Contextualising Experiences of Co-Occurring Mental Ill-Health and Substance Use Among Trans, Non-Binary, and Gender Diverse Young People: Implications for Tailored Harm Reduction Approaches
2024

Understanding Mental Health and Substance Use in Trans Young People

Sample size: 859 publication 10 minutes Evidence: high

Author Information

Author(s): Bailey Sasha, Lin Ashleigh, Cook Angus, Winter Sam, Watson Vanessa, Toussaint Dani Wright, Barrett Emma L., Newton Nicola C., Perry Yael, Grummitt Lucinda, Strauss Penelope

Primary Institution: The University of Sydney

Hypothesis

What are the patterns and correlates of co-occurring mental ill-health and substance use among trans young people?

Conclusion

Trans young people often use substances alongside experiences of depression and anxiety, but limited social use may help prevent self-harm and suicidal thoughts.

Supporting Evidence

  • Trans young people are more likely to experience mental health issues and substance use compared to their cisgender peers.
  • Substance use in social contexts may reduce risks of self-harm and suicidal thoughts.
  • Significant associations were found between substance use and various psychosocial stressors.

Takeaway

This study shows that many young people who identify as trans use drugs and alcohol, especially when feeling sad or anxious, but using them in social settings can sometimes help them feel better.

Methodology

The study used data from the Trans Pathways survey, employing prevalence ratios and logistic regression models to analyze substance use and mental health outcomes.

Potential Biases

Potential bias due to self-reported data and the exclusion of non-binary youth in some previous studies.

Limitations

The study's cross-sectional design limits causal inferences, and substance use was measured without capturing intensity or frequency.

Participant Demographics

The sample included 859 trans young people, with 52.4% identifying as non-binary, 31.6% as trans men, and 16.0% as trans women.

Statistical Information

P-Value

p<0.001

Confidence Interval

95% CI: 1.3–3.0

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1007/s10597-024-01342-y

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