Biomedical Research Institute of Málaga (IBIMA). Mental Health Clinical Unit, University Regional Hospital of Málaga, Plaza Hospital Civil S/N, Hospital Civil. 1a Planta. Pabellón 4, 29009, Málaga, Spain.
Transsexual and Gender Identity Unit, University Regional Hospital of Málaga, Málaga, Spain.
Arch Sex Behav. 2023 Jul;52(5):2205-2213. doi: 10.1007/s10508-023-02594-7. Epub 2023 Apr 17.
Factors associated with suicidal ideation in the gender dysphoria population are not completely understood. This high-risk population is more likely to suffer stressful events such as assault or employment discrimination. This study aimed to determine the association of stressful events and social support on suicidal ideation in gender dysphoria and to analyze the moderator effect of social support in relation to stressful events and suicidal ideation. A cross-sectional design was used in a clinical sample attending a public gender identity unit in Spain that consisted of 204 individuals (51.7% birth-assigned males and 48.3% birth-assigned females), aged between 13 and 59 (M = 27.95 years, SD = 9.58). A Structured Clinical Interview, a list of 16 stressful events, and a functional social support questionnaire (Duke-UNC-11) were used during the initial visits to the unit. The data were collected between 2011 and 2012. A total of 50.1% of the sample have had suicidal ideation. The following stressful events were associated with suicidal ideation: homelessness, eviction from home, and having suffered from physical or verbal aggression. Also, there was an inverse relation between perceived social support and suicidal ideation. There was a statistically significant interaction between a specific stressful event (eviction) and perceived social support. The study suggests that the promotion of safer environments could be related to lower suicidal ideation and that networks that provide social support could buffer the association between specific stressful events and suicidal ideation.
性别认同障碍人群的自杀意念相关因素尚不完全清楚。该高风险人群更易遭受性侵犯或就业歧视等应激事件。本研究旨在确定应激事件和社会支持与性别认同障碍患者自杀意念的关系，并分析社会支持对应激事件和自杀意念的调节作用。采用横断面设计，对西班牙一家公立性别认同单位的临床样本进行研究，共纳入 204 名个体（51.7%出生时为男性，48.3%出生时为女性），年龄 13 至 59 岁（M=27.95 岁，SD=9.58 岁）。在单位首次就诊时，使用结构临床访谈、16 项应激事件清单和功能社会支持问卷（杜克-北卡罗来纳州 11 项）进行评估。数据收集于 2011 年至 2012 年期间。共有 50.1%的样本有自杀意念。以下应激事件与自杀意念相关：无家可归、被逐出家门、遭受身体或言语攻击。此外，感知到的社会支持与自杀意念呈负相关。特定应激事件（驱逐）和感知到的社会支持之间存在统计学显著的交互作用。研究表明，促进更安全的环境可能与降低自杀意念相关，提供社会支持的网络可能缓冲特定应激事件与自杀意念之间的关联。
