Psychiatric Disorders in the United States Transgender Population

Abstract Purpose To determine the prevalence and odds of mental disorder diagnoses at discharge in US transgender hospital encounters as compared to cisgender hospital encounters using nationally representative data. Methods The National Inpatient Sample was used to identify 25,233 transgender and 254,437,363 cisgender inpatient encounters from 2007-2014. Univariate analyses were performed to compare the prevalence of mental disorders and comorbid medical diagnoses at the time of discharge. Multivariable analyses controlling for medical comorbid diagnoses were performed to assess the multivariable odds of mental disorder diagnoses in transgender versus cisgender hospital encounters. The prevalence of medical comorbid diagnoses in transgender encounters with and without mental disorder diagnoses was also compared. Results The prevalence of mental disorder diagnoses was higher in transgender hospital encounters (77% vs. 37.8%, p Conclusion Our findings suggest a high prevalence and significantly higher odds of mental disorder diagnoses in the transgender population as compared to the cisgender population using data that is nationally representative of the US population.