Outcome
| Type |
Measure |
Description |
Time frame |
Safety issue |
| Primary |
Depression: Score on the Overall Depression Severity & Impairment Scale (ODSIS) |
Participants will complete the Overall Depression Severity & Impairment Scale (ODSIS) to assess past-week frequency, severity, and impairment related to depression symptoms. The ODSIS is comprised of five items (e.g., "In the past week, how often have you felt depressed?") measured on a five-point scale ranging from 0 (no depression in the past week) to 4 (constant depression: felt depressed all of the time). Scores range from 0 (min) to 20 (max), and scores will be calculated as a mean of the sum of item responses, with higher means indicating higher depressive symptoms (worse outcome). |
5-month follow-up |
|
| Secondary |
Anxiety: Score on the Overall Anxiety Severity & Impairment Scale (OASIS) |
Participants will complete the Overall Anxiety Severity & Impairment Scale (OASIS), which is comprised of five items (e.g., "In the past week, how often have you felt anxious?") measured on a five-point scale ranging from 0 (no anxiety in the past week) to 4 (constant anxiety: felt anxious all of the time and never really relaxed). Scores range from 0 (min) to 20 (max), and scores will be calculated as a mean of the sum of item responses, with higher means indicating higher anxiety symptoms (worse outcome). |
5-month follow-up |
|
| Secondary |
Psychological distress: Score on the Brief Symptom Inventory |
Psychological distress will be assessed using the 18-item Brief Symptom Inventory consisting of three six-item subscales ranging from 0 (not at all) to 4 (extremely) of severity of depression symptoms (e.g., "feeling hopeless about the future"), anxiety symptoms (e.g., "feeling tense or keyed up"), and somatization symptoms (e.g., "feeling weak in parts of your body"). Scores range from 0 (min) to 48 (max) and scores will be calculated as a mean of the sum of item responses, with higher means indicating higher psychological distress (worse outcome). |
5-month follow-up |
|
| Secondary |
Suicidal Ideation: Score on the Suicidal Ideation Attributes Scale |
The Suicidal Ideation Attributes Scale will assess participants' past-month suicidal thoughts and severity on a ten-point scale ranging from 0 (never or not at all) to 10 (always or extremely). Participants who report no ideation in response to the first item ("In the past month, how often have you had thoughts about suicide") are not presented with subsequent four items regarding the severity of these thoughts and responses will be recoded to 0. Scores are calculated as the sum of the five items, with controllability reverse scored (10=0, 9=1, …, 0=10). Total scores range from 0 (min) to 50 (max), with higher scores indicating higher suicidal ideation (worse outcome). |
5-month follow-up |
|
| Secondary |
Hazardous Drinking: Score on the Alcohol Use Disorders Identification Test (AUDIT-C) |
The three-item Alcohol Use Disorders Identification Test (AUDIT-C) will capture frequency of drinking over the past year (e.g., "How often, during the past year did you have a drink containing alcohol?"), with response options between 0 (never) and 4 (four or more times per week). Sums are scored, with a final score ranging from 0 (min) to12 (max), where scores of 0 reflect no alcohol use. The higher the AUDIT-C score, the more likely it is that the patient's drinking is affecting his/her health and safety. |
5-month follow-up |
|
| Secondary |
Anticipated Stigma: Score on the Negative Expectations for Future Events subscale of the Gender Minority Stress and Resilience Measure (GMSR) |
The 9-item Negative Expectations for Future Events subscale of the Gender Minority Stress and Resilience Measure (GMSR) is measured on a five-point scale from 0 (strongly disagree) to 4 (strongly agree). An example item includes: "If I express my gender history, employers would not hire me." The items will be summed and the total scores range from 0 (min) to 36 (max), with higher scores indicate fear of future rejection based on gender identity (worse outcome). |
5-month follow-up |
|
| Secondary |
Internalized Stigma: Score on the Internalized Transphobia subscale of the GMSR |
The eight-item Internalized Transphobia subscale of the GMSR is measured on a five-point scale from 0 (strongly disagree) to 4 (strongly agree). An example item includes: "I resent my gender identity or expression." Items will be summed to produce a total score ranging from 0 (min) to 32 (max), in which higher scores indicated greater internalized transphobia (worse outcome). |
5-month follow-up |
|
| Secondary |
Gender Identity Rumination: Score on the Gender Identity Reflection and Rumination Scale |
The 15-item Gender Identity Reflection and Rumination Scale assesses the ways respondents think about their gender identity on a four-point scale from 1 (almost never) to 4 (almost always). An example item is: "Analyze how my experience of my gender identity shapes who I am." Responses can range between 24 and 120. Items are summed and higher scores indicated more rumination (worse outcome). |
5-month follow-up |
|
| Secondary |
Pride: Score on the Pride subscale of the GMSR |
The eight-item Pride subscale of the GMSR is measured on a five-point scale from 1 (strongly disagree) to 5 (strongly agree). An example item is: "My gender identity or expression makes me feel special and unique." The items will be summed to produce a score ranging from 1 (min) to 25 (max), in which higher scores indicate greater pride in participant's gender identity (better outcome). |
5-month follow-up |
|
| Secondary |
Community Connectedness: Score on the Community Connectedness subscale of the GMSR |
The five-item Community Connectedness subscale of the GMSR is measured on a five-point scale from 1 (strongly disagree) to 5 (strongly agree). An example item is: "I feel part of a community of people who share my gender identity." Items will be summed to produce a final score ranging from 1 (min) to 25 (max), in which higher scores indicate greater connectedness with people who share their gender identity (better outcome). |
5-month follow-up |
|
| Secondary |
Emotion Dysregulation: Score on the Difficulties in Emotion Regulation Scale-Short Form (DERS-SF) |
The 18-item Difficulties in Emotion Regulation Scale-Short Form (DERS-SF) assessed frequency of emotion dysregulation on a five-point scale from 1 (almost never) to 5 (almost always). An example item is: "When I'm upset, I acknowledge my emotions." The items will be summed to produce a final score ranging from 37 (min) to 144 (max), in which and higher scores indicate greater difficulties regulating emotions (worse outcome). |
5-month follow-up |
|
| Secondary |
Social Support: Score on the Multidimensional Scale of Perceived Social Support (MSPSS) |
The 12-item Multidimensional Scale of Perceived Social Support (MSPSS) assesses perceived support from family, friends, and significant others, on an eight-point scale from 0 (very strongly disagree) to 7 (very strongly agree). An example item is: "There is a special person who is around when I am need." A mean score will be calculated, ranging from 1 (min) to 7 (max), in which higher scores indicate higher social support (better outcome). |
5-month follow-up |
|
| Secondary |
Unassertiveness: Score on the Simple Rathus Assertiveness Schedule-Short Form (SRAS-SF) |
The 19-item Simple Rathus Assertiveness Schedule-Short Form (SRAS-SF) assesses respondents' assertive and unassertive behavior on a six-point scale from 1 (very uncharacteristic of me) to 6 (very characteristic of me). An example item is: "I strive to get ahead as well as most people in my position." Items will be summed for a total score ranging from 47 (min) to 89 (max), where higher scores indicate higher unassertive behavior (worse outcome). |
5-month follow-up |
|
| Secondary |
Rumination: Score on the Brooding subscale from the Ruminative Responses Scale (RRS) |
The five-item Brooding subscale from the Ruminative Responses Scale (RRS) assesses the frequency with which participants experience brooding thoughts in response to depressed mood on a four-point scale from 1 (almost never) to 4 (almost always). An example item is: "People think and do many different things when they feel depressed. Please indicate what you generally do. 'Think what am I doing to deserve this?'" The items will be summed to produce a final score ranging from 22 (min) to 88 (max), in which higher scores indicating higher degrees of ruminative thoughts (worse outcome). |
5-month follow-up |
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