Latent Profiles of Perceived Social Support and Their Impact on Suicidal Behavior in Chinese Gender Minorities: A Mediated Model.

IF 1.7 4区医学 Q2 NURSING

Issues in Mental Health Nursing Pub Date : 2025-05-01 Epub Date: 2025-03-06 DOI:10.1080/01612840.2025.2468452

Genglin Guo, Chengjin Hu, Xintian Liu, Qilin Zhang, Xi Huang, Zhenmin Chen, Zhaoyang Xie, Xinyu Li

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引用次数: 0

Abstract

Background: Gender minority face significant health challenges, with social support playing a crucial role in mitigating these issues. However, the impact of various social support profiles on suicidal behavior among gender minorities in China, a country with an Eastern collectivist culture, remains underexplored.

Objective: This study aimed to examine how social support profiles affect suicidal behavior in Chinese gender minority, with a focus on the mediating roles of appearance congruence and gender identity acceptance.

Methods: This study involved 419 Chinese gender minority, recruited in December 2020. Latent profile analysis was conducted with Mplus (version 8.3) to classify different social support profiles. Additionally, mediation analyses using the PROCESS macro (version 3.5) were performed to explore the relationship between these social support profiles and suicidal behavior. The mediating roles of appearance congruence and acceptance of gender identity were examined within these pathways.

Results: Four social support profiles were identified: Low Social Support (LSS; 22.2%), Middle Social Support (MSS; 31.0%), Low Family Support (LFS; 20.5%), and High Social Support (HSS; 26.3%). The LSS profile exhibited the highest rates of suicidal behavior, while the LFS and MSS profiles showed no significant differences in suicide rates (p = 0.77, 95% CI [-0.86, 1.16]). Additionally, appearance congruence mediated the relationship between social support and suicidal behavior for MSS, LFS, and LSS profiles, with indirect effects of 0.12, 0.06, and 0.14, respectively. Only the LSS profile showed an indirect effect on suicidal behavior through gender identity acceptance, with an effect size of 0.06.

Discussion: Our study examines how collectivist cultural norms, particularly Confucian family ideals, influence social support and mental health outcomes among Chinese gender minorities. By applying Latent Profile Analysis (LPA), we identify distinct social support profiles and emphasize the crucial role of family support in mitigating suicidal behavior. These findings provide a foundation for culturally sensitive interventions tailored to the needs of Chinese gender minorities, offering insights.

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中国性别少数群体感知社会支持的潜在特征及其对自杀行为的影响：一个中介模型。

背景：性别少数群体面临重大的健康挑战，社会支持在缓解这些问题方面发挥着至关重要的作用。然而，在中国这样一个具有东方集体主义文化的国家，各种社会支持对性别少数群体自杀行为的影响仍未得到充分探讨。目的：本研究旨在探讨社会支持概况对中国少数性别群体自杀行为的影响，并探讨外表一致性和性别认同接受的中介作用。方法：本研究纳入了2020年12月招募的419名中国少数性别人群。使用Mplus（8.3版本）进行潜在特征分析，对不同的社会支持特征进行分类。此外，使用PROCESS宏（3.5版）进行中介分析，探讨这些社会支持档案与自杀行为之间的关系。在这些途径中考察了外表一致性和性别认同接受的中介作用。结果：确定了四种社会支持特征：低社会支持；22.2%)，中等社会支持(MSS；31.0%)、低家庭支持（LFS）；20.5%)，以及高社会支持(HSS；26.3%)。LSS组的自杀率最高，而LFS组和MSS组的自杀率无显著差异（p = 0.77, 95% CI[-0.86, 1.16]）。此外，外表一致性在MSS、LFS和LSS的社会支持与自杀行为的关系中起中介作用，间接效应分别为0.12、0.06和0.14。只有LSS的性别认同接受对自杀行为有间接影响，效应量为0.06。讨论：我们的研究探讨了集体主义文化规范，特别是儒家家庭理想，如何影响中国性别少数群体的社会支持和心理健康结果。通过应用潜在特征分析（LPA），我们识别出不同的社会支持特征，并强调家庭支持在减轻自杀行为中的关键作用。这些发现为针对中国性别少数群体的需求进行文化敏感干预提供了基础，并提供了见解。

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

Issues in Mental Health Nursing NURSINGPSYCHIATRY-PSYCHIATRY

CiteScore

3.30

自引率

4.80%

发文量

111

期刊介绍： Issues in Mental Health Nursing is a refereed journal designed to expand psychiatric and mental health nursing knowledge. It deals with new, innovative approaches to client care, in-depth analysis of current issues, and empirical research. Because clinical research is the primary vehicle for the development of nursing science, the journal presents data-based articles on nursing care provision to clients of all ages in a variety of community and institutional settings. Additionally, the journal publishes theoretical papers and manuscripts addressing mental health promotion, public policy concerns, and educational preparation of mental health nurses. International contributions are welcomed.