Public Health Department, Tongren Hospital, Shanghai Jiao Tong University School of Medicine, 1111 Xianxia Road, 200335, Shanghai, China; Youth Science and Technology Innovation Studio, affiliated with Tongren Hospital, School of Medicine, Shanghai Jiao Tong University, 1111 Xianxia Road, 200335, Shanghai, China.
J Affect Disord. 2024 Nov 15;365:230-236. doi: 10.1016/j.jad.2024.08.070. Epub 2024 Aug 13.
Transgender women have a high prevalence of suicidal ideation, with stress and low interpersonal needs as its main risk factors. This study aimed to investigate the mediating role of interpersonal needs on the relationship between perceived stress and suicidal ideation among transgender women in China.
A cross-sectional study was conducted in Shenyang and Kunming from April to September 2018. 247 transgender women were recruited. Sociodemographic statistics, perceived stress, interpersonal needs and suicidal ideation were obtained. Correlation analysis and mediation analysis were performed to test the relationship among perceived stress, suicidal ideation and interpersonal needs.
14.6 % of the participants reported suicidal ideation within a year. Perceived stress was positively correlated with suicidal ideation (r = 0.228, p < 0.001), interpersonal needs and its three dimensions (r = 0.300-0.583, ps < 0.001)-thwarted belongingness, perceived burdensomeness and social exclusion. Interpersonal needs and its three dimensions were also positively correlated with suicidal ideation (r = 0.148-0.299, ps < 0.05). Interpersonal needs, perceived burdensomeness and social exclusion partly mediated the relationship between perceived stress and suicidal ideation, while thwarted belongingness didn't play a mediating role.
Cross-sectional study limited confirmation of causality between variables. The investigation didn't aim at the specific stressors of sexual minorities. And that participants came from only two regions might affect the generalization of the results.
We found a partial mediating role of interpersonal needs between stress and suicidal ideation. Stress reduction and increased social inclusion are needed to reduce suicidal ideation in transgender women.
跨性别女性的自杀意念发生率较高，其主要危险因素是压力和低人际关系需求。本研究旨在探讨人际关系需求在感知压力与中国跨性别女性自杀意念之间的中介作用。
2018 年 4 月至 9 月在沈阳和昆明进行了一项横断面研究。共招募了 247 名跨性别女性。收集社会人口统计学资料、感知压力、人际关系需求和自杀意念。采用相关分析和中介分析检验感知压力、自杀意念和人际关系需求之间的关系。
14.6%的参与者在一年内报告有自杀意念。感知压力与自杀意念呈正相关（r=0.228，p<0.001），人际关系需求及其三个维度（r=0.300-0.583，p<0.001）——受挫归属感、被感知的累赘感和社会排斥。人际关系需求及其三个维度与自杀意念呈正相关（r=0.148-0.299，p<0.05）。人际关系需求、被感知的累赘感和社会排斥部分中介了感知压力与自杀意念之间的关系，而受挫归属感没有发挥中介作用。
横断面研究限制了变量之间因果关系的确立。本研究没有针对性少数群体的特定压力源进行调查。而且，仅来自两个地区的参与者可能会影响结果的推广。
我们发现人际关系需求在压力和自杀意念之间存在部分中介作用。需要减少压力和增加社会包容度，以降低跨性别女性的自杀意念。
