Heightened vigilance and its associations with suicidal ideation and suicide attempt among 285 Korean transgender and nonbinary adults: Effect modification by connectedness to the LGBTQ+ community

Author:

Choo Sungsub1,Kim Ranyeong12,Lee Hyemin3,Eom Yun‐Jung12,Yi Horim4,Kim Rockli15,Williams David R.6,Kim Seung‐Sup7

Affiliation:

1. Department of Public Health Sciences Graduate School of Korea University Seoul South Korea

2. Interdisciplinary Program in Precision Public Health, Department of Public Health Sciences Graduate School of Korea University Seoul South Korea

3. Department of Psychology University of Maryland College Park College Park Maryland USA

4. Solidarity for LGBT Human Rights of Korea Seoul South Korea

5. Division of Health Policy and Management, College of Health Science Korea University Seoul South Korea

6. Department of Social and Behavioral Sciences Harvard T.H. Chan School of Public Health Boston Massachusetts USA

7. Department of Environmental Health Sciences, Graduate School of Public Health Seoul National University Seoul South Korea

Abstract

AbstractIntroductionAnti‐transgender stigma presents threats of discrimination to transgender and nonbinary (TGNB) individuals, prompting them to stay vigilant. Using a longitudinal data of 285 South Korean TGNB adults, we examined vigilance and its associations with suicidal ideation and suicide attempt and explored the protective role of connectedness to the lesbian, gay, bisexual, transgender, and queer (LGBTQ+) community.MethodsData were collected in October 2021 (baseline) and October 2022 (follow‐up). Vigilance was measured using the 4‐item Heightened Vigilance Scale at baseline. At follow‐up, 12‐month suicidal ideation and suicide attempt, and connectedness to the LGBTQ+ community were measured.ResultsHaving heightened levels of vigilance was associated with increased prevalence of suicidal ideation (Prevalence Ratio [PR]: 1.33, 95% Confidence Interval [CI]: 1.09–1.62) and suicide attempt (PR: 2.18, 95% CI: 1.23–3.86), after adjusting for covariates including anti‐transgender discrimination experiences and lifetime suicidality at baseline. When stratified by connectedness to the LGBTQ+ community, the associations between vigilance and suicidality remained statistically significant among those with low connectedness whereas no statistically significant association was observed among those with high connectedness.ConclusionThe study provides empirical evidence for policies and interventions that ensure safety of TGNB individuals from discrimination and promote connectedness to the LGBTQ+ community to reduce the suicide risk among TGNB individuals.

Publisher

Wiley

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3