Kirby Anne V, Krebs Emily, Hiatt Laurel, Docherty Anna, Mihalopoulos Nicole L, Keeshin Brooks R, Peifer Elese, Craker Marlee, Staley Michael, Bakian Amanda V, Coon Hilary
Department of Occupational and Recreational Therapies, University of Utah, 520 Wakara Way, Salt Lake City, UT 84108, USA.
Current: Emily Krebs is now at the Department of Communication and Media Studies, Fordham University, 2540 Belmont Ave, Bronx, NY 10458, USA. Former: Department of Communication, University of Utah, 255 S Central Campus Dr., Salt Lake City, UT 84112, USA.
Bull Appl Transgend Stud. 2024 Summer;3(1-2):69-97. doi: 10.57814/ec38-hh59. Epub 2024 Jun 28.
Trans people are at significantly elevated risk of suicide death, suicide attempts, and suicidal ideation than their cisgender peers. Suicide prevention efforts are needed that address the most important issues to the trans community. In this qualitative study conducted in the United States in 2021, we aimed to broadly explore trans community member perspectives on suicidality and suicide prevention needs. We conducted four virtual focus groups-including one exclusively for trans people of color. We also solicited additional online responses to the same focus group questions. A total of 56 trans individuals with a history of suicidality participated. We utilized reflexive thematic analysis to develop themes to inform suicide prevention efforts for the trans community. The themes were multicontextual, representing needs across healthcare, legal and political arenas, workplaces, community groups, and interpersonal relationships. The central organizing theme identified as crucial for suicide prevention was 'Having (Real) Rights and Respect.' Supporting themes were 'Being in Control of Our Own Bodies,' 'Being Safe as Ourselves,' and 'Feeling Support and Acceptance,' which also included a subtheme of 'Embracing Diversity within the Trans Community.' We provide suggestions and directions for suicide prevention, which build on these themes.
与顺性别同龄人相比，跨性别者自杀死亡、自杀未遂和自杀意念的风险显著更高。需要开展自杀预防工作，解决跨性别群体最重要的问题。在2021年于美国进行的这项定性研究中，我们旨在广泛探索跨性别群体成员对自杀及自杀预防需求的看法。我们开展了四个虚拟焦点小组——包括一个专门针对有色人种跨性别者的小组。我们还征集了对相同焦点小组问题的更多在线回复。共有56名有自杀史的跨性别者参与其中。我们运用反思性主题分析来确定主题，为跨性别群体的自杀预防工作提供参考。这些主题涉及多个背景，代表了医疗保健、法律和政治领域、工作场所、社区团体及人际关系等方面的需求。确定对自杀预防至关重要的核心组织主题是“拥有（真正的）权利和尊重”。支持性主题包括“掌控自己的身体”“做真实的自己时感到安全”以及“感受到支持和接纳”，其中“感受到支持和接纳”还包括一个“接纳跨性别群体内部多样性”的子主题。我们基于这些主题，为自杀预防提供了建议和方向。
