Suicidal Ideation Among Transgender and Gender Expansive Youth: Mechanisms of Risk.

Autor:	Garthe RC; School of Social Work, University of Illinois at Urbana-Champaign (UIUC), Urbana, Illinois, USA., Blackburn AM; Department of Psychology, University of Illinois at Urbana-Champaign (UIUC), Urbana, Illinois, USA., Kaur A; Illinois Biostatistics, Epidemiology, and Research Design Core, Interdisciplinary Health Sciences Institute, University of Illinois at Urbana-Champaign (UIUC), Urbana, Illinois, USA., Sarol JN Jr; Illinois Biostatistics, Epidemiology, and Research Design Core, Interdisciplinary Health Sciences Institute, University of Illinois at Urbana-Champaign (UIUC), Urbana, Illinois, USA., Goffnett J; School of Social Work, University of Arkansas at Fayetteville, Fayetteville, Arkansas, USA., Rieger A; Department of Psychology, University of Illinois at Urbana-Champaign (UIUC), Urbana, Illinois, USA., Reinhart C; Center for Prevention Research and Development, University of Illinois at Urbana-Champaign (UIUC), Urbana, Illinois, USA., Smith DC; School of Social Work, University of Illinois at Urbana-Champaign (UIUC), Urbana, Illinois, USA.; Center for Prevention Research and Development, University of Illinois at Urbana-Champaign (UIUC), Urbana, Illinois, USA.
Jazyk:	angličtina
Zdroj:	Transgender health [Transgend Health] 2022 Oct 07; Vol. 7 (5), pp. 416-422. Date of Electronic Publication: 2022 Oct 07 (Print Publication: 2022).
DOI:	10.1089/trgh.2021.0055
Abstrakt:	Purpose: Suicide is a leading public health concern among transgender and gender expansive adolescents, although little research has examined mechanisms through which gender identity is associated with suicidal ideation. This study examined the indirect effects of peer victimization, dating violence, substance use (SU), SU problems, and depressive symptoms in the relationship between gender identity and suicidal ideation. Methods: Secondary data analysis was conducted from a 2018 statewide survey, including 4464 adolescents who identified as male, female, transgender, or gender expansive ( n =1116 per gender). The sample was frequency matched on grade, race, geographic region, and free/reduced lunch status. Mediation analyses were performed. Results: Reports of suicidal ideation were highest among transgender (49.29%) and gender expansive (41.31%) adolescents compared with male (10.82%) and female adolescents (19.08%). Using the Karlson, Holm, and Breen approach, 50.45% of the effect of being transgender on suicidal ideation was mediated through peer victimization, dating violence, and depressive symptoms, and 39.29% through SU, SU problems, and depressive symptoms. The mediation through the same pathways for being gender expansive was 46.37% and 39.89%, respectively. Across both models, depressive symptoms predominately accounted for the mediating effect. Conclusion: Transgender and gender expansive youth are at alarming risk for suicidal ideation, which illustrates the critical need for suicide prevention within this population. Programs that promote mental health and work to prevent bullying, dating violence, SU, and SU problems are crucial; although longitudinal research is needed, targeting these mechanisms may play a critical role in reducing suicidal ideation and risk. Competing Interests: No competing financial interests exist. (Copyright 2022, Mary Ann Liebert, Inc., publishers.)
Databáze:	MEDLINE
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