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Associations between minority stress, depression, and suicidal ideation and attempts in transgender and gender diverse (TGD) individuals: Systematic review and meta-analysis
Clinical Psychology Review ( IF 13.7 ) Pub Date : 2021-12-24 , DOI: 10.1016/j.cpr.2021.102113
Michael J Pellicane 1 , Jeffrey A Ciesla 1
Affiliation  

Minority stress theory posits that transgender and gender diverse (TGD) individuals exhibit greater rates of depression and suicidality due to internal (proximal) and external (distal) stressors related to their TGD identity. Yet, the magnitude of the relationship between minority stress processes and mental health outcomes has not been quantitatively summarized. The current research meta-analyzed the relationship between minority stress constructs and depression, suicidal ideation, and suicide attempt. Results from 85 cross-sectional quantitative studies indicate that distal stress, expectations of rejection, internalized transphobia, and concealment are significantly associated with increased depression, suicidal ideation, and suicide attempt. Greater effect sizes were observed for expectations of rejection and internalized transphobia when compared to distal stress and concealment. Future research on the relationship between minority stress, depression, and suicide would benefit from longitudinal designs and more diverse and representative samples of TGD individuals.



中文翻译:

跨性别和性别多样化 (TGD) 个体的少数族裔压力、抑郁和自杀意念与尝试之间的关联:系统评价和荟萃分析

少数压力理论认为,由于与他们的 TGD 身份相关的内部(近端)和外部(远端)压力源,跨性别和性别多样化 (TGD) 个体表现出更高的抑郁和自杀率。然而,少数族裔压力过程与心理健康结果之间关系的大小尚未得到定量总结。目前的研究荟萃分析了少数民族压力结构与抑郁、自杀意念和自杀未遂之间的关系。85 项横断面定量研究的结果表明,远端压力、拒绝预期、内化跨性别恐惧症和隐瞒与抑郁、自杀意念和自杀企图增加显着相关。与远端压力和隐藏相比,对排斥和内化恐惧症的预期效果更大。未来关于少数族裔压力、抑郁和自杀之间关系的研究将受益于纵向设计和更多样化和更具代表性的 TGD 个体样本。

更新日期:2021-12-30
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