Suicidal ideation and attempted suicide amongst Chinese transgender persons: National population study

•First study to examine suicide and mental health in Chinese transgender population.•56.4% participants reported a history of suicidal ideation.•16.1% participants reported a history of a suicide attempt.•The prevalence rate is far greater than in Chinese community samples.•More than 50% respondents...

Full description

Saved in:
Bibliographic Details
Published in:Journal of affective disorders 2019-02, Vol.245, p.1126-1134
Main Authors: Chen, Runsen, Zhu, Xuequan, Wright, Lucy, Drescher, Jack, Gao, Yue, Wu, Lijuan, Ying, Xin, Qi, Ji, Chen, Chen, Xi, Yingjun, Ji, Lanxin, Zhao, Huichun, Ou, Jianjun, Broome, Matthew R.
Format: Article
Language:English
Subjects:
Adolescent
Adult
China - epidemiology
Chinese
Cross-Sectional Studies
Depressive Disorder, Major - epidemiology
Depressive Disorder, Major - psychology
Educational Status
Family Conflict - psychology
Female
Humans
Logistic Models
Male
Mental health
Mental Health Services
Parents
Patient Acceptance of Health Care
Prevalence
Risk Factors
Self-Injurious Behavior - epidemiology
Self-Injurious Behavior - psychology
Sexuality
Suicidal Ideation
Suicide attempt
Suicide, Attempted - psychology
Suicide, Attempted - statistics & numerical data
Surveys and Questionnaires
Transgender Persons - psychology
Transgender Persons - statistics & numerical data
Young Adult
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:•First study to examine suicide and mental health in Chinese transgender population.•56.4% participants reported a history of suicidal ideation.•16.1% participants reported a history of a suicide attempt.•The prevalence rate is far greater than in Chinese community samples.•More than 50% respondents reported having suffered from major depressive disorder. This study aims to understand suicidal ideation and suicide attempts among transgender individuals through an in-depth analysis of a nation-wide population general survey in China. Transgender Men (TM) and Women (TW) were investigated through a cross-sectional survey. A structured questionnaire was used to investigate participants' demographic information, perceived sexuality conflicts, childhood adversity and mental health conditions. Logistic regression models were utilized to investigate risk factors associated with suicidal ideation and suicide attempts in these groups. We also conducted a quasi-meta-analysis in order to compare the prevalence of suicidal ideation and attempted suicide between general and transgender populations in China. A total of 1309 participants across 32 provinces and municipalities in China took part in this survey, out of 2060 valid questionnaires. In this transgender population, the lifetime prevalence of suicidal ideation and an attempt at suicide were 56.4% and 16.1%, respectively. This estimated prevalence rate is far greater than in Chinese community samples. For all transgender people, disliking birth-assigned sex, seeking sex reassignment surgery, having intense conflicts with parents, lifetime history of suffering from major depressive disorder, a recent episode of depression, self-harm, and seeking mental health services were significantly associated with increased risk of suicidal ideation. An education level of high school or equivalent, being married and/or separated/divorced, having intense conflicts with parents, or self-harm and seeking mental health services were all significantly associated with increased risk of suicide attempt. Although most risk factors for TM and TW were equivalent across groups, differences were observed in both suicidal ideation and suicide attempt models. The cross-sectional study design and lack of follow-up data are limitations of this study. This is the first study to examine suicide within a Chinese transgender population. The clinical implications of these findings for Chinese mental health professionals are discussed. Also, the ev
ISSN:0165-0327
1573-2517
DOI:10.1016/j.jad.2018.12.011