2022
Transgender‐based disparities in suicidality: A population‐based study of key predictions from four theoretical models
Bränström R, Stormbom I, Bergendal M, Pachankis JE. Transgender‐based disparities in suicidality: A population‐based study of key predictions from four theoretical models. Suicide And Life-Threatening Behavior 2022, 52: 401-412. PMID: 35067978, PMCID: PMC10138751, DOI: 10.1111/sltb.12830.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAgedAged, 80 and overHumansMental HealthMiddle AgedModels, TheoreticalSuicidal IdeationSuicideTransgender PersonsYoung AdultConceptsPopulation-based studyElevated riskFirst population-based studyPopulation-based sampleRisk of suicidalityGeneral risk factorsTransgender individualsCisgender individualsRisk factorsHigh prevalenceHigh riskDepressive symptomsSuicidalityHealth threatIndividual exposureRiskSocial supportExposureNumerous studiesIndividualsTransgender peopleFactorsSymptomsPrevalenceStudy
2021
Stigma, displacement stressors and psychiatric morbidity among displaced Syrian men who have sex with men (MSM) and transgender women: a cross-sectional study in Lebanon
Clark K, Pachankis J, Khoshnood K, Bränström R, Seal D, Khoury D, Fouad FM, Barbour R, Heimer R. Stigma, displacement stressors and psychiatric morbidity among displaced Syrian men who have sex with men (MSM) and transgender women: a cross-sectional study in Lebanon. BMJ Open 2021, 11: e046996. PMID: 33986065, PMCID: PMC8126317, DOI: 10.1136/bmjopen-2020-046996.Peer-Reviewed Original ResearchMeSH KeywordsCross-Sectional StudiesFemaleHIV InfectionsHomosexuality, MaleHumansLebanonMaleSexual and Gender MinoritiesSocial StigmaSyriaTransgender PersonsConceptsPsychiatric morbidityPost-traumatic stress disorderTransgender womenStigma-related stressorsStress disorderCross-sectional studyRespondent-driven samplingPsychiatric comorbidityMental health challengesPsychiatric outcomesMorbiditySevere anxietySociodemographic characteristicsHealth challengesMSMGreater BeirutWomenMenLebanese participantsSyrian menTotal sampleDisordersDepressionPerson surveyParticipantsCurrent Capacity and Future Implementation of Mental Health Services in U.S. LGBTQ Community Centers
Pachankis JE, Clark KA, Jackson SD, Pereira K, Levine D. Current Capacity and Future Implementation of Mental Health Services in U.S. LGBTQ Community Centers. Psychiatric Services 2021, 72: 669-676. PMID: 33882684, PMCID: PMC10374348, DOI: 10.1176/appi.ps.202000575.Peer-Reviewed Original ResearchMeSH KeywordsBisexualityFemaleHumansMental Health ServicesSexual and Gender MinoritiesSexual BehaviorTransgender PersonsUnited StatesConceptsMental health servicesMental health careHealth servicesLGBTQ community centersCommunity centersUnmet mental health needsQueer rights movementCost-effective service deliveryEvidence-based careHealth careMental health staffMental health needsCognitive behavioral therapyUnited StatesEvidence-based practiceRights movementGender minoritiesHealth staffMost centersHealth needsService deliveryMental healthSupport groupsCareIndividual psychotherapyCountry-level structural stigma, identity concealment, and day-to-day discrimination as determinants of transgender people’s life satisfaction
Bränström R, Pachankis JE. Country-level structural stigma, identity concealment, and day-to-day discrimination as determinants of transgender people’s life satisfaction. Social Psychiatry And Psychiatric Epidemiology 2021, 56: 1537-1545. PMID: 33582826, PMCID: PMC8429389, DOI: 10.1007/s00127-021-02036-6.Peer-Reviewed Original Research
2020
Toward Rigorous Methodologies for Strengthening Causal Inference in the Association Between Gender-Affirming Care and Transgender Individuals’ Mental Health: Response to Letters
Bränström R, Pachankis JE. Toward Rigorous Methodologies for Strengthening Causal Inference in the Association Between Gender-Affirming Care and Transgender Individuals’ Mental Health: Response to Letters. American Journal Of Psychiatry 2020, 177: 769-772. PMID: 32741272, DOI: 10.1176/appi.ajp.2020.20050599.Peer-Reviewed Original ResearchConceptsMental health
2019
Psychosocial Syndemic Risks Surrounding Physical Health Conditions Among Sexual and Gender Minority Individuals
Scheer JR, Pachankis JE. Psychosocial Syndemic Risks Surrounding Physical Health Conditions Among Sexual and Gender Minority Individuals. LGBT Health 2019, 6: 377-385. PMID: 31644383, PMCID: PMC6918840, DOI: 10.1089/lgbt.2019.0025.Peer-Reviewed Original ResearchConceptsPhysical health conditionsPhysical health outcomesGender minority individualsSyndemic riskPhysical healthHealth conditionsMinority individualsIndividual's physical healthPosttraumatic stress disorderHealth outcomesSGM adultsOverall health burdenStress disorderPsychosocial risksSexual assaultDisparate exposuresSGM identitiesSubstance useSyndemic conditionsHealth burdenHigh prevalenceSyndemic frameworkComprehensive interventionHealth disparitiesOnline surveyReduction in Mental Health Treatment Utilization Among Transgender Individuals After Gender-Affirming Surgeries: A Total Population Study
Bränström R, Pachankis JE. Reduction in Mental Health Treatment Utilization Among Transgender Individuals After Gender-Affirming Surgeries: A Total Population Study. American Journal Of Psychiatry 2019, 177: 727-734. PMID: 31581798, DOI: 10.1176/appi.ajp.2019.19010080.Peer-Reviewed Original ResearchConceptsGender-affirming hormonesHealth care visitsGender-affirming surgeryMental health treatmentCare visitsTotal population studyHealth treatmentAnxiolytic prescriptionsSurgical treatmentSuicide attemptsMental health treatment utilizationSwedish Total Population RegisterPrescribed Drug RegisterNational Patient RegisterPrevalence of moodTotal Population RegisterPopulation studiesGender incongruenceTransgender individualsEntire Swedish populationDrug RegisterPatient RegisterSurgical interventionTreatment utilizationOutcome measures
2018
Benefit of Gender-Affirming Medical Treatment for Transgender Elders: Later-Life Alignment of Mind and Body
Cai X, Hughto JMW, Reisner SL, Pachankis JE, Levy BR. Benefit of Gender-Affirming Medical Treatment for Transgender Elders: Later-Life Alignment of Mind and Body. LGBT Health 2018, 6: 34-39. PMID: 30562128, PMCID: PMC6909671, DOI: 10.1089/lgbt.2017.0262.Peer-Reviewed Original ResearchCreating, reinforcing, and resisting the gender binary: a qualitative study of transgender women’s healthcare experiences in sex-segregated jails and prisons
Hughto J, Clark KA, Altice FL, Reisner SL, Kershaw TS, Pachankis JE. Creating, reinforcing, and resisting the gender binary: a qualitative study of transgender women’s healthcare experiences in sex-segregated jails and prisons. International Journal Of Prison Health 2018, 14: 69-88. PMID: 29869582, PMCID: PMC5992494, DOI: 10.1108/ijph-02-2017-0011.Peer-Reviewed Original ResearchMeSH KeywordsAdultDelivery of Health CareFemaleHumansInterviews as TopicMiddle AgedPrisonersPrisonsQualitative ResearchTransgender PersonsYoung AdultConceptsGender binaryTransgender womenHealthcare experiencesWomen's healthcare experiencesResearch limitations/implications FindingsCorrectional healthcare providersProviders' limited knowledgeDesign/methodology/approachSemi-structured interviewsWomen ActFirst-hand accountsWomen's accessMethodology/approachOriginality/valueInstitutional cultureMulti-level barriersStructural stigmaFeminine identityInstitutional policiesFindings ParticipantsImplications FindingsQualitative studyHealthcare barriersInsufficient accessPrisonA multisite, longitudinal study of risk factors for incarceration and impact on mental health and substance use among young transgender women in the USA
Hughto JMW, Reisner SL, Kershaw TS, Altice FL, Biello KB, Mimiaga MJ, Garofalo R, Kuhns LM, Pachankis JE. A multisite, longitudinal study of risk factors for incarceration and impact on mental health and substance use among young transgender women in the USA. Journal Of Public Health 2018, 41: 100-109. PMID: 29474682, PMCID: PMC6490767, DOI: 10.1093/pubmed/fdy031.Peer-Reviewed Original ResearchConceptsYoung transgender womenIllicit drug useRisk factorsTransgender womenRecent incarcerationDrug useSignificant independent predictorsIndividual risk factorsSubstance use disordersIndependent predictorsDepressive symptomsGeneral populationUse disordersMultilevel interventionsSomatic symptomsPoor healthRecent homelessnessMental healthStudy periodSubstance useWomenMixed effects modelsLongitudinal studySymptomsEffects model
2017
Improving correctional healthcare providers' ability to care for transgender patients: Development and evaluation of a theory-driven cultural and clinical competence intervention
Hughto J, Clark KA, Altice FL, Reisner SL, Kershaw TS, Pachankis JE. Improving correctional healthcare providers' ability to care for transgender patients: Development and evaluation of a theory-driven cultural and clinical competence intervention. Social Science & Medicine 2017, 195: 159-169. PMID: 29096945, PMCID: PMC5712271, DOI: 10.1016/j.socscimed.2017.10.004.Peer-Reviewed Original ResearchConceptsCorrectional healthcare providersGender-affirming careTransgender patientsHealthcare providersClinical competenceTransgender careTransgender cultural competenceFuture efficacy testingLinear mixed-effects regression modelsHealthcare providers' abilityQualitative exit interviewsMixed effects regression modelsGroup-based interventionHormone therapyPatientsProviders' willingnessTransgender womenStudy outcomesExit interviewsCareEfficacy testingInterventionProviders' abilityEffects regression modelsConfidential survey“What's the right thing to do?” Correctional healthcare providers' knowledge, attitudes and experiences caring for transgender inmates
Clark KA, Hughto J, Pachankis JE. “What's the right thing to do?” Correctional healthcare providers' knowledge, attitudes and experiences caring for transgender inmates. Social Science & Medicine 2017, 193: 80-89. PMID: 29028559, PMCID: PMC5695233, DOI: 10.1016/j.socscimed.2017.09.052.Peer-Reviewed Original ResearchConceptsCorrectional healthcare providersHealthcare providers' knowledgeGender-affirming careHealthcare providersProvider knowledgeTransgender patientsHealthcare policy changesMental health servicesHealthcare providers' abilityNegative health consequencesHealth servicesMedical needTransgender womenHealth consequencesProviders' abilityCarePatientsTransgender inmatesInterview guideKey informant interviewsCustody staffTransgender individualsCompetency trainingThematic analysisProvidersVictimization and Depressive Symptomology in Transgender Adults: The Mediating Role of Avoidant Coping
Hughto J, Pachankis JE, Willie TC, Reisner SL. Victimization and Depressive Symptomology in Transgender Adults: The Mediating Role of Avoidant Coping. Journal Of Counseling Psychology 2017, 64: 41-51. PMID: 28068130, PMCID: PMC5226079, DOI: 10.1037/cou0000184.Peer-Reviewed Original ResearchConceptsDepressive symptomologyDepressive symptomsPublic health problemBehavioral health costsMental health sequelaeUseful intervention targetsOne-time surveyHealth sequelaeAvoidant copingHealth problemsDistress symptomsSymptomsIntervention targetsVulnerable populationsHealth costsTransgender adultsCommunity sampleSymptomologyCopingSequelaeTransgender communityClinicians
2016
Discriminatory Experiences Associated With Posttraumatic Stress Disorder Symptoms Among Transgender Adults
Reisner SL, Hughto J, Gamarel KE, Keuroghlian AS, Mizock L, Pachankis JE. Discriminatory Experiences Associated With Posttraumatic Stress Disorder Symptoms Among Transgender Adults. Journal Of Counseling Psychology 2016, 63: 509-519. PMID: 26866637, PMCID: PMC4981566, DOI: 10.1037/cou0000143.Peer-Reviewed Original ResearchConceptsEveryday discrimination experiencesPTSD symptomsDiscrimination experiencesPosttraumatic stress disorder (PTSD) symptomsPrior trauma experiencesCross-sectional self-report surveySelf-report surveyMental health sequelaeDomains of discriminationPTSD symptomatologyTraumatic stressorsDiscrimination attributionsDisorder symptomsCommunity-based sampleTrauma experiencesTransgender peoplePrior traumaPsychosocial comorbiditiesHealth sequelaeDiscrimination scoresTransgender adultsCurrent studyGender identitySexual orientationFeminine appearanceGeographic and Individual Differences in Healthcare Access for U.S. Transgender Adults: A Multilevel Analysis
Hughto J, Murchison GR, Clark K, Pachankis JE, Reisner SL. Geographic and Individual Differences in Healthcare Access for U.S. Transgender Adults: A Multilevel Analysis. LGBT Health 2016, 3: 424-433. PMID: 27636030, PMCID: PMC5165678, DOI: 10.1089/lgbt.2016.0044.Peer-Reviewed Original Research
2015
Transgender stigma and health: A critical review of stigma determinants, mechanisms, and interventions
Hughto J, Reisner SL, Pachankis JE. Transgender stigma and health: A critical review of stigma determinants, mechanisms, and interventions. Social Science & Medicine 2015, 147: 222-231. PMID: 26599625, PMCID: PMC4689648, DOI: 10.1016/j.socscimed.2015.11.010.Peer-Reviewed Original ResearchMeSH KeywordsFemaleHumansMaleMental HealthPrejudiceSexismSexual BehaviorSocial StigmaTransgender PersonsUnited StatesConceptsAdverse health-related effectsForms of stigmaTransgender peopleSocial ecological modelStigma preventionMental healthTransgender stigmaStigma determinantsWidespread prejudiceMulti-level interventionsStigmaAdverse healthEcological modelMultiple levelsCritical domainsLimit opportunitiesAdditional researchCritical reviewInterventionPeopleHealth-related effectsTransgender populationCausal relationshipModeratorPrejudice