Open AccessMental Health Diagnoses Among Transgender Patients in the Clinical Setting: An All-Payer Electronic Health Record Study
Author(s) -
Jonathon W. Wanta,
Joshua D. Niforatos,
Emily Durbak,
Adele C. Viguera,
Murat Altinay
Publication year - 2019
Publication title -
transgender health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.242
H-Index - 20
eISSN - 2688-4887
pISSN - 2380-193X
DOI - 10.1089/trgh.2019.0029
Subject(s) - transgender , medical diagnosis , mental health , medicine , psychiatry , population , anxiety , psychiatric diagnosis , psychology , schizophrenia (object oriented programming) , environmental health , pathology , psychoanalysis
We performed a cross-sectional analysis of the prevalence of psychiatric diagnoses among transgender patients in clinical care using an all-payer electronic health record database. Of 10,270 transgender patients identified, 58% ( n =5940) had at least one psychiatric diagnosis compared with 13.6% ( n =7,311,780) in the control patient population ( p <0.0005). Transgender patients had a statistically significant increase in prevalence for all psychiatric diagnoses queried, with major depressive disorder and generalized anxiety disorder being the most common diagnoses (31% and 12%, respectively). Utilizing an all-payer database, although not without limitations, enables assessment of mental health and substance use diagnoses in this otherwise small population.