Risk of suicide attempt with gender diversity and neurodiversity

There is growing concern about psychiatric illness co-occurring with gender -diversity and neurodiversity, including risk of suicidal behavior. We carried out systematic reviews of research literature pertaining to suicide attempt rates in association with genderand neurodiversity, with meta -analysis of findings. Rates of suicidal acts ranked: gender -diverse versus controls (20.1% vs. 1.90%; highly significant) > autism spectrum disorder (4.51% vs. 1.00%; highly significant) > attention deficit -hyperactivity disorder (7.52% vs. 4.09%; not significant). Attempt rates also were greater among controls who included sexual minorities (5.35% vs. 1.41%). The rate among male -to -female transgender subjects (29.1%) was slightly lower than in female -to -male subjects (30.7%), who also were encountered 24.3% more often. In sum, suicidal risk was much greater with genderdiversity than neurodiversity. Suicide attempts rate was somewhat greater among female -to -male transgender subjects. Available information was insufficient to test whether suicidal risk would be even greater among persons with both genderand neurodiversity.