2006/10/11 by Kristen Clements-Nolle, Kristen Clements‐Nolle, Rani Marx +2 · 976 citations
Medicine · Psychology · #Clinical psychology #Depression (economics) #Environmental health #Family medicine #LGBTQ Health, Identity, and Policy #Medical emergency #Medicine #Mental health #Poison control #Population #Psychiatry #Psychological intervention #Psychology #Respondent #Sex work #Sexuality, Behavior, and Technology #Suicide and Self-Harm Studies #Suicide prevention #Transgender
paper · doi:10.1300/j082v51n03_04
published in Journal of Homosexuality 51(3), 53-69 (Taylor & Francis)
openalex publication_date 2006/10/11 · openalex created_date 2016/06/24 · openalex updated_date 2026/07/29
To determine the independent predictors of attempted suicide among transgender persons we interviewed 392 male-to-female (MTF) and 123 female-to-male (FTM) individuals. Participants were recruited through targeted sampling, respondent-driven sampling, and agency referrals in San Francisco. The prevalence of attempted suicide was 32% (95% CI = 28% to 36%). In multivariate logistic regression analysis younger age (<25 years), depression, a history of substance abuse treatment, a history of forced sex, gender-based discrimination, and gender-based victimization were independently associated with attempted suicide. Suicide prevention interventions for transgender persons are urgently needed, particularly for young people. Medical, mental health, and social service providers should address depression, substance abuse, and forced sex in an attempt to reduce suicidal behaviors among transgender persons. In addition, increasing societal acceptance of the transgender community and decreasing gender-based prejudice may help prevent suicide in this highly stigmatized population.