Department of Epidemiology, Brown University School of Public Health, Providence, Rhode Island, USA.
Department of Behavioral and Social Sciences, Brown University School of Public Health, Providence, Rhode Island, USA.
LGBT Health. 2020 Oct;7(7):349-357. doi: 10.1089/lgbt.2020.0219. Epub 2020 Sep 4.
We assessed if young transgender women (YTW) with parents who are supportive of their transgender identity had lower odds of having suicidal ideation compared with YTW with unsupportive parents. This study analyzed baseline findings from a diverse sample of 297 sexually active, YTW 16-29 years of age who were enrolled in Project LifeSkills, a randomized controlled HIV prevention intervention efficacy trial in Chicago and Boston, between 2012 and 2015. Bivariate and multivariable logistic regression were used to assess if parental support was associated with a decreased odds of suicidal ideation. Nearly one-fifth (18.9%) of YTW reported suicidal ideation at baseline. In our adjusted multivariable model, YTW with supportive mothers had 0.37 (95% confidence interval = 0.15-0.90) times the odds of having suicidal ideation compared with YTW with unsupportive mothers. This study found that the odds of suicidal ideation were lower among YTW who had mothers who were supportive of their transgender identity. Our results suggest that parent-focused interventions to improve the relationships between YTW and their parents may lower the odds of YTW having suicidal ideation. Clinical Trial Registration Identifier: NCT01575938.
我们评估了与不支持其跨性别身份的父母相比，父母支持其跨性别身份的年轻跨性别女性（YTW）是否更有可能出现自杀意念。本研究分析了 2012 年至 2015 年期间在芝加哥和波士顿参加 Project LifeSkills 的 297 名性活跃的 YTW 16-29 岁的不同样本的基线发现，该项目是一项随机对照艾滋病毒预防干预效果试验。使用双变量和多变量逻辑回归来评估父母的支持是否与自杀意念的几率降低有关。近五分之一（18.9%）的 YTW 在基线时报告有自杀意念。在我们调整后的多变量模型中，与不支持母亲的 YTW 相比，支持母亲的 YTW 出现自杀意念的几率降低了 0.37（95%置信区间 = 0.15-0.90）。这项研究发现，母亲支持其跨性别身份的 YTW 出现自杀意念的几率较低。我们的结果表明，以父母为重点的干预措施可以改善 YTW 与父母之间的关系，从而降低 YTW 出现自杀意念的几率。临床试验注册号：NCT01575938。
