Suicide protective factors among trans adults.

Suicide protective factors among trans adults.
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DOI:
10.1007/s10508-013-0099-8
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发表时间:
2013-07
影响因子:
3.8
通讯作者:
Smith, Nathan Grant
Smith, Nathan Grant
中科院分区:
法学2区
文献类型:
--
作者:
Moody, Cherie;Smith, Nathan Grant

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最近的一项研究表明,跨性别者(例如,变性人、变性人、变性人/变性人、性别酷儿、双性恋者)的自杀未遂率为41%。尽管这一比率令人担忧,但关于跨性别者自杀预防的文献很少。开发自杀预防模式的关键一步是确定保护因素。据推测,来自朋友的社会支持、来自家人的社会支持、乐观、活着的理由和自杀复原力,这些都被认为可以保护顺式(非跨性别者)个人,也可以保护跨性别者。从LGBT和TRANS LISSERS招募了一个自认为是加拿大跨性别者的成年人(N=6133)。数据是使用一个安全的调查平台在线收集的。采用三区组分层多元回归模型,从保护性因素预测自杀行为。在控制年龄后,来自朋友的社会支持、来自家庭的社会支持和乐观情绪对自杀行为的33%的变异有显著的负向预测作用。在控制了年龄、朋友的社会支持、家人的社会支持和乐观情绪后,生活和自杀韧性的原因额外解释了参与者自杀行为的19%的差异。在上述因素中,来自家庭的感知社会支持、三个自杀韧性因素之一(情绪稳定性)和六个生活原因之一(与儿童有关的担忧)对参与者的自杀行为有显著的负向预测作用。总体而言,这些发现可以用来为心理健康工作者、医生和与跨性别者合作的自杀预防工作者的实践提供参考。
A recent study indicated a suicide attempt rate of 41 % among trans (e.g., trans, transgender, transexual/transsexual, genderqueer, two-spirit) individuals. Although this rate is alarming, there is a dearth of literature regarding suicide prevention for trans individuals. A vital step in developing suicide prevention models is the identification of protective factors. It was hypothesized that social support from friends, social support from family, optimism, reasons for living, and suicide resilience, which are known to protect cis (non-trans) individuals, also protect trans individuals. A sample of self-identified trans Canadian adults (N = 133) was recruited from LGBT and trans LISTSERVs. Data were collected online using a secure survey platform. A three block hierarchical multiple regression model was used to predict suicidal behavior from protective factors. Social support from friends, social support from family, and optimism significantly and negatively predicted 33 % of variance in participants’ suicidal behavior after controlling for age. Reasons for living and suicide resilience accounted for an additional 19 % of the variance in participants’ suicidal behavior after controlling for age, social support from friends, social support from family, and optimism. Of the factors mentioned above, perceived social support from family, one of three suicide resilience factors (emotional stability), and one of six reasons for living (child-related concerns) significantly and negatively predicted participants’ suicidal behavior. Overall, these findings can be used to inform the practices of mental health workers, medical doctors, and suicide prevention workers working with trans clients.
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