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跨性别群体中同伴支持作为自杀预防的保护因素:范围综述。

Peer support as a protective factor against suicide in trans populations: A scoping review.

机构信息

School of Social Work, The University of British Columbia, Vancouver, Canada.

School of Social Work, York University, Toronto, Canada.

出版信息

Soc Sci Med. 2021 Jun;279:114026. doi: 10.1016/j.socscimed.2021.114026. Epub 2021 May 11.

DOI:10.1016/j.socscimed.2021.114026
PMID:34010778
Abstract

RATIONALE

There is a growing body of research involving transgender (trans) individuals that foregrounds elevated rates of suicidality in trans populations. Although peer support is increasingly studied as a protective factor against suicide among trans persons, the scholarship in this area continues to be limited and has yet to be synthesized and appraised.

OBJECTIVE

In this paper, we address this existing gap in the literature by presenting the results of a scoping review of the literature examining the significance and function of peer support in mitigating suicide risk in trans populations.

METHODS

This scoping review is based on an analysis of 34 studies that were included following the execution of a methodical search and selection process. Drawing on scoping review methodology, along with PRISMA-P guidelines, we selected peer-reviewed empirical works, published between 2000 and 2020, which examined relationships between providing, seeking, and/or receiving peer support and suicide risk in trans populations.

RESULTS

Our findings, which are conceptualized using the minority stress model as a guiding theoretical framework, reveal that while the literature generally substantiates the protective significance of peer support for trans persons, a small body of work also uncovers novel and unanticipated sources of peer support, including social support offered by trans peers online, which are infrequently and inconsistently examined in this body of scholarship.

CONCLUSIONS

Using our appraisal of the literature, we outline the need for future research to further elucidate the significance and function of peer support in protecting against suicide among trans persons. In particular, we discuss the need for exploratory inquiry to inform a conceptualization and operationalization of peer support that more fully and consistently accounts for how such support (including online and community-based support) is sought, received, and experienced among trans persons in the context of suicide.

摘要

背景

越来越多的研究涉及跨性别者(跨性别者),强调跨性别者群体的自杀率较高。尽管同伴支持越来越多地被研究为跨性别者自杀的保护因素,但这一领域的学术研究仍然有限,尚未得到综合和评估。

目的

本文通过对审查文献的综述,介绍了审查文献的结果,该文献研究了同伴支持在减轻跨性别者群体自杀风险方面的意义和作用。

方法

这一范围审查是基于对 34 项研究的分析,这些研究是在执行了系统的搜索和选择过程后被纳入的。借鉴范围审查方法和 PRISMA-P 指南,我们选择了 2000 年至 2020 年期间发表的同行评议的实证作品,这些作品研究了提供、寻求和/或接受同伴支持与跨性别者群体自杀风险之间的关系。

结果

我们的研究结果,使用少数群体压力模型作为指导理论框架进行概念化,表明虽然文献普遍证实了同伴支持对跨性别者的保护意义,但一小部分工作也揭示了同伴支持的新的和意外来源,包括跨性别者在网上提供的社会支持,而这些在这一学术领域中很少且不一致地被研究。

结论

我们通过对文献的评价,概述了未来研究需要进一步阐明同伴支持在保护跨性别者免受自杀方面的意义和作用。特别是,我们讨论了需要进行探索性研究,以便更全面和一致地概念化和操作化同伴支持,以充分说明这种支持(包括在线和社区支持)是如何在跨性别者自杀的背景下被寻求、接受和体验的。

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