OBJECTIVES Sexual- and gender-diverse youth face unique stressors that negatively impact their health. The objective of this study was to use National Fatality Review-Case Reporting System data to epidemiologically describe fatalities among identified sexual- and gender-diverse youth to inform future prevention efforts. METHODS We used 2015 to 2020 data from the National Fatality Review-Case Reporting System to identify deaths among sexual- and gender-diverse youth and compare their characteristics to a matched sample of youth from these same data who were not known to be sexual- and gender-diverse. Demographic, injury, death, history, and life stressor characteristics were analyzed using descriptive statistics. RESULTS During the study period, 176 fatalities were identified among sexual- and gender-diverse youth. Decedents' mean age was 15.3 years. A greater proportion of deaths was attributed to suicide among sexual- and gender-diverse youth (81%) compared with nonsexual- and gender-diverse youth (54%). Receiving prior (69%) and/or current (49%) mental health services was more common among sexual- and gender-diverse youth, compared with nonsexual- and gender-diverse youth (50% and 31%, respectively). Sexual- and gender-diverse youth were significantly more likely to experience problems in school or be victims of bullying, compared with nonsexual- and gender-diverse youth (63% versus 47% and 28% versus 15%, respectively). CONCLUSIONS Suicide was the most common manner of death for sexual- and gender-diverse youth, despite many decedents receiving current or prior mental health services. These findings indicate the need to improve and diversify interventions to prevent these deaths.

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美国性多元和性别多元青年死亡特征：2015-2020 年。


目标 性和性别多样化的青少年面临着对他们的健康产生负面影响的独特压力源。本研究的目的是使用国家死亡审查病例报告系统数据来流行病学描述已确定的性别和性别多元化青年的死亡情况，以告知未来的预防工作。方法 我们使用来自国家死亡审查-病例报告系统的 2015 年至 2020 年数据来确定性和性别多元化青年的死亡情况，并将他们的特征与来自这些相同数据但不知道性和性别多样性的青年的匹配样本进行比较。使用描述性统计分析人口统计、伤害、死亡、病史和生活压力源特征。结果 在研究期间，在性和性别多元化青年中确定了 176 例死亡。死者的平均年龄为 15.3 岁。与非性和性别多元化青年 （54%） 相比，性多元化和性别多元化青年 （81%） 的自杀死亡比例更高。与非性多元化和性别多元化的青少年（分别为 50% 和 31%）相比，在性多元化和性别多元化的青少年中，先前 （69%） 和/或当前 （49%） 接受心理健康服务更为常见。与非性多元化和性别多元化的青少年相比，性多元化和性别多元化的青少年在学校遇到问题或成为霸凌受害者的可能性明显更高（分别为 63% 对 47% 和 28% 对 15%）。结论 自杀是性和性别多元化青年最常见的死亡方式，尽管许多死者现在或以前接受了心理健康服务。这些发现表明需要改进和多样化干预措施以防止这些死亡。