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跨性别者的非自杀性自伤行为与自杀倾向:文献系统综述

Non-suicidal self-injury and suicidality in trans people: A systematic review of the literature.

作者信息

Marshall Ellen, Claes Laurence, Bouman Walter Pierre, Witcomb Gemma L, Arcelus Jon

机构信息

a Nottingham Centre for Gender Dysphoria , Nottingham , UK.

b School of Sport, Exercise, and Health Sciences, Loughborough University , Loughborough , UK.

出版信息

Int Rev Psychiatry. 2016;28(1):58-69. doi: 10.3109/09540261.2015.1073143. Epub 2015 Aug 28.

Abstract

Literature has described high levels of mental health problems among trans people, such as depression, resulting in increased levels of non-suicidal self-injury (NSSI) behaviour and suicidality (suicidal thoughts, suicide attempts and suicide rates). With the aim of systematically reviewing the available literature in this field, this study identifies 31 papers that explore the rates of NSSI and suicidality in trans people. From reviewing the literature, it was revealed that trans people have a higher prevalence of NSSI and suicidality compared to the cisgender (non-trans) population. There appear to be some gender differences within these rates, with trans men at a greater risk for NSSI behaviour. Prevalence rates differ depending on the different stages of transition, but they are still overall greater than the cisgender population. The study concludes that trans individuals are at a greater risk of NSSI behaviour and suicidality than the cisgender population, and discusses risk factors and the need to develop effective preventative interventions.

摘要

文献记载,跨性别者中存在高水平的心理健康问题,如抑郁症,这导致非自杀性自伤行为和自杀倾向(自杀念头、自杀未遂及自杀率)有所增加。为了系统回顾该领域的现有文献,本研究筛选出31篇探讨跨性别者非自杀性自伤行为和自杀倾向发生率的论文。通过对文献的回顾发现,与顺性别(非跨性别)人群相比,跨性别者中非自杀性自伤行为和自杀倾向的发生率更高。在这些发生率中似乎存在一些性别差异,跨性别男性出现非自杀性自伤行为的风险更高。发生率因过渡的不同阶段而有所差异,但总体上仍高于顺性别群体。该研究得出结论,跨性别者比顺性别群体面临更高的非自杀性自伤行为和自杀倾向风险,并讨论了风险因素以及开展有效预防干预措施的必要性。

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