Rimes Katharine A, Goodship Nicola, Ussher Greg, Baker Dan, West Elizabeth
Department of Psychology, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
Metro Charity, London, UK.
Int J Transgend. 2017 Sep 18;20(2-3):230-240. doi: 10.1080/15532739.2017.1370627. eCollection 2019.
: Little research has compared the mental health and victimization experiences of non-binary youth depending on their sex assigned at birth (SAAB), or compared these two groups with binary transgender youth. : To compare mental health, self-harm and suicidality, substance use and victimization experiences between non-binary and binary transgender young adults, both male assigned at birth (MAAB) and female assigned at birth (FAAB). : Online survey data from 677 participants from the "Youth Chances" community study of 16 to 25 year olds in the United Kingdom was analyzed, comparing across binary participants (transgender females ( = 105) and transgender males ( = 210)) and non-binary participants (MAAB ( = 93) and FAAB ( = 269)). : Female SAAB participants (binary and non-binary) were more likely to report a current mental health condition and history of self-harm than male SAAB participants (binary and non-binary). Similarly, female SAAB participants (binary and non-binary) were more likely to report childhood sexual abuse than male SAAB participants (binary and non-binary); the reverse pattern was found for lifetime physical assault relating to being LGBTQ. Non-binary MAAB participants were less likely than the other groups to report past suicide attempts and previous help-seeking for depression/anxiety. Binary participants reported lower life satisfaction than non-binary participants. For all four groups, mental health problems, self-harm, suicidality, alcohol use and victimization experiences were generally higher than that of youth in general population studies. : These findings highlight the importance of considering both non-binary versus binary gender identity and SAAB in relation to mental health problems, self-harm, suicidality and substance use in transgender youth. The roles of sexual abuse, other abuse and discrimination in contributing to increased rates of mental illness and self-harm in non-binary and binary transgender individuals, particularly those who were assigned female at birth, relative to those assigned male, require investigation.
很少有研究比较过非二元性别的青少年基于出生时被指定的性别（SAAB）的心理健康状况和受侵害经历，也没有将这两组人与二元性别的跨性别青少年进行比较。
为了比较非二元性别的和二元性别的跨性别年轻成年人（包括出生时被指定为男性（MAAB）和出生时被指定为女性（FAAB））在心理健康、自我伤害和自杀倾向、物质使用及受侵害经历方面的情况。
对来自英国“青年机会”社区研究的677名16至25岁参与者的在线调查数据进行了分析，比较了二元性别的参与者（跨性别女性（=105）和跨性别男性（=210））和非二元性别的参与者（MAAB（=93）和FAAB（=269））。
出生时被指定为女性的SAAB参与者（二元性别的和非二元性别的）比出生时被指定为男性的SAAB参与者（二元性别的和非二元性别的）更有可能报告当前的心理健康状况和自我伤害史。同样，出生时被指定为女性的SAAB参与者（二元性别的和非二元性别的）比出生时被指定为男性的SAAB参与者（二元性别的和非二元性别的）更有可能报告童年期性虐待；而在与LGBTQ相关的终身身体攻击方面则发现了相反的模式。非二元性别的MAAB参与者比其他组报告过去自杀未遂和之前因抑郁/焦虑寻求帮助的可能性更低。二元性别的参与者报告的生活满意度低于非二元性别的参与者。对于所有四组而言，心理健康问题、自我伤害、自杀倾向、酒精使用和受侵害经历总体上高于一般人群研究中的青少年。
这些发现凸显了在跨性别青少年的心理健康问题、自我伤害、自杀倾向和物质使用方面，考虑非二元性别与二元性别认同以及SAAB的重要性。性虐待、其他虐待和歧视在导致非二元性别的和二元性别的跨性别个体，特别是那些出生时被指定为女性的个体，相对于出生时被指定为男性的个体，精神疾病和自我伤害发生率增加方面所起的作用需要进行调查。
