Severe psychological distress | Suicide ideation | Suicide attempt | |||||||
---|---|---|---|---|---|---|---|---|---|
No | Yes | No | Yes | No | Yes | ||||
Variable, weighted n (%) | (n = 13262) | (n = 5628) | P | (n = 11278) | (n = 7611) | P | (n = 17729) | (n = 1161) | P |
Healthcare experiences in the last year (yes) | |||||||||
Doctor knew trans and treated with respect | 10,357 (78.1) | 3529 (62.7) | <.0001 | 8666 (76.8) | 5220 (68.6) | <.0001 | 13,073 (73.7) | 818 (70.0) | .225 |
Had to teach doctor about trans care | 3023 (22.8) | 1655 (29.4) | .0002 | 2494 (22.1) | 2184 (28.7) | .0001 | 4293 (24.2) | 385 (33.2) | .004 |
Doctor refused to give trans-related care | 851 (6.4) | 824 (14.6) | <.0001 | 629 (5.6) | 1046 (13.7) | <.0001 | 1465 (8.3) | 210 (18.1) | <.0001 |
Doctor refused to give other healthcare | 446 (3.4) | 337 (6.0) | .008 | 333 (3.0) | 449 (5.9) | .004 | 694 (3.9) | 88 (7.6) | .001 |
Doctor asked invasive questions about trans status | 1405 (10.6) | 1038 (18.5) | <.0001 | 1087 (9.6) | 1357 (17.8) | <.0001 | 2173 (12.3) | 271 (23.6) | <.0001 |
Doctor used harsh/abusive language | 523 (3.9) | 486 (8.6) | <.0001 | 418 (3.7) | 591 (7.8) | .0004 | 861 (4.9) | 148 (12.7) | <.0001 |
Doctor was physically rough/abusive | 189 (1.4) | 251 (4.4) | <.0001 | 174 (1.5) | 266 (3.5) | .004 | 376 (2.1) | 64 (5.5) | .051 |
Verbally harassed in a healthcare setting | 679 (5.1) | 728 (12.9) | <.0001 | 555 (4.9) | 852 (11.2) | .0001 | 1199 (6.8) | 207 (17.8) | <.0001 |
Physically attacked in a healthcare setting | 116 (0.9) | 134 (2.4) | .110 | 145 (1.3) | 106 (1.4) | .891 | 194 (1.1) | 56 (4.8) | .017 |
Unwanted sexual contact in a healthcare setting | 201 (1.5) | 170 (3.0) | .167 | 191 (1.7) | 180 (2.4) | .514 | 288 (1.6) | 83 (7.1) | .002 |
aValues represent weighted frequencies derived from complex survey analyses.