Attempted Suicide Among Transgender Persons

Abstract To determine the independent predictors of attempted suicide among transgender persons we interviewed 392 male-to-female (MTF) and 123 female-to-male (FTM) individuals. Participants were recruited through targeted sampling, respondent-driven sampling, and agency referrals in San Francisco. The prevalence of attempted suicide was 32% (95% CI = 28% to 36%). In multivariate logistic regression analysis younger age (<25 years), depression, a history of substance abuse treatment, a history of forced sex, gender-based discrimination, and gender-based victimization were independently associated with attempted suicide. Suicide prevention interventions for transgender persons are urgently needed, particularly for young people. Medical, mental health, and social service providers should address depression, substance abuse, and forced sex in an attempt to reduce suicidal behaviors among transgender persons. In addition, increasing societal acceptance of the transgender community and decreasing gender-based prejudice may help prevent suicide in this highly stigmatized population.

[1]  Heidi S. Kulkin Msw,et al.  Suicide Among Gay and Lesbian Adolescents and Young Adults , 2008 .

[2]  J. Rolland,et al.  Dimensionality of the Rosenberg Self-Esteem Scale and Its Relationships With the Three-and the Five-Factor Personality Models , 2007, Journal of personality assessment.

[3]  Rodney X. Sturdivant,et al.  Applied Logistic Regression: Hosmer/Applied Logistic Regression , 2005 .

[4]  R. Mathy.  Transgender Identity and Suicidality in a Nonclinical Sample , 2003 .

[5]  G. Remafedi.  Suicidality in a venue-based sample of young men who have sex with men. , 2002, The Journal of adolescent health : official publication of the Society for Adolescent Medicine.

[6]  J. Rogers,et al.  Lesbian, gay, and bisexual suicidal behavior: testing a constructivist model. , 2002, Suicide & life-threatening behavior.

[7]  J. Moskowitz,et al.  Suicide attempts among gay and bisexual men: lifetime prevalence and antecedents. , 2002, American journal of public health.

[8]  S. Zierler,et al.  Original Research: Enactment of Gay Rights Laws in U.S. States and Trends in Adolescent Suicide: An Investigation of Non-Hispanic White Boys , 2002 .

[9]  R. Savin-Williams,et al.  Suicide attempts among sexual-minority youths: population and measurement issues. , 2001, Journal of consulting and clinical psychology.

[10]  S. Cochran,et al.  Mental health correlates of perceived discrimination among lesbian, gay, and bisexual adults in the United States. , 2001, American journal of public health.

[11]  S. Hershberger,et al.  Suicidality patterns and sexual orientation-related factors among lesbian, gay, and bisexual youths. , 2001, Suicide & life-threatening behavior.

[12]  M. Katz,et al.  HIV prevalence, risk behaviors, health care use, and mental health status of transgender persons: implications for public health intervention. , 2001, American journal of public health.

[13]  J. Henne,et al.  The impact of homophobia, poverty, and racism on the mental health of gay and bisexual Latino men: findings from 3 US cities. , 2001, American journal of public health.

[14]  J. S. McDaniel,et al.  The relationship between sexual orientation and risk for suicide: research findings and future directions for research and prevention. , 2001, Suicide & life-threatening behavior.

[15]  H. Kulkin,et al.  Suicide Among Gay and Lesbian Adolescents and Young Adults , 2000, Journal of homosexuality.

[16]  S. Cochran,et al.  Lifetime prevalence of suicide symptoms and affective disorders among men reporting same-sex sexual partners: results from NHANES III. , 2000, American journal of public health.

[17]  G. Herek,et al.  Psychological sequelae of hate-crime victimization among lesbian, gay, and bisexual adults. , 1999, Journal of consulting and clinical psychology.

[18]  M. Tsuang,et al.  Sexual orientation and suicidality: a co-twin control study in adult men. , 1999, Archives of general psychiatry.

[19]  E. Goodman,et al.  Sexual orientation and risk of suicide attempts among a representative sample of youth. , 1999, Archives of pediatrics & adolescent medicine.

[20]  S. Hershberger,et al.  Lesbian, gay, and bisexual youth and their families: disclosure of sexual orientation and its consequences. , 1998, The American journal of orthopsychiatry.

[21]  A. D’augelli,et al.  Antecedents and Consequences of Victimization of Lesbian, Gay, and Bisexual Young People: A Structural Model Comparing Rural University and Urban Samples , 1998, American journal of community psychology.

[22]  K. Cranston,et al.  Correlates of same-sex sexual behavior in a random sample of Massachusetts high school students. , 1998, American journal of public health.

[23]  S. Hershberger,et al.  Predictors of Suicide Attempts Among Gay, Lesbian, and Bisexual Youth , 1997 .

[24]  Douglas D. Heckathorn,et al.  Respondent-driven sampling : A new approach to the study of hidden populations , 1997 .

[25]  G. Herek,et al.  Hate Crime Victimization Among Lesbian, Gay, and Bisexual Adults , 1997 .

[26]  S. Menard.  Applied Logistic Regression Analysis , 1996 .

[27]  P W O'Carroll,et al.  Beyond the Tower of Babel: a nomenclature for suicidology. , 1996, Suicide & life-threatening behavior.

[28]  Z. Rihmer.  Strategies of suicide prevention: focus on health care. , 1996, Journal of affective disorders.

[29]  E. Mościcki,et al.  Introduction to supplemental issue: research issues in suicide and sexual orientation. , 1995, Suicide & life-threatening behavior.

[30]  C. Mulrow,et al.  Case-Finding Instruments for Depression in Primary Care Settings , 1995, Annals of Internal Medicine.

[31]  I. Meyer.  Minority stress and mental health in gay men. , 1995, Journal of health and social behavior.

[32]  E. Mościcki.  Epidemiology of suicidal behavior. , 1995, Suicide & life-threatening behavior.

[33]  C. Proctor,et al.  Risk factors for suicide among gay, lesbian, and bisexual youths. , 1994, Social work.

[34]  R. Savin-Williams,et al.  Verbal and physical abuse as stressors in the lives of lesbian, gay male, and bisexual youths: associations with school problems, running away, substance abuse, prostitution, and suicide. , 1994, Journal of consulting and clinical psychology.

[35]  R. Mckeown,et al.  Aggression, substance use, and suicidal behaviors in high school students. , 1993, American journal of public health.

[36]  A. D’augelli,et al.  Lesbian and Gay Male Undergraduates' Experiences of Harassment and Fear on Campus , 1992 .

[37]  J. Farrow,et al.  Risk factors for attempted suicide in gay and bisexual youth. , 1991, Pediatrics.

[38]  G. Herek,et al.  Documenting the Victimization of Lesbians and Gay Men , 1990 .

[39]  P. Biernacki,et al.  TARGETED SAMPLING: OPTIONS FOR THE STUDY OF HIDDEN POPULATIONS , 1989 .

[40]  A. Roy,et al.  Suicide attempts in the Epidemiologic Catchment Area Study. , 1988, The Yale journal of biology and medicine.

[41]  David H. Demo.  The Measurement of Self-Esteem: Refining Our Methods , 1985 .

[42]  M. Weissman,et al.  Assessing depressive symptoms in five psychiatric populations: a validation study. , 1977, American journal of epidemiology.

[43]  L. Radloff.  The CES-D Scale , 1977 .

[44]  D. J. Lee.  Society and the Adolescent Self-Image , 1969 .

[45]  M. Rosenberg.  Society and the adolescent self-image , 1966 .

[46]  R. Heimberg,et al.  Depression, hopelessness, suicidality, and related factors in sexual minority and heterosexual adolescents. , 1999, Journal of consulting and clinical psychology.

[47]  R. Blum,et al.  The relationship between suicide risk and sexual orientation: results of a population-based study. , 1998, American journal of public health.

[48]  S. Hershberger,et al.  The impact of victimization on the mental health and suicidality of lesbian, gay, and bisexual youths. , 1995 .

[49]  G. Remafedi.  Death by Denial: Studies of Suicide in Gay and Lesbian Teenagers. , 1994 .

[50]  P. O'Carroll,et al.  Attempted suicide among young adults: progress toward a meaningful estimate of prevalence. , 1992, The American journal of psychiatry.

[51]  G. Herek.  The social context of hate crimes: Notes on cultural heterosexism. , 1992 .

[52]  M. Rosenberg.  Conceiving the self , 1979 .