Eskin Mehmet, Turan Şenol
Department of Psychology, College of Social Sciences and Humanities, Koc University, Istanbul, Turkey.
Department of Psychiatry, Cerrahpaşa Medical Faculty, Istanbul University-Cerrahpaşa, Istanbul, Turkey.
Scand J Psychol. 2025 Apr;66(2):288-303. doi: 10.1111/sjop.13084. Epub 2024 Dec 5.
Individuals with gender dysphoria (GD) often exhibit suicidal inclinations. In the present study, we investigated the scope of suicidal ideation and attempts and the roles of perceived social support, stress, and psychological distress in mediating social problem-solving and suicidality in individuals with GD. Two hundred and five adults with GD (110 GD assigned female at birth [AFAB]; 95 GD assigned male at birth [AMAB]) completed a self-report survey including questions about suicide ideation and attempts, as well as the General Health Questionnaire (GHQ-12), Multidimensional Scale of Perceived Social Support (MSPSS), Perceived Stress Scale (PSS), and Social Problem-Solving Inventory-Revised (SPSI-R). We utilized correlation, regression, and mediation analyses to assess models. Overall, both suicidal ideation (for AFAB = 61.8%; for AMAB = 61.1%; p = 0.91) and suicide attempts (for AFAB = 43.6%; for AMAB = 37.9%; p = 0.41) were common in individuals with GD. The two groups did not differ in GHQ-12, PSS, and SPSI-R total scale scores, but AMAB scored lower on the MSPSS total score. Perceived social support, perceived stress, and psychological distress partially mediated social problem-solving and suicidal ideation, whereas perceived stress and psychological distress fully mediated social problem-solving and suicide attempts. There is a need to develop interventions to improve the psychological well-being of people with GD. Current results suggest that problem-solving therapy may effectively suit the need to manage suicidality in people with GD.
性别焦虑症（GD）患者常常表现出自杀倾向。在本研究中，我们调查了自杀意念和自杀未遂的情况，以及感知到的社会支持、压力和心理困扰在介导GD患者社会问题解决能力和自杀倾向中的作用。205名成年GD患者（110名出生时被指定为女性的GD患者[AFAB]；95名出生时被指定为男性的GD患者[AMAB]）完成了一项自我报告调查，其中包括有关自杀意念和自杀未遂的问题，以及一般健康问卷（GHQ - 12）、多维感知社会支持量表（MSPSS）、感知压力量表（PSS）和修订后的社会问题解决量表（SPSI - R）。我们采用相关分析、回归分析和中介分析来评估模型。总体而言，自杀意念（AFAB组为61.8%；AMAB组为61.1%；p = 0.91）和自杀未遂（AFAB组为43.6%；AMAB组为37.9%；p = 0.41）在GD患者中都很常见。两组在GHQ - 12、PSS和SPSI - R总分上没有差异，但AMAB组在MSPSS总分上得分较低。感知到的社会支持、感知到的压力和心理困扰部分介导了社会问题解决能力和自杀意念，而感知到的压力和心理困扰完全介导了社会问题解决能力和自杀未遂。有必要开发干预措施来改善GD患者的心理健康。目前的结果表明，问题解决疗法可能有效地满足管理GD患者自杀倾向的需求。
