Louisiana State University, Baton Rouge, LA.
VA Puget Sound Health Care System, Seattle, WA.
Suicide Life Threat Behav. 2019 Feb;49(1):155-166. doi: 10.1111/sltb.12432. Epub 2018 Jan 12.
Research suggests the prevalence of suicide ideation and suicide attempts in the transgender veteran community may be upwards of 20 times higher than nontransgender veterans, who are known to be at increased risk than the general US population. This study aimed to understand the potential influence of external and internal minority stress experienced during and after military service on past-year and recent suicide ideation in a sample of 201 transgender veterans. Nonparametric bootstrapping analyses indicated past-year transgender-specific discrimination and rejection (external minority stress) indirectly predicted frequency of both past-year and past 2-week suicide ideation through past-year shame related to gender identity (internal minority stress). This result was significant when controlling for symptoms of depression and demographics. Similar patterns emerged when examining relationships among military external and internal minority stress on suicide outcomes. These results suggest that attempts to reduce both the experience and impact of minority stressors related to gender identity during and after military service may be an important avenue for suicide prevention.
研究表明，跨性别退伍军人社区中自杀意念和自杀企图的患病率可能比非跨性别退伍军人高 20 倍以上，众所周知，非跨性别退伍军人比一般美国人口的风险更高。本研究旨在了解在 201 名跨性别退伍军人样本中，服役期间和之后经历的外部和内部少数群体压力对过去一年和最近自杀意念的潜在影响。非参数自举分析表明，过去一年的跨性别特定歧视和排斥（外部少数群体压力）通过与性别认同相关的过去一年的羞耻感（内部少数群体压力）间接预测了过去一年和过去两周自杀意念的频率。当控制抑郁症状和人口统计学因素时，这一结果具有统计学意义。当研究与军事外部和内部少数群体压力相关的自杀结果之间的关系时，出现了类似的模式。这些结果表明，尝试减少服役期间和之后与性别认同相关的少数群体压力源的体验和影响，可能是预防自杀的一个重要途径。
