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一个临床被忽视的话题:跨性别者的自杀风险。

A Clinically Neglected Topic: Risk of Suicide in Transgender Individuals.

作者信息

Yüksel Şahika, Aslantaş Ertekin Banu, Öztürk Mine, Bikmaz Pervin Sevda, Oğlağu Zerrin

机构信息

Department of Psychiatry, İstanbul University İstanbul School of Medicine, İstanbul, Turkey.

Psychiatrist in Private Practice, Istanbul, Turkey.

出版信息

Noro Psikiyatr Ars. 2017 Mar;54(1):28-32. doi: 10.5152/npa.2016.10075. Epub 2017 Mar 1.

Abstract

INTRODUCTION

The aim of this study was to determine whether adolescence of transgender individuals is characterized by a high risk of suicide.

METHODS

In total, 141 participants with transgenderism were questioned using a semi-structured interview to determine whether participants had current suicidal thoughts, had a lifetime history of such thoughts, or had attempted suicide. These findings were cross-referenced to the participants' sociodemographic characteristics, and information about their families' general attitudes toward sexuality, gender identity, and commitment to religious views. In total, 101 participants attended group psychotherapy sessions for at least a year. In these sessions, family and partner relationships, occupational problems, financial problems, medical issues, and religious concerns were discussed.

RESULTS

The incidence of suicide attempts, current suicidal thoughts, and lifetime suicidal thoughts were 29.8%, 9.2%, and 55.3%, respectively. In total, 76.7% of the suicide attempts occurred before the age of 21.

CONCLUSION

Transsexual individuals present a high risk of suicide, particularly during adolescence. This finding may be considered a sign for taking action to prevent suicide when working with transgender individuals, particularly during adolescence.

摘要

引言

本研究的目的是确定跨性别者在青春期是否具有高自杀风险。

方法

总共对141名跨性别者进行了半结构化访谈,以确定参与者目前是否有自杀念头、是否有过此类念头的终生病史或是否曾试图自杀。这些结果与参与者的社会人口学特征以及他们家庭对性取向、性别认同和宗教信仰的总体态度信息进行了交叉参考。共有101名参与者参加了至少为期一年的团体心理治疗课程。在这些课程中,讨论了家庭和伴侣关系、职业问题、经济问题、医疗问题和宗教问题。

结果

自杀未遂、目前有自杀念头和终生有自杀念头的发生率分别为29.8%、9.2%和55.3%。总共76.7%的自杀未遂发生在21岁之前。

结论

变性者存在高自杀风险,尤其是在青春期。这一发现可被视为在与跨性别者合作时,特别是在青春期,采取预防自杀行动的一个信号。

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