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伊朗性别焦虑症患者的心理健康与自杀态度

Mental health and attitudes toward suicide amongst individuals with gender dysphoria in Iran.

作者信息

Assareh Maryam, Rashedi Vahid, Eftekhar Ardebili Mehrdad, Salehian Razieh, Shalbafan Mohammadreza

机构信息

Mental Health Research Center, Psychosocial Health Research Institute, Department of Psychiatry, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.

Iranian Research Center on Aging, Department of Aging, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.

出版信息

Front Psychiatry. 2024 Dec 9;15:1443638. doi: 10.3389/fpsyt.2024.1443638. eCollection 2024.

DOI:10.3389/fpsyt.2024.1443638
PMID:39717376
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11663883/
Abstract

INTRODUCTION

Gender dysphoria (GD) is associated with profound mental health challenges, including heightened suicide risk. This study aimed to explore the mental health status and attitudes toward suicide among individuals with GD in Iran.

METHODS

A comprehensive assessment was conducted using three validated tools: the General Health Questionnaire (GHQ-28) to gauge emotional distress and psychological well-being, the Beck Depression Inventory (BDI-II) to evaluate the severity of depressive symptoms, and the Predicament Questionnaire (PQ) to measure attitudes toward suicide in the context of social crises.

RESULTS

Among the 78 participants, 43 (55.1%) were identified as experiencing significant mental health issues, while 21 (26.9%) were found to suffer from severe depression. The average PQ score was 57.92, which aligns with findings from similar populations in previous studies, highlighting a concerning trend in suicide-related attitudes. Further statistical analysis revealed significant correlations between psychological distress (GHQ-28 scores) and attitudes toward suicide (PQ scores), as well as between depressive symptoms (BDI-II scores) and suicide-related attitudes.

CONCLUSIONS

These findings indicate a pervasive prevalence of psychological disorders, particularly depression, within this group, and underscore the strong association between depressive states and suicidal ideation. The study underscores the urgent need for targeted mental health interventions and comprehensive healthcare policies tailored to the specific needs of individuals with GD in Iran. Given the substantial mental health burden observed, particularly the risk of suicide, this research highlights the critical importance of integrating mental health care into broader support systems for this population.

摘要

引言

性别焦虑症(GD)与严重的心理健康挑战相关,包括自杀风险增加。本研究旨在探讨伊朗性别焦虑症患者的心理健康状况及对自杀的态度。

方法

使用三种经过验证的工具进行全面评估:一般健康问卷(GHQ - 28)用于衡量情绪困扰和心理健康状况,贝克抑郁量表(BDI - II)用于评估抑郁症状的严重程度,困境问卷(PQ)用于测量在社会危机背景下对自杀的态度。

结果

在78名参与者中,43名(55.1%)被确定存在严重的心理健康问题,21名(26.9%)被发现患有重度抑郁症。PQ平均得分是57.92,这与之前研究中类似人群的结果一致,凸显了自杀相关态度方面令人担忧的趋势。进一步的统计分析显示,心理困扰(GHQ - 28得分)与对自杀的态度(PQ得分)之间以及抑郁症状(BDI - II得分)与自杀相关态度之间存在显著相关性。

结论

这些发现表明该群体中心理障碍,尤其是抑郁症普遍存在,并强调了抑郁状态与自杀意念之间的紧密关联。该研究强调迫切需要针对伊朗性别焦虑症患者的特定需求制定有针对性的心理健康干预措施和全面的医疗政策。鉴于观察到的巨大心理健康负担,特别是自杀风险,本研究突出了将心理健康护理纳入该人群更广泛支持系统的至关重要性。

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