School of Public Health, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.
Department of Health Promotion, Education and Behavior, Arnold School of Public Health, University of South Carolina, Columbia, SC, United States.
Front Public Health. 2022 Jan 20;9:764198. doi: 10.3389/fpubh.2021.764198. eCollection 2021.
Transgender women are at high risk of depression and suicidal ideation. The interpersonal theory of suicide proposes that suicidal ideation could be a consequence of high interpersonal needs (thwarted belongingness and perceived burdensomeness). The current study tests this theory and investigates whether depression could mediate the relationship between interpersonal needs and suicidal ideation among transgender women in Shenyang, China.
A total of 198 transgender women were recruited by snowball sampling. A cross-sectional study was conducted through a structured questionnaire. Suicidal ideation, depression, and interpersonal needs were assessed. Path analysis was used to carry out the research goals and the mediating effect of depression was tested.
There were nearly 37% of the participants reported lifetime suicidal ideation. Suicidal ideation was positively correlated with thwarted belongingness ( = -5.53, < 0.01) and perceived burdensomeness ( = -5.02, < 0.01). The direct effect from thwarted belongingness to suicidal ideation depression was statistically significant (Std. β = 0.232, < 0.01). Depression could also mediate the indirect path from perceived burdensomeness to suicidal ideation through depression (Std. β = 0.222, < 0.01) although the direct path between them was not significant (Std. β = 0.046, = 0.693).
Depression fully mediated the relationship between perceived burdensomeness and suicidal ideation, and partially mediate the relationship between thwarted belongingness and suicidal ideation. To reduce the risk of suicidal ideation among transgender women, interventions targeting thwarted belongingness, perceived burdensomeness, and depression are needed.
跨性别女性有较高的抑郁和自杀意念风险。自杀的人际关系理论提出，自杀意念可能是高人际关系需求（归属感受挫和被认为是负担）的结果。本研究检验了这一理论，并调查了在中国沈阳，抑郁是否可以作为跨性别女性人际关系需求与自杀意念之间的中介。
通过滚雪球抽样招募了 198 名跨性别女性。通过结构问卷进行了横断面研究。评估了自杀意念、抑郁和人际关系需求。采用路径分析来实现研究目标，并测试了抑郁的中介作用。
近 37%的参与者报告有过自杀意念。自杀意念与归属感受挫（ = -5.53， < 0.01）和被认为是负担（ = -5.02， < 0.01）呈正相关。归属感受挫对自杀意念的直接影响通过抑郁是显著的（标准β=0.232， < 0.01）。抑郁也可以通过抑郁中介感知负担与自杀意念之间的间接途径（标准β=0.222， < 0.01），尽管它们之间的直接路径不显著（标准β=0.046， = 0.693）。
抑郁完全中介了感知负担与自杀意念之间的关系，部分中介了归属感受挫与自杀意念之间的关系。为了降低跨性别女性自杀意念的风险，需要针对归属感受挫、感知负担和抑郁进行干预。
