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美国跨性别者过去一年的自杀意念

Past-Year Suicidal Ideation Among Transgender Individuals in the United States.

作者信息

Yockey Andrew, King Keith, Vidourek Rebecca

出版信息

Arch Suicide Res. 2022 Jan-Mar;26(1):70-80. doi: 10.1080/13811118.2020.1803165. Epub 2020 Aug 11.

Abstract

This study assessed potential correlates to past-year suicide ideation among a national sample of transgender adults in the United States. A secondary analysis of the 2015 Transgender Survey was conducted. The 2015 Transgender Survey is the first and largest survey assessing health behaviors among transgender individuals living in the United States. Participants were recruited by several methods (e.g., social media, random sampling, photobooth campaigns. Weighted logistic regression analyses adjusting for covariates were conducted to investigate potential associations to whether or not an individual thought about suicide. A total of 27,795 individuals who self-identified as transgender participated in the study. Of the sample, 34.0% identified as a man, 29.8% identified as a woman, 20.6% identified as non-binary, and 15.5% identified as part time one gender/part time another. Nearly half of participants (48.5%) reported past year suicide ideation. Significant predictors included gender identity, age, income, race, low family support, and self-reported physical and sexual assault. This is one of the first studies that we are aware of examining past-year suicidal ideation among a large, nationally representative sample of transgender individuals. Interventions (e.g., acceptance therapy, evaluation, focus groups) are desperately needed to address this burgeoning problem among transgender individuals.

摘要

本研究评估了美国全国范围内跨性别成年人样本中与过去一年自杀意念相关的潜在因素。对2015年跨性别者调查进行了二次分析。2015年跨性别者调查是首次也是规模最大的一项针对居住在美国的跨性别者健康行为的调查。通过多种方法招募参与者(如社交媒体、随机抽样、照相亭活动)。进行了调整协变量的加权逻辑回归分析,以调查个体是否有自杀念头的潜在关联因素。共有27795名自我认定为跨性别的个体参与了该研究。在样本中,34.0%认定为男性,29.8%认定为女性,20.6%认定为非二元性别,15.5%认定为有时是一种性别/有时是另一种性别。近一半的参与者(48.5%)报告过去一年有自杀意念。显著的预测因素包括性别认同、年龄、收入、种族、家庭支持度低以及自我报告的身体和性侵犯。这是我们所知的首批针对大量具有全国代表性的跨性别者样本研究过去一年自杀意念的研究之一。迫切需要采取干预措施(如接纳疗法、评估、焦点小组)来解决跨性别者中这一日益严重的问题。

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