自杀和自我伤害的风险 后性别确认手术
John J Straub1, Krishna K Paul1, Lauren G Bothwell1
1Department of Emergency Medicine, University of Texas Medical Branch at Galveston, Galveston, USA.
Cureus
|May 3, 2024
概括
性别确认手术与明显更高的自杀企图风险有关. 这凸显了在跨性别者接受这些程序后,迫切需要强有力的心理健康支持.
科学领域:
- 医学研究 医学研究
- 公共卫生 公共卫生
- 精神病学是一个精神病学.
背景情况:
- 变性人体验到更高的抑郁和自杀念头的比率.
- 越来越多的性别肯定手术需要对相关风险进行评估.
- 这项研究解决了理解性别确认程序后心理健康结果的关键需求.
研究的目的:
- 评估与性别肯定程序相关的自杀或自我伤害风险.
- 为了比较经过性别确认手术和对照组的个体之间的自杀企图率.
- 确定在跨性别者医疗保健中需要加强精神病学支持的需要.
主要方法:
- 从TrinetX数据库 (超过9000万患者) 中对非身份患者数据的回顾性分析.
- 分析了四个队列:性别确认手术患者,一般紧急诊所对照,输卵管绑定/血管切除对照和喉炎对照.
- 倾向匹配和统计分析被用来检查自杀企图,自我伤害和PTSD在指数事件发生后的五年内.
主要成果:
- 与非手术对照人群相比,接受性别确认手术的个体的自杀企图风险增加了12.12倍.
- 即使在倾向与输卵管绑定/血管切除对照相匹配之后,自杀企图的风险仍然显著增加 (4.71倍).
- 与炎对照组相比,观察到与自杀企图风险相似的显著增加.
结论:
- 性别确认手术与自杀企图的风险增加有显著的关联.
- 这些发现强调,迫切需要为性别确认手术后的个人提供全面的精神病医疗护理和支持系统.
- 对长期心理健康结果的进一步研究是有必要的,以告知临床实践和政策.
相关概念视频
Psychosurgery
54
Psychosurgery, the surgical alteration or permanent removal of brain tissue to alleviate severe psychological conditions, stands as one of the most radical and controversial treatments in the history of mental health care. Its development and application have evolved significantly, marked by dramatic shifts in scientific understanding and ethical perspectives.
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...
54
Anorexia Nervosa
60
Anorexia nervosa is a complex and severe eating disorder characterized by an intense fear of weight gain, an unrelenting pursuit of thinness, and a distorted body image. It often leads to dangerously low body weight relative to an individual's age and height. This disorder is marked by significant physical and psychological consequences, making it one of the most life-threatening psychiatric illnesses.
Symptoms and Physical Effects
Individuals with anorexia nervosa commonly exhibit extreme...
Symptoms and Physical Effects
Individuals with anorexia nervosa commonly exhibit extreme...
60
Self-Discrepancy Theory
18.3K
One influential perspective on what motivates people's behavior is detailed in Tory Higgin's self-discrepancy theory (Higgins, 1987). He proposed that people hold disagreeing internal representations of themselves that lead to different emotional states.
18.3K
Ethnic Identity within a Larger Culture
30
Adolescents from ethnic minority backgrounds face a multifaceted journey in forming their identities, shaped by the intersections of cultural expectations and personal exploration. For these adolescents, identity formation involves not only typical developmental challenges but also navigating the perceptions and attitudes of the majority culture. As they grow, adolescents in ethnic minority groups often become increasingly aware of stereotypes, social biases, and discrimination, all of which...
30
Self-Help Support Groups
30
Self-help support groups are voluntary, community-based organizations that provide a platform for individuals with shared concerns to exchange support, insights, and practical strategies for coping with life challenges. Typically led by group members or paraprofessionals, these groups form a cornerstone of mental health care, especially in reaching populations that are underserved by traditional healthcare systems.
Accessibility and Cost-Effectiveness
One of the primary strengths of self-help...
Accessibility and Cost-Effectiveness
One of the primary strengths of self-help...
30
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
78
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
78


