TY  - JOUR
PY  - 2015//
TI  - Individual- and structural-level risk factors for suicide attempts among transgender adults
JO  - Behavioral medicine
A1  - Perez-Brumer, Amaya G.
A1  - Hatzenbuehler, Mark L.
A1  - Oldenburg, Catherine E.
A1  - Bockting, Walter
SP  - 164
EP  - 171
VL  - 41
IS  - 3
N2  - 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>
LA  - en
SN  - 0896-4289
UR  - http://dx.doi.org/10.1080/08964289.2015.1028322
ID  - ref1
ER  -