丹麦的跨性别身份,自杀企图和死亡率
Annette Erlangsen1,2,3,4, Anna Lund Jacobsen1, Anne Ranning1,4,5
1Danish Research Institute for Suicide Prevention, Mental Health Centre Copenhagen, Copenhagen, Denmark.
JAMA
|June 27, 2023
概括
与一般人群相比,跨性别者面临的自杀企图和死亡率,包括非自杀死亡率的风险显著增加. 这些高风险持续了42年,突显了公共健康的紧迫问题.
科学领域:
- 公共卫生
- 流行病学
- 跨性别者健康
背景情况:
- 之前的研究表明跨性别者可能面临更高的自杀尝试和死亡风险.
- 缺乏基于人口的大规模数据来证实这些风险.
- 了解这些差异对于有针对性的公共卫生干预至关重要.
研究的目的:
- 在全国范围内调查跨性别者的自杀企图和死亡率.
- 为了比较这些比例与非跨性别人口的比例.
- 分析42年时间内的趋势.
主要方法:
- 丹麦进行了一项全国性的基于登记的回顾性队列研究.
- 分析了1980年至2021年间6,657,456名 (15岁以上) 个体的数据.
- 通过国家医院和法律性别变化记录确定了跨性别身份;结果包括自杀未遂,自杀和全因死亡率.
主要成果:
- 与非变性人群相比,变性人群的自杀企图率 (aIRR,7.7),自杀死亡率 (aIRR,3.5),与自杀无关的死亡率 (aIRR,1.9) 和全因死亡率 (aIRR,2.0) 显著上升.
- 尽管总体发病率下降,但所有发病结果的调整发病率比率 (aIRR) 持续高至2021年.
- 跨性别者的自杀率为每10万人中498人,而非跨性别者的自杀率为71人.
结论:
- 跨性别者自杀率和死亡率都较高,
- 这些差异是一个重要的公共卫生问题,需要紧急关注和干预策略.
- 这些发现强调了对跨性别人口的持续研究和支持系统的需要.
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