Self-injury among trans individuals and matched controls: prevalence and associated factors
Self-injury among trans individuals and matched controls: prevalence and associated factors
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DOI：
10.1111/hsc.12239
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发表时间：
2016-07-01
影响因子：
2.4
通讯作者：
Bouman, Walter Pierre
中科院分区：
文献类型：
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作者：
Davey, Amanda;Arcelus, Jon;Bouman, Walter Pierre
本研究旨在确定跨性别者中当前非自杀性自残(NSSI)的患病率，并与非跨性别者的对照样本进行比较。研究还旨在从心理健康、自尊、身体不满、社会支持和人口因素等方面比较目前有NSSI的人和没有NSSI历史的人。参与者是97名成年人，他们被诊断为变性者(ICD-10，F64.0)，在英国的一家国家性别诊所就诊，以及匹配的对照组。临床参与者都参与了治疗路径。研究对象完成以下自我报告量表：与治疗相关的自我伤害问卷(SIQ-TR)、症状自评量表(SCL-90-R)、罗森伯格自尊量表(RSE)、汉堡人体画面量表(HBDS)和领悟社会支持多维度量表(MSPSS)。结果表明，跨性别者当前NSSI行为的患病率显著高于非跨性者组，目前有19%的人参与了NSSI。目前，NSSI在跨性男性中的流行程度也明显高于跨性女性。与没有NSSI病史的跨性和非跨性参与者相比，目前有NSSI的跨性参与者在SCL上的得分显著高于非跨性参与者，在RSE、HBDS和MSPSS上的得分显著低于非跨性参与者，并且年龄更小。这项研究得出的结论是，跨性男性比跨性女性和普通人群更有可能患NSSI，即使在治疗过程中也是如此。与那些没有参与NSSI的人相比，目前自我伤害的人有更多的精神病理，更低的身体满意度，更低的自尊，更低的社会支持，并且往往更年轻。
This study aims to determine the prevalence rate of current non-suicidal self-injury (NSSI) among trans individuals, in comparison with a control sample of non-trans adults. It also aims to compare those with current NSSI and those with no history of NSSI in terms of psychological well-being, self-esteem, body dissatisfaction, social support and demographic factors. Participants were 97 adults, diagnosed with transsexualism (ICD-10, F64.0), attending a national gender clinic in the United Kingdom, and a matched control group. Clinical participants were all engaged on the treatment pathway. Participants completed the following self-report measures: Self-Injury Questionnaire - Treatment Related (SIQ-TR), Symptom Checklist 90 Revised (SCL-90-R), Rosenberg Self-Esteem Scale (RSE), Hamburg Body Drawing Scale (HBDS) and Multidimensional Scale of Perceived Social Support (MSPSS). The results showed that the trans participants had a significantly higher prevalence of current NSSI behaviour than the non-trans group, with 19% currently engaging in NSSI. Current NSSI was also significantly more prevalent among trans men than trans women. Compared with both trans and non-trans participants with no history of NSSI, trans participants with current NSSI had significantly higher scores on SCL; significantly lower scores on RSE, HBDS and MSPSS; and were younger in age. The study concludes that trans men, specifically, are more at risk of NSSI than trans women and the general population, even when on the treatment pathway. Those who currently self-injure have greater psychopathology, lower body satisfaction, lower self-esteem, lower social support and tend to be younger, than those who do not engage in NSSI.