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F23-206 Suicidality in the Transgender and Gender Expansive Population: Best Practices for Prevention and Treatment

Total Credits: 3 Category I CEs

200 Adults, Couples & Families
Liam Montanarelli, PhD, LMSW
Course Levels:
3 Hours 15 Minutes



In the transgender and gender-expansive population, the lifetime prevalence of suicide attempts is 27%, according to a recent systematic review. (It is 2.7% in the general population and between 10% and 20% in the LGBTQIA+ population.) The experience of psychiatric hospitalization is very traumatic for many trans and gender-expansive folks, who regularly report being mistreated by police and security, misgendered and bullied by staff and other patients, and placed in facilities and support groups based on their sex assigned at birth rather than their gender identity.      

This workshop will provide an overview of foundational trans and gender-expansive information for mental health providers and then focus specifically on suicidality, exploring: (1) what the data shows us about suicidal ideation and attempts among transgender adults and variations by race and ethnicity, (2) what factors reduce suicide risk in this population, (3) why hospitalization is so traumatic for trans and gender-expansive folks via case examples and narratives, (4) how psychiatric hospitals can be made safer for the trans and gender-expansive population, and (5) ways in which social workers can support clinical care for trans and gender-expansive clients.



Liam Montanarelli, PhD, LMSW Related Seminars and Products

Dr. Montanarelli has presented on creating safe spaces for transgender and gender expansive people at venues such as Georgetown University Hospital and Dominion Psychiatric Hospital. He serves on the Board of Directors of TGEA (TransGender Education Association of Greater Washington, D.C.), whose mission is to provide education on trans and gender-expansive issues.  

Dr. Montanarelli completed his MSW at University of Maryland, Baltimore. He is licensed in Maryland and works at the Maryland Center for Gender & Intimacy. He also holds a BA from Yale and a PhD and LMSW in Comparative Literature from University of California at Berkeley and has taught at U.C. Berkeley and Hunter CUNY. 

Liam identifies as queer and transmasculine.  


Agenda & Learning Objectives


8:50 - 9:00 Log On/Registration  


9:00 - 9:20 Welcome, Introductions, Learning Objectives 


9:20 - 10:15 Content Review & Large Group Discussion 


10:15 BREAK 


10:30 Content Review Continued 


10:45 Panel Presentation 


11:30 Small Group Discussion & Application (Breakout Rooms)  


12:00 Wrap Up: Q & A 


12:15 Adjourn 



Upon the completion of this workshop, participants will be able to:

  • Explain the social construct of binary gender and how it impacts people of all genders.    

  • Demonstrate knowledge of current terminology related to gender identity and know which terms to avoid (including examples of microaggressions).   

  • Identify known risks and rates of suicidality among trans and gender-expansive people.   

  • Support prevention of hospitalization via provision of affirming preventative care.   

  • Recognize potential ways psychiatric hospitalization can be made safer for the trans and gender-expansive population.   


Bibliography & References


Adams, N. J., & Vincent, B. (2019). Suicidal thoughts and behaviors among transgender adults in relation to education, ethnicity, and income: A systematic review. Transgender Health, 4(1), 226–246.  


Kuper, L. E., Adams, N., & Mustanski, B. S. (2018). Exploring cross-sectional predictors of suicide ideation, attempt, and risk in a large online sample of transgender and gender nonconforming youth and young adults. LGBT Health, 5(7), 391–400.  


McNeil, J., Ellis, S. J., & Eccles, F. J. (2017). Suicide in trans populations: A systematic review of prevalence and correlates. Psychology of Sexual Orientation and Gender Diversity, 4(3), 341–353.  


Walton, H. M., & Baker, S. L. (2019). Treating transgender individuals in inpatient and residential mental health settings. Cognitive and Behavioral Practice, 26(4), 592–602.  


Wolford-Clevenger, C., Frantell, K., Smith, P. N., Flores, L. Y., & Stuart, G. L. (2018). Correlates of suicide ideation and behaviors among transgender people: A systematic review guided by ideation-to-action theory. Clinical Psychology Review, 63, 93–105. 

Course Completion & CE Information

Category I Maryland BSWE Requirement

The Office of Continuing Professional Education at the University Of Maryland School Of Social Work is authorized by the Board of Social Work Examiners in Maryland to sponsor social work continuing education programs. This workshop qualifies for {3} Category I Continuing Education Units. The Office of Continuing Professional Education is also authorized by the Maryland Board of Psychologists and the Maryland Board of Professional Counselors to sponsor Category A continuing professional education.

Please refer to the tab "Live Interactive Webinar Policies & FAQs" for UMSSW Office of CPE policies regarding all live interactive webinar related matters.

Target Audience

Social Workers, LCPCs, and Psychologists

We welcome anyone interested in the topic!


Late Fees and Refunds

Fee & Registration:

Cost is $70 and includes CE credit. Registering after 10/11/2023 will incur an additional $20 late fee. Cancellations* must be received 24 hours in advance prior to the workshop to receive a refund or an account credit.


*ALL cancellations will be subjected to a $35.00 administration fee.

Live Interactive Webinar Platforms


The Office of Continuing Professional Education hosts Live Interactive Webinars through two platforms: Zoom and WebEx.

Both platforms offer high quality and user-friendly webinar platforms for our registrants.


System Requirements:

  • Operating Systems: Windows XP or higher; MacOS 9 or higher; Android 4.0 or higher.
  • Internet Browser: Google Chrome; Firefox 10.0 or higher.

Our system is not compatible with the Safari web browser.

  • Broadband Internet Connection: Cable, High-speed DSL and any other medium that is internet accessible.

**Please have your device charging at all times to ensure that your device does not lose power during the webinar.


Course Interaction Requirements:

To participate in Live Interactive Webinars, you MUST have a device that allows you to view the presentation on screen and hear the instructor at all times. We do not allow participants to call-in from their phones or mobile devices and solely listen to the presentation. Participation in Live Interactive Webinars is mandatory.

Webinar Policies & FAQs

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