Proximal correlates of suicidal ideation among transgender and gender diverse people: A preliminary test of the three-step theory.
Proximal correlates of suicidal ideation among transgender and gender diverse people: A preliminary test of the three-step theory.
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DOI：
10.1111/sltb.12790
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发表时间：
2021-12
影响因子：
3.2
通讯作者：
Stuart, Gregory L.
中科院分区：
文献类型：
--
作者：
Wolford-Clevenger, Caitlin;Flores, Leticia Y.;Stuart, Gregory L.
跨性别者和性别多元化者比他们的顺性别同龄人有更高的自杀意念；然而，对这一人群中与自杀意念直接相关的因素知之甚少。这种有限的理解可能是由于缺乏理论指导的研究，这些研究能够测试跨性别和性别多样化人群中自杀意念的近端相关性。我们对三步自杀理论的前两步进行了测试，使用了来自38名跨性别者和不同性别者30天的日常调查数据。每日共收集问卷836份，合规率为73.3%。多层次建模支持三步理论的第一步和第二步。心理疼痛和绝望相互作用，预测当天的自杀意念，心理疼痛与意念呈正相关，只有在平均和高度绝望的情况下。此外，在那些极度绝望和心理痛苦的人群中，心理痛苦与自杀意念的关联程度超过了连通性。自杀的三步理论显示了解释和指导干预措施的希望，以减少这一弱势群体的自杀意念。
Transgender and gender diverse people experience higher rates of suicidal ideation than their cisgender peers; however, very little is known about factors that proximally relate to suicidal ideation in this population. This limited understanding may be due to the lack of theory-guided studies that are capable of testing proximal correlates of suicidal ideation among transgender and gender diverse people. We tested the first two steps of the three-step theory of suicide using daily survey data from a sample of 38 transgender and gender diverse people over thirty days. A total of 836 daily surveys were collected (73.3% compliance). Multilevel modeling supported the first and second step of the three-step theory. Psychological pain and hopelessness interacted to predict same-day suicidal ideation, with psychological pain positively associating with ideation only at average and high levels of hopelessness. Furthermore, psychological pain that outweighed connectedness was moderately associated with suicidal ideation among those with high levels of hopelessness and psychological pain. The three-step theory of suicide shows promise for explaining and guiding interventions to reduce suicidal ideation in this vulnerable population.
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