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Two new studies on suicide found an increase in suicide attempts by black teens and higher rates of attempts among transgender teens than their peers.
Teen suicide has been on the rise and is the second leading cause of death for this age group. Researchers from both studies set out to look more closely at risk factors to inform prevention efforts.
Researchers explored trends in suicidal ideation and attempts by race and gender from 1991-2017 using data on nearly 200,000 high school students from the nationally representative Youth Risk Behavior Survey.
The data showed 19% of teens had seriously considered suicide, 15% had made a plan to commit suicide, 8% had attempted suicide and 2.5% had been injured by a suicide attempt.
“Despite increased attention given to the creation of campaigns to reduce youth suicide in the US over the last decade, these findings suggest that continued concern and attention regarding suicidal behaviors among high school-aged youth is warranted,” authors wrote in “Trends of Suicidal Behaviors among High School Students in the United States: 1991-2017,” (Lindsey MA, et al. Pediatrics. Oct. 14, 2019, https://doi.org/10.1542/peds.2019-1187).
Rates of suicidal ideation and suicide planning decreased for all races. However, suicide attempts increased among black males and females and injury from suicide attempts increased among black males.
Authors said black teens may not be getting the mental health treatment they need and may be dealing with racial discrimination or adverse childhood experiences.
In a video abstract, lead author Michael A. Lindsey called the findings “surprising and alarming” and said research is needed on suicide risk factors and prevention.
“It is critical to develop and test suicide intervention and prevention programs tailored for the black community, reducing the stigma related to mental illness and increasing help-seeking behaviors in clinical and non-clinical settings,” said Dr. Lindsey, executive director of the New York University McSilver Institute for Poverty Policy and Research.
In another study, University of Pittsburgh researchers analyzed data from an online survey of 2,020 14- to 18-year-olds to explore rates of suicidal ideation and attempts by transgender teens.
They found transgender adolescents (TGAs) had higher rates of suicidal ideation, plans, attempts and attempts requiring medical care compared to cisgender teens. They also had higher rates of non-suicidal self-injury, according to “Suicidality Disparities between Transgender and Cisgender Adolescents,” (Thoma BC, et al. Pediatrics. Oct. 14, 2019, https://doi.org/10.1542/peds.2019-1183).
Their study also delved into subgroups of adolescent gender identity. Among the findings were that cisgender females, transgender males and nonbinary adolescents assigned female at birth had higher rates in all suicide-related categories compared to cisgender males.
“TGAs should be prioritized in future research examining adolescent suicidality, including explicating mechanisms of suicidality among TGAs to inform future intervention and prevention strategies designed to reduce suicidality within this vulnerable population,” authors wrote.
Copyright © 2019 American Academy of Pediatrics
Studies: Suicide attempts high among transgender teens, increasing among black teens
Melissa Jenco et al., AAP News, 2018
Brian C. Thoma et al., Pediatrics, 2019
Stanley Ray Vance et al., JAMA Network Open, 2021
Yunyu Xiao et al., JAMA Network Open, 2021
Arielle H. Sheftall et al., JAMA Pediatrics
Jack L. Turban et al., JAMA Psychiatry, 2020
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Some people say the teens should not be allowed to run against non-trans girls.
Trans track stars sweep championship, spark uproar
Parents in Connecticut's track and field circle said they were outraged last week when two transgender students...Read MoreRead More
Some parents within Connecticut's high school track and field circle expressed outraged when two transgender students took home top prizes at the state championships for girls.
Transgender high school sophomores Terry Miller and Andraya Yearwood came in first and second place, respectively, in the 100-meter race at the State Open Finals June 4, angering some parents who complained they had a competitive advantage over non-transgender students.
Miller, who also won the top prize for the 200-meter race representing Bulkeley High School in Hartford, and Yearwood were born male, but they now identify as females.
Athletic conference rules allow high school athletes to compete based on the genders with which they identify. Critics say the rules give male-to-female transgender people a competitive edge over cisgender women -- whose biological sex matches their gender identity -- because some have higher testosterone levels than non-trans females.
“I think it’s unfair to the girls who work really hard to do well and qualify for Opens and New Englands [competitions],” sophomore sprinter Selina Soule, who finished sixth in the 100-meter State Open Finals, told the Hartford Courant. “These girls, they’re just coming in and beating everyone. I have no problem with them wanting to be a girl.”
Andraya Yearwood is a sophomore star on the track team at Cromwell High School in Conn.
Many social media users seemed to agree with Soule’s sentiment. A video of Miller’s crossing the finish line at the championship had attracted more than 120,000 comments and 500 retweets and “likes” on Twitter as of Wednesday afternoon as people went back and forth about whether the teen possessed a biological advantage over other racers.
“These girls worked hard only to be cheated because science deniers allowed two boys to steal what they worked so hard for,” one Twitter user commented, while others urged the non-trans girls to boycott their respective teams until the rules are changed.
ABC News has been unable to reach Miller and Yearwood.
The Connecticut Interscholastic Athletic Conference [CIAC], which governs high school sports, said its rules are in alignment with state law.
Connecticut law would need to be changed before the CIAC could alter its policy, the organization said, but that hasn’t stopped people from challenging the rules.
At least two petitions were in circulation after the race, according to the Hartford Courant, which interviewed parents who were in favor of the rule change. The petitions had about 150 signatures as of June 4, the paper reported.
Cyd Zeigler, the author of “Fair Play: How LGBT Athletes Are Claiming Their Rightful Place in Sports” and a co-founder of news website Outsports, said the petitions were “discouraging.”
“I’m really tired of hearing about unfair advantages. The way our entire society is designed, transgender people have inherent disadvantages everywhere they turn,” Zeigler told ABC News. “They want to call these advantages unfair, as though if you’re a cisgender person that any advantage that you might have over someone else are fair.
“But any advantages that a transgender athlete might possibly have are automatically deemed unfair. Why is that,” he asked.
Parents in Connecticut were outraged after a transgender student took home the top...Read MoreRead More
It’s highly unlikely that Connecticut will change its policy and “move backwards” on its transgender inclusion efforts, Zeigler said.
“The country is a patchwork of transgender sports policies at different levels in different states,” Zeigler said. “Connecticut happens to have a very open policy, while Texas has a very closed policy, where you must compete as the gender on your birth certificate”
Chris Mosier, who made history as the first openly trans man to compete on the men’s U.S. national team at the International Triathlon Union Duathlon World Championships in June, said the petitions are examples of what can happen when adults lack understanding of transgender culture.
“Transgender athletes, and particularly transgender girls, face so much resistance and discrimination within sports, as well as the rest of society,” Mosier said. “We can’t just assume that these athletes are winning because they’re transgender. It’s possible that they’d be beating these other student-athletes if they were cisgender.”
He commended Miller and Yearwood, the teenage racers from Connecticut, for having the courage to come out as transgender at such early ages.
“As you can see from the situation in Connecticut, it takes a very strong person to both be their authentic selves and to continue to play the sports that they love,” Mosier said. “I think trans girls face a lot of discrimination and it is much more severe than it is for trans boys.”
Like Zeigler, Mosier said the criticism surrounding the Connecticut track stars should be taken just as seriously as any other anti-transgender behavior.
“Trans girls are girls,” Mosier said. “They should be treated as girls and they should be able to participate with the other girls in their class. We need to dismantle some of these stereotypes and myths and fears that people have about who we are as people.”
Yearwood, a sophomore at Cromwell High School in Cromwell, Connecticut, faced similar criticisms last year when she captured the 100-meter State Open title, but she said she didn’t let it bother her.
"I guess since I was always different I learned to deal with it and grow tougher skin over it," Yearwood said in an interview with ABC New Haven affiliate WTNH last year.
"I'm extremely grateful because I've heard of stories where some people don't get the same opportunities as me and have had to go through really hard times with this."

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