The Trevor Project, P.O. Box 69232, West Hollywood, CA 90069, USA.
Int J Environ Res Public Health. 2022 Apr 20;19(9):5016. doi: 10.3390/ijerph19095016.
This study examines the association of access to concordant identity documents with attempting suicide in the last year among transgender and nonbinary youth. Data came from 6581 transgender and nonbinary youth who completed an online survey of lesbian, gay, bisexual, transgender, or queer (LGBTQ) youth ages 13−24 residing in the United States. Multivariate logistic regression was used to determine the adjusted odds of attempting suicide in the past year based on whether or not youth were able to change their identification documents. Both wanting to update one’s documents but not being able to (aOR = 2.04, CI = 1.412−2.95; p < 0.001) and being able to update one’s documents but not having done so (aOR = 1.74, CI = 1.22−2.50; p < 0.001) were associated with greater odds of attempting suicide in the last year, compared to youth who had changed their documents. Revising the way gender is captured on legal documents may be an efficacious public health intervention to reduce suicide risk among transgender and nonbinary youth.
本研究调查了与跨性别和非二元青年在过去一年中试图自杀相关的获得一致身份文件的机会。数据来自于 6581 名跨性别和非二元青年，他们完成了一项针对美国 13-24 岁男女同性恋、双性恋、跨性别或酷儿（LGBTQ）青年的在线调查。多变量逻辑回归用于根据青年是否能够更改其身份证明文件来确定过去一年试图自杀的调整后几率。想要更新文件但无法更新（aOR = 2.04，CI = 1.412-2.95；p < 0.001）和能够更新文件但尚未更新（aOR = 1.74，CI = 1.22-2.50；p < 0.001）与过去一年中试图自杀的几率更高相关，与已经更改文件的青年相比。修改法律文件中性别记录的方式可能是减少跨性别和非二元青年自杀风险的有效公共卫生干预措施。
