Depression and thoughts of self-harm or suicide among gender and sexually diverse people in a regional Australian community

IF 1.4 4区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Health Promotion Journal of Australia Pub Date : 2024-04-02 DOI:10.1002/hpja.855

Tania M. Phillips, Gavin Austin, Tait Sanders, Margaret Martin, Jacqueline Hudson, Alexandra Fort, Tarra Excell, Amy B. Mullens, Annette Brömdal

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引用次数: 0

Abstract

Issues Addressed

There is a paucity of data regarding depression and thoughts of self-harm or suicide among gender and sexually diverse (GSD) people living within Australian regional/rural locations. This study aims to elucidate these issues and fill a critical gap.

Methods

The sample included 91 GSD people from a regional community in South-West Queensland utilising the PHQ-9 to determine presence/severity of depression and self-harm/suicide ideation. These data were drawn from a larger health and wellbeing survey. Raw mean scores were calculated to determine prevalence/severity of clinical symptoms. Bayesian ordinal regression models were employed to analyse between-subgroup differences in depression and self-harm/suicide ideation.

Results

Overall, 80.2% of GSD sample experienced depression (35.2% severe, 45.1% mild/moderate) and 41.8% experienced self-harm/suicide ideation in the past two-weeks. Trans and nonbinary people experienced higher levels of depressions than sexually diverse cisgender people. Pansexual and bisexual people experienced higher levels of depression than gay people. Trans people experienced higher prevalence of self-harm/suicide ideation than cisgender and nonbinary people, with no differences between sexuality subgroups.

Conclusions

These findings contribute to deeper and more nuanced insights regarding clinically salient depressive and self-harm/suicide ideation symptoms among trans, nonbinary, bisexual, pansexual and queer people in regional Australian communities, with the aim to ultimately reduce mental health prevalence, improve mental health outcomes and health promotion among GSD people.

So What?

The current findings revealed GSD people experience high prevalence of depression and self-harm/suicide ideation indicating tailored mental health awareness-raising, training and health promotion is warranted to enhance psychological support.

Abstract Image

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澳大利亚一个地区社区中不同性别和性取向人群的抑郁和自残或自杀念头

解决的问题有关生活在澳大利亚地区/农村地区的性别和性取向多样化（GSD）人群的抑郁和自残或自杀想法的数据很少。本研究旨在阐明这些问题并填补这一重要空白。方法样本包括来自昆士兰州西南部地区社区的 91 名 GSD 人，他们使用 PHQ-9 来确定抑郁和自残/自杀想法的存在/严重程度。这些数据来自于一项更大规模的健康和福利调查。通过计算原始平均分来确定临床症状的流行率/严重程度。结果总体而言，80.2%的 GSD 样本在过去两周内有抑郁经历（35.2%为严重抑郁，45.1%为轻度/中度抑郁），41.8%有自残/自杀倾向。变性人和非二元人的抑郁程度高于性取向不同的双性恋者。泛性人和双性恋者的抑郁程度高于同性恋者。这些发现有助于更深入、更细致地了解澳大利亚地区社区中变性人、非二元人、双性恋者、泛性人和同性恋者中临床上突出的抑郁和自残/自杀意念症状，旨在最终降低 GSD 患者的心理健康患病率、改善心理健康结果并促进其健康。目前的研究结果显示，变性人和双性恋者抑郁和自残/自杀倾向的发生率很高，这表明有必要开展有针对性的心理健康宣传、培训和健康促进活动，以加强心理支持。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Health Promotion Journal of Australia PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

3.10

自引率

10.50%

发文量

115

期刊介绍： The purpose of the Health Promotion Journal of Australia is to facilitate communication between researchers, practitioners, and policymakers involved in health promotion activities. Preference for publication is given to practical examples of policies, theories, strategies and programs which utilise educational, organisational, economic and/or environmental approaches to health promotion. The journal also publishes brief reports discussing programs, professional viewpoints, and guidelines for practice or evaluation methodology. The journal features articles, brief reports, editorials, perspectives, "of interest", viewpoints, book reviews and letters.