Stephanie L Cull, Paul B Perrin, Eric G Benotsch, B Ethan Coston, Mia E Dini, Kevin W Allison
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The study performed multiple mediation path analyses to identify direct and indirect effects of each aspect of the hypothesized model.</p><p><strong>Results: </strong>Fifty-seven percent of the sample had clinically significant anxiety symptoms and 71% depression symptoms; 47% experienced suicidal ideation in the past month and 93% during their lifetime. Suicide attempt rates were 3% for the past 3 months and 52% lifetime. Within the good-fitting path model, cisgenderist microaggressions had a direct effect on internalized cisgenderism. Disability microaggressions had direct effects on internalized ableism and mental health symptoms. Internalized ableism had direct effects on mental health symptoms and suicidal ideation. Internalized ableism mediated the relationship between disability microaggressions and mental health symptoms, mental health symptoms mediated the relationship between internalized ableism and suicidal ideation, and both internalized ableism and mental health symptoms mediated the relationship between disability microaggressions and suicidal ideation.</p><p><strong>Conclusions/implications: </strong>Rehabilitation clinicians working with disabled TGNB individuals should consider the intersections of both systems of oppression (ableism and cisgenderism) and how microaggressions impact internalized oppression, mental health, and suicide. 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This study explored hypothesized pathways leading from microaggressions through internalized oppression and mental health to suicidal ideation in a sample of disabled TGNB individuals.</p><p><strong>Research method/design: </strong>Disabled TGNB individuals (<i>n</i> = 289) completed an online survey assessing the constructs under scrutiny. The study performed multiple mediation path analyses to identify direct and indirect effects of each aspect of the hypothesized model.</p><p><strong>Results: </strong>Fifty-seven percent of the sample had clinically significant anxiety symptoms and 71% depression symptoms; 47% experienced suicidal ideation in the past month and 93% during their lifetime. Suicide attempt rates were 3% for the past 3 months and 52% lifetime. Within the good-fitting path model, cisgenderist microaggressions had a direct effect on internalized cisgenderism. Disability microaggressions had direct effects on internalized ableism and mental health symptoms. 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引用次数: 0
摘要
目的/目的：变性人/非二元性别（TGNB）和残疾人通常会经历导致抑郁、焦虑和自杀的微侵犯；然而，有限的研究探索了残疾人和TGNB身份的交集。本研究以残疾TGNB个体为样本，探讨了从微侵犯、内化压迫和心理健康到自杀意念的假设途径。研究方法/设计：289名TGNB残障人士完成了一份在线调查，评估被审查的构念。本研究进行了多重中介路径分析，以确定假设模型的每个方面的直接和间接影响。结果：57%的受试者有临床显著的焦虑症状，71%的受试者有抑郁症状；47%的人在过去一个月有过自杀念头，93%的人一生中有过自杀念头。过去3个月的自杀未遂率为3%，终生自杀率为52%。在良好拟合路径模型中，顺性别主义微侵犯对内化顺性别主义有直接影响。残疾微侵犯对内化残疾和心理健康症状有直接影响。内化残疾对心理健康症状和自杀意念有直接影响。内化残疾主义在残疾微侵犯与心理健康症状之间起中介作用，心理健康症状在内化残疾主义与自杀意念之间起中介作用，内化残疾主义和心理健康症状在残疾微侵犯与自杀意念之间起中介作用。结论/启示：治疗残疾TGNB个体的康复临床医生应该考虑两种压迫系统（残疾歧视和顺性别歧视）的交叉点，以及微侵犯如何影响内化压迫、心理健康和自杀。（PsycInfo Database Record (c) 2025 APA，版权所有）。
Microaggressions, internalized oppression, mental health, and suicidality in disabled transgender and gender nonbinary individuals.
Purpose/objective: Transgender/gender nonbinary (TGNB) and disabled individuals commonly experience microaggressions that can lead to depression, anxiety, and suicidality; yet, limited research has explored the intersections of disabled and TGNB identities. This study explored hypothesized pathways leading from microaggressions through internalized oppression and mental health to suicidal ideation in a sample of disabled TGNB individuals.
Research method/design: Disabled TGNB individuals (n = 289) completed an online survey assessing the constructs under scrutiny. The study performed multiple mediation path analyses to identify direct and indirect effects of each aspect of the hypothesized model.
Results: Fifty-seven percent of the sample had clinically significant anxiety symptoms and 71% depression symptoms; 47% experienced suicidal ideation in the past month and 93% during their lifetime. Suicide attempt rates were 3% for the past 3 months and 52% lifetime. Within the good-fitting path model, cisgenderist microaggressions had a direct effect on internalized cisgenderism. Disability microaggressions had direct effects on internalized ableism and mental health symptoms. Internalized ableism had direct effects on mental health symptoms and suicidal ideation. Internalized ableism mediated the relationship between disability microaggressions and mental health symptoms, mental health symptoms mediated the relationship between internalized ableism and suicidal ideation, and both internalized ableism and mental health symptoms mediated the relationship between disability microaggressions and suicidal ideation.
Conclusions/implications: Rehabilitation clinicians working with disabled TGNB individuals should consider the intersections of both systems of oppression (ableism and cisgenderism) and how microaggressions impact internalized oppression, mental health, and suicide. (PsycInfo Database Record (c) 2025 APA, all rights reserved).
期刊介绍：
Rehabilitation Psychology is a quarterly peer-reviewed journal that publishes articles in furtherance of the mission of Division 22 (Rehabilitation Psychology) of the American Psychological Association and to advance the science and practice of rehabilitation psychology. Rehabilitation psychologists consider the entire network of biological, psychological, social, environmental, and political factors that affect the functioning of persons with disabilities or chronic illness. Given the breadth of rehabilitation psychology, the journal"s scope is broadly defined.
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