Conversion therapy for transgender adults linked to poor mental health outcomes

Embargoed until: Publicly released:
Transgender adults who have at some point in their life been exposed to conversion therapy, are at higher odds of suffering severe psychological distress and attempting suicide, according to US research. Gender identity conversion therapy is designed to change the gender a person identifies as back to their sex assigned at birth. The study of more than 27,000 transgender people found that of those who had spoken to a professional about their gender identity, around 20 per cent had been exposed to gender identity conversion therapy and these people were at higher risk of having experienced psychological distress in the last month. For transgender adults who recalled gender identity conversion efforts before age 10 years, exposure was significantly associated with an increase in the lifetime odds of suicide attempts.

Journal/conference: JAMA Psychiatry

DOI: 10.1001/jamapsychiatry.2019.2285

Organisation/s: Massachusetts General Hospital, USA

Funder: This work was supported by grant U30CS22742 from the Health Resources and Services Administration Bureau of Primary Health Care (Dr Keuroghlian), partly supported by a grant from the National Institutes of Health under award number UG3AI133669 (Dr Reisner), and an American Academy of Child and Adolescent Psychiatry Pilot Research Award for General Psychiatry Residents (Dr Turban).

Media Release

From: JAMA

Gender Identity Conversion Efforts Associated With Adverse Mental Health Outcomes

JAMA Psychiatry
Original Investigation

Bottom Line: Gender identity conversion efforts to try to change a person’s gender identity to match their sex assigned at birth were associated with increased likelihood of adverse mental health outcomes, including suicide attempts, in this study of nearly 28,000 transgender adults from across the United States. Professional organizations, including the American Psychiatric Association, have called conversion therapy for gender identity unethical and ineffective, and some states have outlawed the practice. This observational study is based on the results of a survey distributed through community outreach to transgender adults in all 50 states, the District of Columbia, some territories and overseas U.S. military bases. Of 27,715 transgender adults who responded, 19,741 (71.3%) reported having spoken to a secular or religious professional about their gender identity and of these 3,869 (19.6%) reported exposure to gender identity conversion efforts. That exposure was associated with severe psychological distress during the previous month and prior suicide attempts during their lifetime compared with transgender adults who reported talking about their gender identity with a professional but weren’t exposed to conversion efforts. Reported exposure to conversion efforts before the age of 10 also was associated with greater lifetime odds of suicide attempts. Limitations of the study include its inability to determine causation; it didn’t capture conversion efforts by others such as family members; and it’s possible that some adults with worse mental health might have sought conversion therapy. The study findings support that gender identity conversion efforts should be avoided in children and adults.

Authors: Jack L. Turban, M.D., M.H.S., of the Massachusetts General Hospital, Boston, and coauthors


Editor’s Note: The article includes conflict of interest and funding/support disclosures. Please see the article for additional information, including other authors, author contributions and affiliations, financial disclosures, funding and support, etc.


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