Department of Psychology, Fordham University, United States.
Department of Psychology, Fordham University, United States.
J Affect Disord. 2021 Jan 1;278:136-143. doi: 10.1016/j.jad.2020.09.052. Epub 2020 Sep 15.
Transgender and gender-diverse (TGD) people experience greatly heightened levels of suicidal ideation (SI) compared to the general population. Therefore, it is imperative to understand the risk and protective factors for SI within this population.
The present study explored how victimization, discrimination, community connectedness, and pride impact SI cross-sectionally and longitudinally in a sample of TGD adults (N = 180, 55% transgender women, 76.7% Caucasian, M age = 26.01 years).
Cross-sectional results showed that experiencing more types of victimization and discrimination at baseline predicted higher SI severity at baseline, while community connectedness and pride at baseline were not predictive of SI severity at baseline. Longitudinal analyses showed that experiencing fewer types of victimization and discrimination during the 1-month follow-up period were associated with a decrease in SI severity from baseline to follow-up. Medium and high levels of community connectedness were also associated with a decrease in SI severity from baseline to follow-up. Pride was not associated with change in SI from baseline to follow-up.
Limitations include the limited racial/ethnic diversity of the sample and that frequency of experiencing victimization and discrimination was not assessed.
These results suggest victimization and discrimination are strong predictors of SI severity within this population, and the factors of victimization, discrimination, and TGD-community connectedness impact change in SI severity across time. These findings provide evidence for the importance of anti-discrimination laws that apply to TGD people, as well as the utility of connecting TGD clients to the TGD community.
跨性别和性别多样化（TGD）人群的自杀意念（SI）发生率远远高于普通人群。因此，了解该人群中 SI 的风险和保护因素至关重要。
本研究探讨了在 TGD 成年人样本中（N=180，55%跨性别女性，76.7%白人，平均年龄 26.01 岁），受害经历、歧视、社区联系和自豪感如何在横断和纵向两个方面影响 SI。
横断结果表明，基线时经历的受害和歧视类型越多，基线时 SI 严重程度越高，而基线时的社区联系和自豪感并不能预测 SI 严重程度。纵向分析表明，在 1 个月的随访期间经历的受害和歧视类型越少，与从基线到随访期间 SI 严重程度的下降相关。中等和高水平的社区联系也与从基线到随访期间 SI 严重程度的下降相关。自豪感与从基线到随访期间 SI 的变化无关。
本研究的局限性包括样本的种族/民族多样性有限，以及受害和歧视的频率未被评估。
这些结果表明，受害和歧视是该人群中 SI 严重程度的重要预测因素，而受害、歧视和 TGD 社区联系等因素会影响 SI 严重程度随时间的变化。这些发现为针对 TGD 人群的反歧视法律的重要性以及将 TGD 客户与 TGD 社区联系起来的效用提供了证据。
