Mental health of transgender people and the role of microaggressions in depression. anxiety, and suicidality

在男女同性恋和双性恋（LGB）人群中，对精神痛苦的患病率和决定因素进行了广泛的研究，然而，对于变性人和性别多样化的人（TGD）来说，情况并非如此。LGB研究通常包括跨性别者，然而TGD人面临着不同品牌的压迫和耻辱，这些压迫和耻辱来自社会对性和性别的混淆，这假定一个人的性别与他们的性别和性别表达一致1。许多TGD患者报告有自杀倾向，在英国，自杀意念的终生患病率为84%，自杀企图的终生患病率为48%。目前的证据有力地表明，歧视和耻辱的经历在自杀倾向中起着很大的作用3，但很少有人知道耻辱和歧视如何影响TGD人的日常情绪波动。

Addressing the research gapPrevalence and determinants of mental distress have been extensively researched in Lesbian, Gay, and Bisexual (LGB) people, however, this is not the case for transgender and gender diverse people (TGD). LGB research has often included transgender people, however TGD people face a different brand of oppression and stigma that arises from societies conflation of sex and gender, which presumes a person's sex is in alignment with their gender and gender expression1. Many TGD people report suicidality, with lifetime prevalence of suicidal ideation at 84%, and attempt at 48% in the UK2. The current evidence strongly indicates that the experiences of discrimination and stigma play a large role in the suicide disparity3, however little is known about how stigma and discrimination affect daily fluctuations in mood of TGD people.