@article{ref1,
title="Individual- and structural-level risk factors for suicide attempts among transgender adults",
journal="Behavioral medicine",
year="2015",
author="Perez-Brumer, Amaya G. and Hatzenbuehler, Mark L. and Oldenburg, Catherine E. and Bockting, Walter",
volume="41",
number="3",
pages="164-171",
abstract="This study assessed individual (ie, internalized transphobia) and structural forms of stigma as risk factors for suicide attempts among transgender adults. Internalized transphobia was assessed through a 26-item scale including four dimensions: pride, passing, alienation, and shame. State-level structural stigma was operationalized as a composite index, including density of same-sex couples; proportion of Gay-Straight Alliances per public high school; 5 policies related to sexual orientation discrimination; and aggregated public opinion toward homosexuality. Multivariable logistic generalized estimating equation models assessed associations of interest among an online sample of transgender adults (N = 1,229) representing 48 states and the District of Columbia. Lower levels of structural stigma were associated with fewer lifetime suicide attempts (AOR 0.96, 95% CI 0.92-0.997), and a higher score on the internalized transphobia scale was associated with greater lifetime suicide attempts (AOR 1.18, 95% CI 1.04-1.33). Addressing stigma at multiple levels is necessary to reduce the vulnerability of suicide attempts among transgender adults.<p /> <p>Language: en</p>",
language="en",
issn="0896-4289",
doi="10.1080/08964289.2015.1028322",
url="http://dx.doi.org/10.1080/08964289.2015.1028322"
}