1 Department of Public Health Sciences, Karolinska Institutet , Stockholm, Sweden .
2 Department of Clinical Neuroscience, Centre for Psychiatry Research, Karolinska Institutet , Stockholm, Sweden .
LGBT Health. 2018 Apr;5(3):180-190. doi: 10.1089/lgbt.2017.0011. Epub 2018 Mar 15.
The aim of this study was to investigate the associations between a series of empirically known risk and protective factors and suicidality among trans people in Sweden.
Participants were self-selected anonymously to a web-based survey conducted in 2014. Univariable and multivariable logistic regression analyses were performed to assess associations between contributing factors and suicide ideation in the past 12 months and lifetime suicide attempts.
The analysis included 796 trans individuals, between 15 and 94 years of age, who live in Sweden. A total of 37% of respondents reported that they have seriously considered suicide during the past 12 months and 32% had ever attempted a suicide. Offensive treatment during the past three months and lifetime exposure to trans-related violence were significantly associated with suicidality. Less satisfaction with contacts with friends and acquaintances and with one's own psychological wellbeing were associated with suicide ideation in the past 12 months. Lack of practical support was associated with lifetime suicide attempts.
Our findings show that suicidality is directly correlated with trans-related victimization. Preventing targeted victimization is, therefore, a key preventive intervention against this elevated suicidality.
本研究旨在调查一系列经验已知的风险和保护因素与瑞典跨性别者自杀意念之间的关联。
参与者通过 2014 年进行的一项基于网络的匿名调查进行自我选择。进行单变量和多变量逻辑回归分析，以评估过去 12 个月和终身自杀尝试中促成因素与自杀意念之间的关联。
该分析包括 796 名年龄在 15 至 94 岁之间居住在瑞典的跨性别者。共有 37%的受访者表示，他们在过去 12 个月中曾认真考虑过自杀，32%的人曾试图自杀。过去三个月的冒犯性待遇和终身接触跨性别相关暴力与自杀意念显著相关。对与朋友和熟人的接触以及对自身心理健康的满意度较低与过去 12 个月的自杀意念相关。缺乏实际支持与终身自杀尝试相关。
我们的研究结果表明，自杀意念与跨性别相关的受害直接相关。因此，预防有针对性的受害是针对这种自杀意念升高的关键预防干预措施。
