Chosen Name Use Is Linked to Reduced Depressive Symptoms, Suicidal Ideation, and Suicidal Behavior Among Transgender Youth



      This study aimed to examine the relation between chosen name use, as a proxy for youths' gender affirmation in various contexts, and mental health among transgender youth.


      Data come from a community cohort sample of 129 transgender and gender nonconforming youth from three U.S. cities. We assessed chosen name use across multiple contexts and examined its association with depression, suicidal ideation, and suicidal behavior.


      After adjusting for personal characteristics and social support, chosen name use in more contexts was associated with lower depression, suicidal ideation, and suicidal behavior. Depression, suicidal ideation, and suicidal behavior were lowest when chosen names could be used in all four contexts.


      For transgender youth who choose a name different from the one given at birth, use of their chosen name in multiple contexts affirms their gender identity and reduces mental health risks known to be high in this group.


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        • Institute of Medicine
        The health of lesbian, gay, bisexual, and transgender people: Building a foundation for better understanding.
        National Academies Press, Washington (DC)2011
        • Veale J.F.
        • Watson R.J.
        • Peter T.
        • Saewyc E.M.
        Mental health disparities among Canadian transgender youth.
        J Adolesc Health. 2017; 60: 44-49
        • Grossman A.H.
        • Park J.P.
        • Russell S.T.
        Transgender youth and suicidal behaviors: Applying the interpersonal psychological theory of suicide.
        J Gay Lesbian Ment Health. 2016; 20: 329-349
        • Perez-Brumer A.
        • Day J.K.
        • Russell S.T.
        • Hatzenbuehler M.L.
        Prevalence and correlates of suicidal ideation among transgender youth in California: Findings from a representative, population-based sample of high school students.
        J Am Acad Child Adolesc Psychiatry. 2017; 56: 739-746
        • Steensma T.D.
        • McGuire J.K.
        • Kreukels B.P.
        • et al.
        Factors associated with desistence and persistence of childhood gender dysphoria: A quantitative follow-up study.
        J Am Acad Child Adolesc Psychiatry. 2013; 52: 582-590
        • Thaler C.
        • Bermudez F.
        • Sommer S.
        Legal advocacy on behalf of transgender and gender nonconforming youth.
        in: Mallon G.P. Social work practice with transgender and gender variant youth. 2nd ed. Routledge, New York2009: 139-162
        • Beck J.S.
        • Beck A.T.
        • Jolly J.B.
        Beck youth inventories.
        Psychological Corporation Harcourt Brace, San Antonio (TX)2001
        • Gutierrez P.M.
        • Osman A.
        Adolescent suicide: An integrated approach to the assessment of risk and protective factors.
        Northern Illinois University Press, DeKalb (IL)2008
        • Kerres Malecki C.
        • Kilpatrick Demary M.
        Measuring perceived social support: Development of the Child and Adolescent Social Support Scale (CASSS).
        Psychol School. 2001; 39: 1-18
        • Muthén L.K.
        • Muthén B.O.
        Mplus user's guide.
        Muthen & Muthen, Los Angeles (CA)1999–2016

      Linked Article

      • The Importance of Getting the Name Right for Transgender and Other Gender Expansive Youth
        Journal of Adolescent HealthVol. 63Issue 4
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          Over the last decade, we have seen a growing number of policies at institutional and local levels that support transgender and other gender-expansive youth in the community, school, mental health, and medical settings. While this progress has been fraught with political controversy and increasing oppression against the transgender community in the form of a military ban, transphobic legislation, and violence, the benefits of protecting transgender youth and affirming their gender identities can be life-saving.
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