Family Rejection as a Predictor of Suicide Attempts and Substance Misuse Among Transgender and Gender Nonconforming Adults

Autor: Sarit A. Golub, Augustus Klein
Rok vydání: 2016
Předmět:
Adult
Male
050103 clinical psychology
Adolescent
Substance-Related Disorders
Urology
Poison control
Suicide
Attempted

Dermatology
Logistic regression
Computer security
computer.software_genre
Suicide prevention
Transgender Persons
Occupational safety and health
Odds
03 medical and health sciences
Young Adult
Discrimination
Psychological

Surveys and Questionnaires
Transgender
Injury prevention
Odds Ratio
Medicine
Humans
0501 psychology and cognitive sciences
Family
Aged
Aged
80 and over

Internet
030505 public health
Suicide attempt
business.industry
05 social sciences
Public Health
Environmental and Occupational Health

Obstetrics and Gynecology
Middle Aged
Psychiatry and Mental health
Logistic Models
Socioeconomic Factors
Female
Rejection
Psychology

0305 other medical science
business
computer
Demography
Zdroj: LGBT health. 3(3)
ISSN: 2325-8306
Popis: We examined associations between family rejection and risk of suicide attempts and substance misuse among a national sample of transgender and gender nonconforming adults.Data were drawn from the National Transgender Discrimination Survey (N = 6456). This secondary analysis was restricted to 3458 individuals who self-identified as transgender or gender nonconforming and provided complete data on study variables. We used multivariable logistic regression to examine health risks by level of reported family rejection (low/moderate/high), controlling for relevant sociodemographic characteristics.Overall, 42.3% of the sample reported a suicide attempt and 26.3% reported misusing drugs or alcohol to cope with transgender-related discrimination. After controlling for age, race/ethnicity, sex assigned at birth, binary gender identity, income, education, and employment status, family rejection was associated with increased odds of both behaviors. Odds increased significantly with increasing levels of family rejection.Family rejection related to gender identity is an understudied interpersonal stressor that may negatively affect health outcomes for transgender and gender nonconforming individuals. A better understanding of the role of close relationships in both risk and resilience for transgender individuals is critical in the development of effective public health interventions for this community.
Databáze: OpenAIRE