Individual- and Structural-Level Risk Factors for Suicide Attempts among Transgender Adults

  • Perez-Brumer A
  • Hatzenbuehler M
  • Oldenburg C
 et al. 
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This study assessed individual (ie, internalized transphobia) and structural forms of stigma as risk factors for suicide attempts among transgender adults. Internalized transphobia was assessed through a 26-item scale including four dimensions: pride, passing, alienation, and shame. State-level structural stigma was operationalized as a composite index, including density of same-sex couples; proportion of Gay-Straight Alliances per public high school; 5 policies related to sexual orientation discrimination; and aggregated public opinion toward homosexuality. Multivariable logistic generalized estimating equation models assessed associations of interest among an online sample of transgender adults (N = 1,229) representing 48 states and the District of Columbia. Lower levels of structural stigma were associated with fewer lifetime suicide attempts (AOR 0.96, 95% CI 0.92-0.997), and a higher score on the internalized transphobia scale was associated with greater lifetime suicide attempts (AOR 1.18, 95% CI 1.04-1.33). Addressing stigma at multiple levels is necessary to reduce the vulnerability of suicide attempts among transgender adults.

Language: en

Author-supplied keywords

  • internalized transphobia
  • structural stigma
  • suicide attempts
  • transgender

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  • Amaya Perez-Brumer

  • Mark L. Hatzenbuehler

  • Catherine E. Oldenburg

  • Walter Bockting

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