Risk factors for suicide in transgender population: a bibliographical review
Info
Abstract
Suicide is the leading cause of unnatural death in Spain, and the second one in the young population in general. Belonging to a minority social group increases vulnerability to suicide. This is the case of the LGBTIQ+ group, and specifically, of transgender people. The aim of this study was to review the scientific literature on suicide in transgender population, including risk and protective factors in order to improve prevention and intervention programmes. The literature located for the study is scarce, especially in the field of prevention and intervention. It is concluded that transgender people are more vulnerable to suicide due to factors such as social stigma, challenging situations experienced throughout the life cycle, and associated psychological problems. Suicidal ideation has been found to be frequent in the transgender population. Its early appearance correlates positively with the appearance of suicidal behaviour, which is why it is proposed to improve prevention programmes. Among the interventions that stand out as most effective are techniques aimed at gender self-affirmation and building a social support network.
Keywords
Downloads
How to Cite
License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
References
Adams, N. J. y Vincent, B. (2019). Suicidal Thoughts and Behaviors Among Transgender Adults in Relation to Education, Ethnicity, and Income: A Systematic Review. Transgender Health, 4(1), 226–246. https://doi.org/10.1089/trgh.2019.0009
Aristegui, I., Zalazar, V., Radusky, P. D. y Cardozo, N. (2020). De la Psicopatología a la Diversidad: Salud Mental en Personas Trans Adultas. Perspectivas en Psicología, 17(1), 21–31. Recuperado de https://cutt.ly/AU3pZKr
Austin, A. y Goodman R. (2017). The Impact of Social Connectedness and Internalized Transphobic Stigma on Self-Esteem Among Transgender and Gender Non-Conforming Adults. Journal of Homosexuality, 64(6), 825–841. https://doi.org/10.1080/00918369.2016.1236587
Boskey, E. R. (2014). Understanding Transgender Identity Development in Childhood and Adolescence. American Journal of Sexuality Education, 9(4), 445–463. https://doi.org/10.1080/15546128.2014.973131
Cano, G., Bergero, T., Esteva de Antonio, I., Giraldo, F., Gómez, M. y Gorneman, I. (2004). La construcción de la identidad de género en pacientes transexuales. Revista de la Asociación Española de Neuropsiquiatría, 89, 21–30. https://doi.org/10.4321/s0211-57352004000100003
Connolly, D. y Gilchrist, G. (2020). Prevalence and correlates of substance use among transgender adults: A systematic review. Addictive behaviors, 111, 106–544. https://doi.org/10.1016/j.addbeh.2020.106544
Crosby, R. A., Salazar, L. F. y Hill, B. J. (2016). Gender Affirmation and Resiliency Among Black Transgender Women With and Without HIV Infection. Transgender Health, 1(1), 86–93. https://doi.org/10.1089/trgh.2016.0005
Domínguez-Martínez, T., Robles, R., Fresán, A., Cruz, J., Vega, H. y Reed, G. M. (2020). Risk factors for violence in transgender people: a retrospective study of experiences during adolescence. Psychology & Sexuality. https://doi.org/10.1080/19419899.2020.1802772
Fanjul-Peyró, C., González-Oñate, C. y Santo-Mirabet, M. C. (2020). Campañas institucionales para la prevención del suicidio en España. Análisis del cambio estratégico en su comunicación social: caso Comunidad Valenciana. Revista Mediterránea de Comunicación, 11(2), 261–276. https://www.doi.org/10.14198/MEDCOM2020.11.2.9
Flentje, A., Heck, N. C. y Sorensen, J. L. (2014). Characteristics of transgender individuals entering substance abuse treatment. Addictive Behaviors, 39(5), 969–975. https://doi.org/10.1016/j.addbeh.2014.01.011
Gabilondo, A., Alonso, J., Pinto-Meza, A., Vilagut, G., Fernández, A., Serrano-Blanco, A., Almansa, J., Codony, M. y Haro, J. M. (2007). Prevalencia y factores de riesgo de las ideas, planes e intentos de suicidio en la población general española. Resultados del estudio ESEMeD. Medicina Clínica, 129(13), 494–500. https://doi.org/10.1157/13111370
Gil-Borelli, C. C., Velasco, C., Iniesta, C., Beltrán, P., de Curto, J. y Latasa, P. (2017). Hacia una salud pública con orgullo: equidad en la salud en las personas lesbianas, gais, bisexuales y trans en España. Gaceta Sanitaria, 31(3), 175–177. https://doi.org/10.1016/j.gaceta.2016.09.013
Gil-Llario, M. D., Fernández-García, O. A. y Bergero, T. (2020). Perfil sociodemográfico asociado a la ideación suicida de las personas transexuales. Informació Psicològica, 120, 93–105. https://doi.org/10.14635/ipsic.2020.120.3
Grossman, A. H. y D'augelli, A. R. (2006). Transgender Youth. Journal of Homosexuality, 51(1), 111–128. https://doi.org/10.1300/J082v51n01_06
Guzmán-Parra, J., Sánchez-Álvarez, N., de Diego-Otero, Y., Pérez-Costillas, L., Esteva de Antonio, I., Navais-Barranco, M., Castro-Zamudio, S. y Bergero-Miguel, T. (2016). Sociodemographic Characteristics and Psychological Adjustment Among Transsexuals in Spain. Archives of Sexual Behavior, 45(3), 587–596. https://doi.org/10.1007/s10508-015-0557-6
Hatzenbuehler, M. L. y Pachankis, J. E. (2016). Stigma and minority stress as social determinants of health among lesbian, gay, bisexual, and transgender youth: Research evidence and clinical implications. Pediatric Clinics of North America, 63(6), 985–997. https://doi.org/10.1016/j.pcl.2016.07.003
Hereth, J., Pardee D. J. y Reisner S. L. (2019): Gender identity and sexual orientation development among young adult transgender men sexually active with cisgender men: ‘I had completely ignored my sexuality … that’s for a different time to figure out’. Culture, Health & Sexuality, 22(1), 31–37. https://doi.org/10.1080/13691058.2019.1636290
Hoy-Ellis, C. P. y Fredriksen-Goldsen, K. I. (2017). Depression Among Transgender Older Adults: General and Minority Stress. American Journal of Community Psychology, 59(3-4), 295–305. https://doi.org/10.1002/ajcp.12138
Instituto Nacional de Estadística (2021). Estadísticas de Defunción por Causa de Muerte 2020. Recuperado de https://cutt.ly/HU3dHad
Lombardi, E. L., Wilchins, R. A., Priesing, D. y Malouf, D. (2002). Gender Violence: Transgender Experience swith Violence and Discrimination. Journal of Homosexuality, 42(1), 89–101. https://doi.org/10.1300/J082v42n01_05
López-Sáez, M. A., García-Dauder, D. y Montero, I. (2020). Correlate Attitudes Toward LGBT and Sexism in Spanish Psychology Students. Frontiers in Psychology, 11, 2063. https://doi.org/10.3389/fpsyg.2020.02063
Meyer, I. H. (2003). Prejudice, social stress, and mental health in lesbian, gay and bisexual populations: Conceptual issues and research evidence. Psychological Bulletin, 129, 674–697. https://doi.org/10.1037/0033-2909.129.5.674
Modrego, I., Gómez, M., Hurtado, F., Cuñat, E., Solá, E. y Morillas, C. (2021). Antecedentes de comportamientos autolesivos y autolíticos en población adolescente y adulta joven transexual, atendida en una unidad especializada en identidad de género en España. Endocrinología, Diabetes y Nutrición, 68(5), 338–345. https://doi.org/10.1016/j.endinu.2020.04.006
O'Carroll, P. W., Berman, A. L., Maris, R. W., Moscicki, E. K., Tanney, B. L. y Silverman, M. M. (1996). Beyond the Tower of Babel: a nomenclature for suicidology. Suicide & Life-threatening Behavior, 26(3), 237–252.
Organización Mundial de la Salud (2021). Suicidio. Recuperado de https://cutt.ly/TU3fvOh
Pérez-Brumer, A., Hatzenbuehler, M. L., Oldenburg, C. E. y Bockting, W. (2015). Individual- and Structural-Level Risk Factors for Suicide Attempts Among Transgender Adults. Behavioral Medicine, 41(3), 164–171. https://doi.org/10.1080/08964289.2015.1028322
Pleak, R. R. (2009). Formation of Transgender Identities in Adolescence. Journal of Gay & Lesbian Mental Health, 13(4), 282–291. https://doi.org/10.1080/19359700903165290
Rood, B. A., Puckett, J. A., Pantalone, D. W. y Bradford, J. B. (2015). Predictors of Suicidal Ideation in a Statewide Sample of Transgender Individuals. LGBT Health, 2(3), 270–275. https://doi.org/10.1089/lgbt.2013.0048
Sarno, E. L., Newcomb, M. E. y Mustanski, B. (2020). Rumination longitudinally mediates the association of minority stress and depression in sexual and gender minority individuals. Journal of Abnormal Psychology, 129(4), 355–363. https://doi.org/10.1037/abn0000508
Sevelius, J. M. (2013). Gender affirmation: A framework for conceptualizing risk behavior among transgender women of color. Sex Roles, 68 (11-12), 675–689. https://doi.org/10.1007/s11199-012-0216-5
Timmins, L., Rimes, K. A. y Rahman, Q. (2020). Minority Stressors, Rumination, and Psychological Distress in Lesbian, Gay, and Bisexual Individuals. Archives of sexual behavior, 49(2), 661–680. https://doi.org/10.1007/s10508-019-01502-2
Tomicic, A., Immel, N. y Martínez, C. (2021). Experiencias de ayuda psicológica y psicoterapéutica de jóvenes LGBT sobrevivientes a procesos de suicidio. Revista Interamericana de Psicología, 55(1), e1453. https://doi.org/10.30849/ripijp.v55i1.1453
Witcomb, G. L., Bouman, W. P., Claes, L., Brewin, N., Crawford, J. R. y Arcelus, J. (2018). Levels of depression in transgender people and its predictors: Results of a large matched control study with transgender people accessing clinical services. Journal of Affective Disorders, 235, 308–315. https://doi.org/10.1016/j.jad.2018.02.051
Wolfe, H. L., Biello, K. B., Reisner, S. L., Mimiaga, M. J., Cahill, S. R. y Hughto, J. (2021). Transgender-related discrimination and substance use, substance use disorder diagnosis and treatment history among transgender adults. Drug and Alcohol Dependence, 223, 108711. https://doi.org/10.1016/j.drugalcdep.2021.108711
Worthen, M. G. F. (2013). An Argument for Separate Analyses of Attitudes Toward Lesbian, Gay, Bisexual Men, Bisexual Women, MtF and FtM Transgender Individuals. Sex Roles, 68, 703–723. https://doi.org/10.1007/s11199-012-0155-1