Heightened vigilance and its associations with suicidal ideation and suicide attempt among 285 Korean transgender and nonbinary adults: Effect modification by connectedness to the LGBTQ+ community.

IF 2.7 3区医学 Q2 PSYCHIATRY

Suicide and Life-Threatening Behavior Pub Date : 2024-06-18 DOI:10.1111/sltb.13104

Sungsub Choo, Ranyeong Kim, Hyemin Lee, Yun-Jung Eom, Horim Yi, Rockli Kim, David R Williams, Seung-Sup Kim

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引用次数: 0

Abstract

Introduction: Anti-transgender stigma presents threats of discrimination to transgender and nonbinary (TGNB) individuals, prompting them to stay vigilant. Using a longitudinal data of 285 South Korean TGNB adults, we examined vigilance and its associations with suicidal ideation and suicide attempt and explored the protective role of connectedness to the lesbian, gay, bisexual, transgender, and queer (LGBTQ+) community.

Methods: Data were collected in October 2021 (baseline) and October 2022 (follow-up). Vigilance was measured using the 4-item Heightened Vigilance Scale at baseline. At follow-up, 12-month suicidal ideation and suicide attempt, and connectedness to the LGBTQ+ community were measured.

Results: Having heightened levels of vigilance was associated with increased prevalence of suicidal ideation (Prevalence Ratio [PR]: 1.33, 95% Confidence Interval [CI]: 1.09-1.62) and suicide attempt (PR: 2.18, 95% CI: 1.23-3.86), after adjusting for covariates including anti-transgender discrimination experiences and lifetime suicidality at baseline. When stratified by connectedness to the LGBTQ+ community, the associations between vigilance and suicidality remained statistically significant among those with low connectedness whereas no statistically significant association was observed among those with high connectedness.

Conclusion: The study provides empirical evidence for policies and interventions that ensure safety of TGNB individuals from discrimination and promote connectedness to the LGBTQ+ community to reduce the suicide risk among TGNB individuals.

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提高警惕及其与 285 名韩国变性和非二元成人的自杀意念和自杀企图之间的关联：通过与 LGBTQ+ 社区的联系来调节效果。

导言：反变性污名给变性人和非二元人（TGNB）带来了歧视威胁，促使他们保持警惕。通过对285名韩国成年变性人和非二元人的纵向数据进行分析，我们研究了警惕性及其与自杀意念和自杀企图之间的关系，并探讨了与女同性恋、男同性恋、双性恋、跨性别者和同性恋者（LGBTQ+）群体的联系对自杀的保护作用：数据收集于 2021 年 10 月（基线）和 2022 年 10 月（随访）。在基线阶段，使用 4 项加强警觉量表测量警觉性。在随访中，对12个月的自杀意念和自杀企图以及与LGBTQ+群体的联系进行了测量：结果：在调整了包括反变性歧视经历和基线时的终生自杀倾向在内的协变量后，警觉水平的提高与自杀倾向（患病率比[PR]：1.33，95% 置信区间[CI]：1.09-1.62）和自杀未遂（患病率比[PR]：2.18，95% 置信区间[CI]：1.23-3.86）的增加有关。根据与 LGBTQ+ 社区的联系程度进行分层后，在联系程度低的人群中，警惕性与自杀倾向之间的联系仍具有统计学意义，而在联系程度高的人群中，则未观察到具有统计学意义的联系：这项研究为制定政策和干预措施提供了经验证据，这些政策和干预措施可确保 TGNB 群体免受歧视，并促进他们与 LGBTQ+ 群体的联系，从而降低 TGNB 群体的自杀风险。

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来源期刊

Suicide and Life-Threatening Behavior Medicine-Public Health, Environmental and Occupational Health

CiteScore

5.40

自引率

3.10%

发文量

期刊介绍： An excellent resource for researchers as well as students, Social Cognition features reports on empirical research, self-perception, self-concept, social neuroscience, person-memory integration, social schemata, the development of social cognition, and the role of affect in memory and perception. Three broad concerns define the scope of the journal: - The processes underlying the perception, memory, and judgment of social stimuli - The effects of social, cultural, and affective factors on the processing of information - The behavioral and interpersonal consequences of cognitive processes.