A daily diary study of intrusive PTSD symptoms and suicidal ideation among transgender and gender diverse adults.
A daily diary study of intrusive PTSD symptoms and suicidal ideation among transgender and gender diverse adults.
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DOI：
10.1037/tra0001103
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发表时间：
2021-10
期刊：
影响因子：
--
通讯作者：
Wolford-Clevenger C
中科院分区：
文献类型：
--
作者：
Wolford-Clevenger C
高创伤暴露率和相关的创伤后应激障碍症状（PTSS）可能部分解释了跨性别和性别多样化（TGD）人群中自杀意念（SI）的增加。本研究探讨了TGD患者中侵入性ptsd是否与SI近端相关。每日日记调查（n = 836项调查，73.3%的依从率）在30天内从美国东南部的38名TGD患者样本中收集（平均年龄：28.63岁，84.2%非西班牙裔白人，不同性别认同）。基线时SI患病率和创伤后应激障碍的可能诊断分别为59.5%和42.1%。在那些符合可能的PTSD标准的患者中，87.5%的人在基线时报告了SI。多水平模型显示，只有抑郁症状与同日SI呈正相关。有趋势显示侵入性ptsd与当日SI呈正相关。前一天的自杀和基线抑郁症状是第二天自杀的唯一相关因素。目前的研究不支持侵入性创伤后应激障碍和创伤之间的近端关联，除了抑郁症状和TGD患者先前的创伤后应激障碍。这些结论是初步的，因为样本小而均匀。在进一步研究之前，临床医生应该评估伴有抑郁和创伤后应激障碍症状的TGD患者的自杀风险。
High rates of trauma exposure and related posttraumatic stress disorder symptoms (PTSS) may partly explain increased suicidal ideation (SI) in transgender and gender diverse (TGD) people. This study examined whether intrusive PTSS are proximally associated with SI among TGD people. Daily diary surveys (n = 836 surveys; 73.3% compliance rate) were collected over thirty days from a sample of 38 TGD people in the Southeastern United States (Mean age: 28.63 years; 84.2% non-Hispanic White; varying gender identities). The prevalence of SI and probable diagnosis of posttraumatic stress disorder at baseline was 59.5% and 42.1%, respectively. Of those who met criteria for probable PTSD, 87.5% reported SI at baseline. Multilevel modeling revealed that only depressive symptoms were positively associated with same-day SI. A trend showed a positive association between intrusive PTSS and same-day SI. Prior-day SI and baseline depressive symptoms were the sole correlates of next-day SI. The present study does not support a proximal association between intrusive PTSS and SI beyond depressive symptoms and prior SI among TGD people. These conclusions are preliminary given the small and homogenous sample. Pending additional research, clinicians should assess suicide risk of TGD people with depressive and PTSD symptoms.
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2.5
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