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Studies of deaf individuals generally indicate higher levels of mental illness and negative mental health outcomes compared to the general population (Anglemyer and Crespi in JAMA 2018 3285153, 2018; Dammeyer and Chapman in JAMA 52 807-813, 2017; Fellinger et al. in JAMA 379 17-23, 2012; Hall et al. in JAMA 52 761-776, 2017; as reported by Leigh and Pollard (M. Marschark and P. Spencer (eds) Oxford handbook of deaf studies, language and education, Oxford University Press, UK 2003); Landsberger et al. in JAMA 45, 42-51, 2014; Pollard in

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