Cull Stephanie L, Perrin Paul B, Benotsch Eric G, Coston B Ethan, Dini Mia E, Allison Kevin W
Department of Psychology, Virginia Commonwealth University.
School of Data Science, University of Virginia.
Rehabil Psychol. 2025 Mar 13. doi: 10.1037/rep0000607.
PURPOSE/OBJECTIVE: Transgender/gender nonbinary (TGNB) and disabled individuals commonly experience microaggressions that can lead to depression, anxiety, and suicidality; yet, limited research has explored the intersections of disabled and TGNB identities. This study explored hypothesized pathways leading from microaggressions through internalized oppression and mental health to suicidal ideation in a sample of disabled TGNB individuals.
RESEARCH METHOD/DESIGN: Disabled TGNB individuals ( = 289) completed an online survey assessing the constructs under scrutiny. The study performed multiple mediation path analyses to identify direct and indirect effects of each aspect of the hypothesized model.
Fifty-seven percent of the sample had clinically significant anxiety symptoms and 71% depression symptoms; 47% experienced suicidal ideation in the past month and 93% during their lifetime. Suicide attempt rates were 3% for the past 3 months and 52% lifetime. Within the good-fitting path model, cisgenderist microaggressions had a direct effect on internalized cisgenderism. Disability microaggressions had direct effects on internalized ableism and mental health symptoms. Internalized ableism had direct effects on mental health symptoms and suicidal ideation. Internalized ableism mediated the relationship between disability microaggressions and mental health symptoms, mental health symptoms mediated the relationship between internalized ableism and suicidal ideation, and both internalized ableism and mental health symptoms mediated the relationship between disability microaggressions and suicidal ideation.
CONCLUSIONS/IMPLICATIONS: Rehabilitation clinicians working with disabled TGNB individuals should consider the intersections of both systems of oppression (ableism and cisgenderism) and how microaggressions impact internalized oppression, mental health, and suicide. (PsycInfo Database Record (c) 2025 APA, all rights reserved).
目的/目标：跨性别者/性别非二元者（TGNB）和残疾人士经常遭遇微侵犯，这可能导致抑郁、焦虑和自杀倾向；然而，针对残疾身份与TGNB身份交叉领域的研究却十分有限。本研究在残疾TGNB个体样本中，探究了从微侵犯经由内化压迫和心理健康到自杀意念的假设路径。
研究方法/设计：289名残疾TGNB个体完成了一项在线调查，评估所研究的构念。该研究进行了多重中介路径分析，以确定假设模型各方面的直接和间接影响。
57%的样本有临床显著的焦虑症状，71%有抑郁症状；47%在过去一个月内有自杀意念，93%在其一生中曾有过。过去3个月的自杀未遂率为3%，终生自杀未遂率为52%。在拟合良好的路径模型中，顺性别主义微侵犯对内化顺性别主义有直接影响。残疾微侵犯对内化能力主义和心理健康症状有直接影响。内化能力主义对心理健康症状和自杀意念有直接影响。内化能力主义介导了残疾微侵犯与心理健康症状之间的关系，心理健康症状介导了内化能力主义与自杀意念之间的关系，内化能力主义和心理健康症状均介导了残疾微侵犯与自杀意念之间的关系。
结论/启示：为残疾TGNB个体提供服务的康复临床医生应考虑两种压迫体系（能力主义和顺性别主义）的交叉点，以及微侵犯如何影响内化压迫、心理健康和自杀。（PsycInfo数据库记录（c）2025美国心理学会，保留所有权利）
