确定与跨性别和性别不同的成年人中自杀思想和行为相关的交叉因素:初步条件推理树分析
Amelia M Stanton1,2, Lauren A Trichtinger3, Norik Kirakosian4
1Department of Psychological and Brain Sciences, Boston University, Boston, MA, United States.
Journal of medical Internet research
|April 11, 2025
概括
变性人和性别多样性 (TGD) 个体面临自杀思想和行为 (STB) 的更高风险. 关键的风险因素包括年龄,种族,性取向,精神疾病和歧视,突出了针对性干预的必要性.
科学领域:
- 公共卫生 公共卫生
- 心理健康研究 心理健康研究
- 社会学 社会学 社会学
背景情况:
- 变性人和性别多样性 (TGD) 个体经历了不成比例的自杀思想和行为 (STB) 的高率.
- 交叉的人口和心理社会因素可能会加剧TGD人口中的STB差异.
研究的目的:
- 确定与美国TGD成年人自杀思想,意图,计划和企图风险增加相关的交叉因素.
- 通过使用条件推理树 (CIT) 来确定这些结果的发病年龄.
主要方法:
- 利用美国跨性别人口健康调查 (N=274) 的数据.
- 采用条件推断树 (CIT) 来识别STB的风险因素和发病年龄.
- 将CIT结果与后勤回归和Cox比例危险模型进行比较,分析EMR可用的和扩展的变量集.
主要成果:
- 年轻的成年人和特定的种族/少数民族群体 (黑人,拉丁裔,多种族) 显示出更高的想法和规划风险.
- 性少数民族身份与构想和规划的风险增加有关.
- 精神困扰,医疗保健刻板印象威胁和日常歧视与构想,意图和尝试的风险增加有关.
- 思想和尝试的发病年龄因性别认同而异 (变性女性,变性男性,非二进制个体).
- 对于发病年龄的结果,CITs的表现优于传统的回归模型.
结论:
- 成年TGD患者的自杀风险受到年龄,种族身份,性少数群体地位,精神疾病,医疗保健刻板印象威胁和歧视的复杂相互作用的影响.
- 识别这些交叉因素对于TGD个体的早期风险检测和干预至关重要.
- 建议使用更大规模的EMR数据进一步验证CIT方法,以改善对STB风险较高的TGD个体的服务提供.
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