://openalex.org/keywords/substance-use-disorders","display_name":"substance use disorders","score":0.8399999737739563},{"id":"https://openalex.org/keywords/suicide-attempts","display_name":"suicide attempts","score":0.8429999947547913},{"id":"https://openalex.org/keywords/alcoholism","display_name":"alcoholism","score":0.734000027179718},{"id":"https://openalex.org/keywords/posttraumatic-stress-disorder","display_name":"post-traumatic stress disorder","score":0.9169999957084656},{"id":"https://openalex.org/keywords/major-depressive-disorder","display_name":"major depressive disorder","score":0.9890000224113464},{"id":"https://openalex.org/keywords/anxiety-disorders","display_name":"anxiety disorders","score":0.8659999966621399},{"id":"https://openalex.org/keywords/case-management","display_name":"case management","score":0.8939999938011169},{"id":"https://openalex.org/keywords/urban-health-centers","display_name":"urban health centers","score":0.8429999947547913}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.7254750728607178},{"id":"https://openalex.org/C156957248","wikidata":"https://www.wikidata.org/wiki/Q1862216","display_name":"Odds ratio","level":2,"score":0.7032318711280823},{"id":"https://openalex.org/C2779671885","wikidata":"https://www.wikidata.org/wiki/Q189125","display_name":"Transgender","level":2,"score":0.641785740852356},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.5815783739089966},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.48864585161209106},{"id":"https://openalex.org/C2780051608","wikidata":"https://www.wikidata.org/wiki/Q42844","display_name":"Major depressive disorder","level":3,"score":0.4612653851509094},{"id":"https://openalex.org/C107130276","wikidata":"https://www.wikidata.org/wiki/Q133805","display_name":"Epidemiology","level":2,"score":0.46054384112358093},{"id":"https://openalex.org/C44249647","wikidata":"https://www.wikidata.org/wiki/Q208498","display_name":"Confidence interval","level":2,"score":0.45146843791007996},{"id":"https://openalex.org/C134362201","wikidata":"https://www.wikidata.org/wiki/Q317309","display_name":"Mental health","level":2,"score":0.43626338243484497},{"id":"https://openalex.org/C558461103","wikidata":"https://www.wikidata.org/wiki/Q154430","display_name":"Anxiety","level":2,"score":0.4120497405529022},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.18058046698570251},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.16420289874076843},{"id":"https://openalex.org/C2780733359","wikidata":"https://www.wikidata.org/wiki/Q331769","display_name":"Mood","level":2,"score":0.06373623013496399},{"id":"https://openalex.org/C11171543","wikidata":"https://www.wikidata.org/wiki/Q41630","display_name":"Psychoanalysis","level":1,"score":0.0},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000072339","descriptor_name":"Sexual and Gender Minorities","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":false},{"descriptor_ui":"D000072339","descriptor_name":"Sexual and Gender Minorities","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000437","descriptor_name":"Alcoholism","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D000553","descriptor_name":"Ambulatory Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001008","descriptor_name":"Anxiety Disorders","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D001523","descriptor_name":"Mental Disorders","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":true},{"descriptor_ui":"D003695","descriptor_name":"Delivery of Health Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003865","descriptor_name":"Major Depressive Disorder","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008605","descriptor_name":"Mental Health Services","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011320","descriptor_name":"Primary Health Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D012307","descriptor_name":"Risk Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012739","descriptor_name":"Gonadal Steroid Hormones","qualifier_ui":"Q000627","qualifier_name":"therapeutic use","is_major_topic":true},{"descriptor_ui":"D013313","descriptor_name":"Stress Disorders, Post-Traumatic","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D013406","descriptor_name":"Suicide, Attempted","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D014505","descriptor_name":"Urban Population","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D015995","descriptor_name":"Prevalence","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016017","descriptor_name":"Odds Ratio","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D019090","descriptor_name":"Case Management","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D019966","descriptor_name":"Substance-Related Disorders","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D055815","descriptor_name":"Young Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D057829","descriptor_name":"Gender-Affirming Procedures","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D063106","descriptor_name":"Transgender Persons","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":false},{"descriptor_ui":"D063106","descriptor_name":"Transgender Persons","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true}],"locations_count":4,"locations":[{"id":"doi:10.1089/lgbt.2018.0136","doi":"https://doi.org/10.1089/lgbt.2018.0136","is_oa":false,"landing_page_url":"https://doi.org/10.1089/lgbt.2018.0136","pdf_url":null,"source":{"id":"https://openalex.org/S2764447103","display_name":"LGBT Health","issn_l":"2325-8292","issn":["2325-8292","2325-8306"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","jufo-1","ki-jl-1","medline","norway-1","poland-100","vabb-shw"],"host_organization":"https://openalex.org/P4310320443","host_organization_name":"Mary Ann Liebert, Inc.","host_organization_lineage":["https://openalex.org/P4310320443","https://openalex.org/P4310320017"],"host_organization_lineage_names":["Mary Ann Liebert, Inc.","SAGE Publishing"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"LGBT Health","raw_type":"journal-article"},{"id":"pmh:oai:europepmc.org:5415274","doi":null,"is_oa":true,"landing_page_url":"http://europepmc.org/pmc/articles/PMC6434596","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"","raw_type":"Text"},{"id":"pmh:oai:pubmedcentral.nih.gov:6434596","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/6434596","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"LGBT Health","raw_type":"Text"},{"id":"pmid:30707624","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/30707624","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"LGBT health","raw_type":"Journal Article"}],"best_oa_location":{"id":"pmh:oai:europepmc.org:5415274","doi":null,"is_oa":true,"landing_page_url":"http://europepmc.org/pmc/articles/PMC6434596","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"","raw_type":"Text"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":1.0,"display_name":"Good health and well-being"},{"id":"https://metadata.un.org/sdg/10","score":0.5676000118255615,"display_name":"Reduced inequalities"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[{"id":"https://openalex.org/G2066465178","display_name":"Fostering Research Mentorship and Training During Psychiatry Residency","funder_award_id":"R25MH094612","funder_id":"https://openalex.org/F4320337346","funder_display_name":"National Institute of Mental Health"},{"id":"https://openalex.org/G2649677644","display_name":"TransPrEP: Social Network-Based PrEP Adherence for Transgender Women in Peru","funder_award_id":"R34MH104072","funder_id":"https://openalex.org/F4320337346","funder_display_name":"National Institute of Mental Health"},{"id":"https://openalex.org/G3017898417","display_name":null,"funder_award_id":"DA022288","funder_id":"https://openalex.org/F4320337347","funder_display_name":"National Institute on Drug Abuse"},{"id":"https://openalex.org/G3254606960","display_name":"Mentoring in drug abuse and dual diagnosis research","funder_award_id":"K24DA022288","funder_id":"https://openalex.org/F4320337347","funder_display_name":"National Institute on Drug Abuse"},{"id":"https://openalex.org/G6954441091","display_name":null,"funder_award_id":"U30CS22742","funder_id":"https://openalex.org/F4320332175","funder_display_name":"Health Resources and Services Administration"}],"funders":[{"id":"https://openalex.org/F4320332175","display_name":"Health Resources and Services Administration","ror":"https://ror.org/033jnv181"},{"id":"https://openalex.org/F4320337346","display_name":"National Institute of Mental Health","ror":"https://ror.org/04xeg9z08"},{"id":"https://openalex.org/F4320337347","display_name":"National Institute on Drug Abuse","ror":"https://ror.org/00fq5cm18"}],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":73,"referenced_works":["https://openalex.org/W325313113","https://openalex.org/W1492735889","https://openalex.org/W1803352737","https://openalex.org/W1970082084","https://openalex.org/W1985195841","https://openalex.org/W1991159980","https://openalex.org/W1991445326","https://openalex.org/W1995084422","https://openalex.org/W1995232255","https://openalex.org/W2009747821","https://openalex.org/W2009927614","https://openalex.org/W2016027997","https://openalex.org/W2016270392","https://openalex.org/W2019608952","https://openalex.org/W2037065018","https://openalex.org/W2043651742","https://openalex.org/W2044225822","https://openalex.org/W2050412241","https://openalex.org/W2052916989","https://openalex.org/W2060195372","https://openalex.org/W2079077621","https://openalex.org/W2081525284","https://openalex.org/W2098646314","https://openalex.org/W2113823824","https://openalex.org/W2118826874","https://openalex.org/W2120921537","https://openalex.org/W2126080090","https://openalex.org/W2136266685","https://openalex.org/W2140302476","https://openalex.org/W2140956023","https://openalex.org/W2144817493","https://openalex.org/W2147047853","https://openalex.org/W2147735030","https://openalex.org/W2158085443","https://openalex.org/W2161610865","https://openalex.org/W2164258468","https://openalex.org/W2168343061","https://openalex.org/W2171513312","https://openalex.org/W2184163318","https://openalex.org/W2253399524","https://openalex.org/W2254680949","https://openalex.org/W2259187738","https://openalex.org/W2296011419","https://openalex.org/W2411858149","https://openalex.org/W2412660261","https://openalex.org/W2417689753","https://openalex.org/W2431108700","https://openalex.org/W2475143147","https://openalex.org/W2477679675","https://openalex.org/W2492588430","https://openalex.org/W2507443610","https://openalex.org/W2528782768","https://openalex.org/W2564379368","https://openalex.org/W2588042006","https://openalex.org/W2599667007","https://openalex.org/W2600296636","https://openalex.org/W2612001480","https://openalex.org/W2626053367","https://openalex.org/W2703448078","https://openalex.org/W2727040559","https://openalex.org/W2727079305","https://openalex.org/W2733236588","https://openalex.org/W2737513097","https://openalex.org/W2766472368","https://openalex.org/W2768412518","https://openalex.org/W2770518716","https://openalex.org/W2799808353","https://openalex.org/W2809462678","https://openalex.org/W2893841172","https://openalex.org/W2955544818","https://openalex.org/W2963953435","https://openalex.org/W4245811929","https://openalex.org/W4247665917"],"related_works":["https://openalex.org/W4409965176","https://openalex.org/W4409965188","https://openalex.org/W4402245494","https://openalex.org/W6996020942","https://openalex.org/W2978669940","https://openalex.org/W2944251260","https://openalex.org/W4413020682","https://openalex.org/W3124332842","https://openalex.org/W4367665048","https://openalex.org/W4366830710"],"abstract_inverted_index":{"PURPOSE:":[0],"Transgender":[1],"and":[2,33,36,41,55,83,127,168,207,222,240],"nonbinary":[3,42,56,223],"people":[4],"have":[5],"an":[6],"increased":[7],"burden":[8],"of":[9,30,50,99,114,137,170,184,230,232,241],"psychiatric":[10,25,76,101],"problems":[11],"compared":[12],"with":[13,24,75,96,118,142,191,238,245],"the":[14],"general":[15],"population.":[16],"Data":[17],"are":[18],"needed":[19],"to":[20,71],"understand":[21],"factors":[22,73],"associated":[23,74,95,117,141,190],"diagnoses,":[26,77],"acuity":[27,139,239],"in":[28],"terms":[29],"suicide":[31,128],"attempts":[32],"level-of-care":[34],"escalation,":[35],"outpatient":[37,84,185,246],"engagement":[38,188],"among":[39,220],"transgender":[40,54,221],"adults.":[43],"METHODS:":[44],"We":[45],"conducted":[46],"a":[47,64,100],"retrospective":[48],"review":[49],"records":[51],"from":[52],"201":[53],"adults":[57],"who":[58],"presented":[59],"for":[60],"primary":[61,174,236],"care":[62,176,237],"at":[63,92],"health":[65,86,187,248],"center.":[66],"Regression":[67],"models":[68],"were":[69,116,140,189,217],"fit":[70],"examine":[72],"substance":[78],"use":[79,144],"disorders":[80,201,216],"(SUDs),":[81],"acuity,":[82],"behavioral":[85,186,247],"engagement.":[87,249],"RESULTS:":[88],"Male":[89],"sex":[90],"assignment":[91],"birth":[93],"was":[94],"decreased":[97],"odds":[98,113,136,183],"diagnosis":[102],"(odds":[103],"ratio":[104],"[OR]":[105],"0.40,":[106],"95%":[107,124,132,148,156,165,179,197,204,211],"confidence":[108],"interval":[109],"[CI]:":[110],"0.20-0.81).":[111],"Increased":[112,135,182],"SUDs":[115],"later":[119],"hormone":[120],"initiation":[121],"(OR":[122,130,146,154,163,177,195,202,209],"1.04,":[123],"CI:":[125,133,149,157,166,180,198,205,212],"1.01-1.08)":[126],"attempt":[129],"5.79,":[131],"2.08-16.15).":[134],"higher":[138],"alcohol":[143],"disorder":[145,153,161],"31.54,":[147],"5.73-173.51),":[150],"post-traumatic":[151],"stress":[152],"18.14,":[155],"2.62-125.71),":[158],"major":[159],"depressive":[160],"(MDD)":[162],"6.62,":[164],"1.72-25.44),":[167],"absence":[169],"psychiatrist":[171,233],"integration":[172,234],"into":[173,235],"medical":[175],"4.52,":[178],"1.26-16.22).":[181],"case":[192,242],"management":[193,243],"utilization":[194,244],"10.73,":[196],"1.32-87.53),":[199],"anxiety":[200],"15.84,":[203],"2.00-125.72),":[206],"MDD":[208],"10.45,":[210],"2.28-47.98).":[213],"CONCLUSION:":[214],"Psychiatric":[215],"highly":[218],"prevalent":[219],"adult":[224],"patients.":[225],"Novel":[226],"findings":[227],"include":[228],"associations":[229],"lack":[231]},"counts_by_year":[{"year":2026,"cited_by_count":3},{"year":2025,"cited_by_count":9},{"year":2024,"cited_by_count":6},{"year":2023,"cited_by_count":9},{"year":2022,"cited_by_count":7},{"year":2021,"cited_by_count":9},{"year":2020,"cited_by_count":6},{"year":2019,"cited_by_count":3}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2019-02-21T00:00:00"}