Suicide Risk Among Transgender People: A Prevalent Problem in Critical Need of Empirical and Theoretical Research

Wolford‐Clevenger, Caitlin; Cannon, Christopher J; Flores, Leticia Y.; Smith, Phillip N.; Stuart, Gregory L.

doi:10.1089/vio.2017.0006

Cited by 20 publications

(13 citation statements)

References 20 publications

(43 reference statements)

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“…Most of the literature in the field of sexual minority mental health is based on cross-sectional study designs. Longitudinal cohort studies and randomized controlled trials are needed to assess the time-order of risk factors in hypothesized mechanisms explaining poor mental health among sexual minorities, in order to further strengthen putative causal inference for associations between risk factors and mental health outcomes (Blais et al, 2015;Collier et al, 2013;Fredriksen-Goldsen et al, 2014;Goldbach et al, 2015;Goldbach et al, 2014;Haas et al, 2011;King et al, 2008;Lyons, 2015;Pompili et al, 2014;Schneeberger et al, 2014;Semlyen et al, 2016;Wolford-Clevenger et al, 2017).…”

Section: Outness -mentioning

confidence: 99%

Sexual orientation openness and depression symptoms: A population-based study.

Star¹,

Pachankis²,

Bränström³

2019

Psychology of Sexual Orientation and Gender Diversity

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Background: Compared to heterosexual individuals, sexual minorities (e.g., those identifying as gay, lesbian, or bisexual) are at higher risk of several mental health problems, including suicidality, substance abuse, depression, and anxiety. Research has attributed much of these elevated risks to unique and chronic stress experiences, so-called minority stress, relating to the stigma and prejudice that many sexual minorities face. Less is known about how sexual minority stigma may function as a multilevel socio-ecological system that includes stigma-related risk factors at various levels, such as the structural (e.g., negative population attitudes and discriminatory laws and policies), interpersonal (e.g., victimization and harassment), and individual level (e.g., internalization of negative societal attitudes and concealment of sexual identity), to drive poor mental health among sexual minorities. Such a socio-ecological system of sexual minority stigma may feature unique characteristics and components, including 1) a chronosystem in which stigma-related factors may vary and exert effects across time, space, and the life course, 2) cross-level effects in which stigma-related factors at one level may give rise to stigma at another level, and 3) mechanisms that explain how stigma-related factors may compromise sexual minorities' mental health. Purpose and aims:The purpose of this Doctor of Philosophy (Ph.D.) thesis was to contribute to the advancement of sexual minorities' mental health equity by furthering the scientific knowledge on the mechanisms underlying sexual orientation-based disparities in mental health. The Ph.D. thesis aimed to do so by 1) advancing theoretical thinking through combing the existing frameworks of minority stress and psychological mediation with socioecological theory, 2) examining mental health disparities by sexual orientation, and 3) testing different elements of a proposed socio-ecology of sexual minority stigma framework.Methods: Cross-sectional individual-level data were used from surveys sent out to sexual minorities living in Sweden, across Europe, and/or with migration backgrounds. The first two of the presented studies used probability-based sampling techniques to identify representative population-based samples, while the other two studies used convenience samples of sexual minorities who lived in, or have moved from, various countries, diverse in structural climates. Data for the latter two studies were combined with objective indicators of structural forms of stigma present in these countries. In all studies, mediation and/or moderation analyses were employed to examine the explanatory or buffering, respectively, mechanisms underlying the associations between stigma-related factors and sexual minority mental health or wellbeing.

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Section: Outness -mentioning

confidence: 99%

Sexual orientation openness and depression symptoms: A population-based study.

Star¹,

Pachankis²,

Bränström³

2019

Psychology of Sexual Orientation and Gender Diversity

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“…It is possible that constructs could mutually influence one another over time. Future research could use longitudinal models to help uncover the complexity and nuance in the trajectory of transgender people’s mental health (see Wolford-Clevenger et al, 2017).…”

Section: Discussionmentioning

confidence: 99%

Mental Health Contributors Among Transgender People in a Non-WEIRD Society: Evidence From China

Spielmann

Feng

Briley

et al. 2021

Social Psychological and Personality Science

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Transgender people face numerous social hurdles and consequently report elevated rates of mental health problems. However, little research has examined whether established mental health findings generalize to experiences of transgender people outside of Western contexts. In an analysis of the 2017 Chinese Transgender Population General Survey ( N = 1,106), we examined how discrimination and environmental support in a school context related to mental health and self-harm among transgender people. We found that more frequent school discrimination was associated with worse mental health and increased self-harm. Further, perceived environmental support was associated with better mental health but was unrelated to self-harm. These relations did not differ based on whether people were “out” about being transgender at school or between men and women. These findings highlight nuance in the experiences of transgender people outside of Western contexts and hold implications for developing effective social interventions.

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“…Trans bireylerde sigara kullanımı, alkol ve madde bağımlılığı, depresyon, anksiyete, stres, intihar riski, cinsel şiddete uğrama, sözel şiddete maruz kalma ve destek kaynakları bulamama, mutsuz olma, trav-maya maruziyet, işsizlik ve evsiz kalma, yalnızlık ve aile tarafından reddedilme gibi birçok sorun görülebilmektedir. [45][46][47][48][49][50][51][52][53][54] Transseksüel bireyler sıklıkla çocukluklarından itibaren cinsiyetlerini belirleyen özelliklerinden rahatsızlık duymakta ve bu rahatsızlık, ergenlikte ikincil seks karakterlerinin oluşmaya başlaması ile artmaktadır. 55 Çoğunlukla bu bireyler bu dönemde bedenlerini değiştirmeye yönelik büyük bir istek duymakta ve değişim için sağlık hizmetlerine talepte bulunabilmektedirler.…”

Section: Trans Bi̇reyleri̇n Sağliğiunclassified

The Health of Trans Individuals and the Role of Nurse

Soner¹,

Altay²

2019

Turkiye Klinikleri J Nurs Sci

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rans" veya "transgender", cinsiyet kimliği ya da ifadesi toplumdaki erkeklik veya kadınlığın geleneksel beklentilerinden farklılık oluşturan kişiler için kullanılan kapsayıcı bir kavramdır. Trans kavramı içine karşıt giysicilik (karşı cinsin kıyafetlerini giymekten hoşlanan kimse), Turkiye Klinikleri J Nurs Sci. 2019;11(3):331-8 331 Trans Bireylerin Sağlığı ve Hemşirenin Rolü Ö ÖZ ZE ET T Biyolojik cinsiyeti hissettiği cinsiyetinden farklı olan kişileri tanımlamak için "trans" kavramı kullanılmaktadır. Trans bireyler, çocuk yaşlardan itibaren cinsiyetlerine yönelik bir huzursuzluk yaşarlar ve bu durumu çeşitli şekillerde gösterirler. Çoğu trans birey, ergenlik dönemiyle birlikte bedenlerinde gözle görülür değişimler yaşayarak trans kimliğini doğrudan yansıtır. Bu durum, toplumda bir norm olarak kabul edilen erkek ve kadın kalıplarına uymadığı için bu bireyler, sosyal yaşamlarında çeşitli sorun ve ayrımcılık (etiketlenme, sözlü ve fiziksel saldırıya maruz kalma, toplumdan dışlanma ve iş bulmakta zorluk çekme vb.) ile karşı karşıya kalırlar. Trans bireylere yönelik bu olumsuz tutum "transfobi" olarak adlandırılmaktadır. Transfobi sadece toplumda görülmekle kalmayıp kurumlarda da bulunabilmektedir. Hukuk, eğitim, ordu ve sağlık gibi kurumlarda var olan transfobi, trans bireyler için birçok ayrımcılığı doğurmaktadır. Özellikle sağlık alanında var olan transfobik tutumlar, bu kişileri sağlık hizmetlerine erişimden mahrum bırakabilmektedir. Bu olumsuz tutumlardan dolayı bireyler çoğu zaman sağlık haklarını kullanmaktan kaçınmaktadırlar. Bazı trans bireyler, cinsiyet hoşnutsuzluklarına, cinsiyet değişim ameliyatı ile son vermek isterler. Cinsiyet geçiş süreci de trans bireylerde büyük bir yük oluşturur. Cinsiyet geçiş süreci, içinde psikoterapi, hormon desteği ve cerrahi girişimi bulunduran ve birçok disiplinin birlikte çalışmasını gerektiren zor bir dönemdir. Hemşirelik literatüründe bu bireylerin sorunlarına, sağlıklarının korunup geliştirilmesine ve cinsiyet geçiş sürecinin bu bireylerdeki yüklerine değinen çok az çalışma mevcuttur. Bu çalışmada, hemşirelerin trans bireyler hakkında farkındalık sahibi olmalarının, onların sorunlarını bilmelerinin önemini vurgulamak ve bu sorunlara yönelik hemşirelik müdahalelerini açıklamak amaçlanmıştır.A An na ah h t ta ar r K Ke e l li i m me e l le er r: : Hemşirelik bakımı; sağlık; transseksüalizm A AB BS S T TR RA AC CT T The term "transgender" is used to identify those who have a difference between their gender and their gender. Transgender individuals experience a state of discomfort towards their gender from a child's age and display this situation in a variety of ways. Most transgender individuals reflect the trans identity directly with their adolescence, with significant changes in their bodies. Since these conditions do not conform to the male and female patterns accepted as a norm in society, these individuals face various problems and discrimination in their social lives. These include labeling, exposure to verbal and physical assaults, exclusion from society and diffi...

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Suicide Risk Among Transgender People: A Prevalent Problem in Critical Need of Empirical and Theoretical Research

Cited by 20 publications

References 20 publications

Sexual orientation openness and depression symptoms: A population-based study.

Sexual orientation openness and depression symptoms: A population-based study.

Mental Health Contributors Among Transgender People in a Non-WEIRD Society: Evidence From China

The Health of Trans Individuals and the Role of Nurse

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