Kim Isaac, Sekh Marta B, Khan Tasmia, Gunasekara Ravindi, Kogan Irina
Psychiatry and Behavioral Sciences, Interfaith Medical Center, Brooklyn, USA.
Neurology, Interfaith Medical Center, Brooklyn, USA.
Cureus. 2023 Aug 4;15(8):e42941. doi: 10.7759/cureus.42941. eCollection 2023 Aug.
The social determinants of health (SDOH) are a complex web of factors that influence the health of individuals throughout their lifetime. There are many drivers of health inequities within the SDOH, such as socioeconomic status, education, employment, gender, and race/ethnicity. It is possible that mental illness may develop when these factors negatively affect health. However, current research primarily focuses on SDOH in cisgender individuals leaving a scientific gap in transgender individuals who require unique considerations when providing comprehensive medical care. We present the case of a 20-year-old transgender female who was admitted for suicidal attempts during a methamphetamine overdose, and who had been struggling with mental illness and suicidal gestures since she was a young teenager. The significance of our findings is discussed in the context of the substantial lack of current research on SDOH in transgender individuals to underscore the need for clinical awareness and promote future research.
健康的社会决定因素（SDOH）是一个复杂的因素网络，会在个体的一生中影响其健康。在健康的社会决定因素中，存在许多导致健康不平等的驱动因素，例如社会经济地位、教育、就业、性别以及种族/族裔。当这些因素对健康产生负面影响时，可能会引发精神疾病。然而，目前的研究主要集中在顺性别个体的健康社会决定因素上，这使得在为跨性别个体提供全面医疗护理时需要特别考虑的这一群体存在科学空白。我们报告了一名20岁跨性别女性的病例，她因甲基苯丙胺过量服用期间自杀未遂入院，且自青少年时期起就一直在与精神疾病和自杀倾向作斗争。我们在当前针对跨性别个体健康社会决定因素的研究严重不足的背景下讨论了我们研究结果的意义，以强调临床意识的必要性并促进未来的研究。
