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Transgender people are a highly stigmatized patient population. In reality, we do not know what causes transgender presentations, writes Dr. Jack Drescher.

“In suicide studies it is usual to ignore biology, but we need to make biology a part of it,” Dr. Victoria Arango said, noting she is vulnerable since there is a family history of suicide.

We should be focusing on young adults from socially and economically disadvantaged backgrounds, who made previous suicide attempts and have some common psychiatric disorders, said Dr. Mark Olfson.

"In 2016, an estimated 20.1 million people age 12 or older needed substance use disorder treatment according to the Substance Abuse & Mental Health Services Administration," said Dr. Edward V. Nunes.