Suicidality Among Transgender Youth: Elucidating the Role of Interpersonal Risk Factors
Suicidality Among Transgender Youth: Elucidating the Role of Interpersonal Risk Factors
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DOI：
10.1177/0886260520915554
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发表时间：
2020-04-29
影响因子：
2.5
通讯作者：
McInroy, Lauren B.
中科院分区：
文献类型：
--
作者：
Austin, Ashley;Craig, Shelley L.;McInroy, Lauren B.
数据显示，82%的跨性别者考虑过自杀，40%的人尝试过自杀，其中跨性别青年的自杀率最高。本研究运用少数族群压力理论和人际自杀理论，探讨跨性别青少年的自杀风险。本研究探讨了可干预的风险因素：人际和环境微侵犯、内化自我污名和不良童年经历（ACEs），以及保护因素：学校归属感、家庭支持和同伴支持对跨性别青少年终生自杀企图和过去6个月自杀行为的影响（n = 372）。利用SPSS 22通过两个独立的逻辑回归来检验自变量对自杀倾向和终生自杀企图的影响。56%的青少年报告有过自杀企图，86%报告有自杀倾向。逻辑回归表明，终生自杀企图和自杀倾向的模型都是显著的。人际微侵犯，对终生自杀企图和家庭情感忽视做出了独特的、统计上显著的贡献。学校归属感、家庭的情感忽视和内化的自我耻辱对过去6个月的自杀行为有独特的、统计上显著的影响。研究结果具有重要的实践和政策意义。研究结果为与跨性别青年的父母和照顾者一起工作的从业者提供了指导，也为促进跨性别青年人际归属感的实践创造了指导。
Data indicate that 82% of transgender individuals have considered killing themselves and 40% have attempted suicide, with suicidality highest among transgender youth. Using minority stress theory and the interpersonal theory of suicide, this study aims to better understand suicide risk among transgender youth. The present study examines the influence of intervenable risk factors: interpersonal and environmental microaggressions, internalized self-stigma, and adverse childhood experiences (ACEs), and protective factors: school belonging, family support, and peer support on both lifetime suicide attempts and past 6-month suicidality in a sample of transgender youth (n = 372). SPSS 22 was utilized to examine the impact of the independent variables on both suicidality and lifetime suicide attempt through two separate logistic regressions. Fifty six percent of youth reported a previous suicide attempt and 86% reported suicidality. Logistic regressions indicated that models for both lifetime suicide attempts and suicidality were significant. Interpersonal microaggressions, made a unique, statistically significant contribution to lifetime suicide attempts and emotional neglect by family approached significance. School belonging, emotional neglect by family, and internalized self-stigma made a unique, statistically significant contribution to past 6-month suicidality. Results have significant practice and policy implications. Findings offer guidance for practitioners working with parents and caregivers of trans youth, as well as, for the creation of practices which foster interpersonal belonging for transgender youth.