Dataset Information

A daily diary study of intrusive PTSD symptoms and suicidal ideation among transgender and gender diverse adults.

ABSTRACT:

Objective

High rates of trauma exposure and related posttraumatic stress disorder symptoms (PTSS) may partly explain increased suicidal ideation (SI) in transgender and gender diverse (TGD) people. This study examined whether intrusive PTSS are proximally associated with SI among TGD people.

Method

Daily diary surveys (n = 836 surveys; 73.3% compliance rate) were collected over 30 days from a sample of 38 TGD people in the Southeastern United States (mean age: 28.63 years; 84.2% non-Hispanic White; varying gender identities).

Results

The prevalence of SI and probable diagnosis of posttraumatic stress disorder at baseline was 59.5% and 42.1%, respectively. Of those who met criteria for probable posttraumatic stress disorder (PTSD), 87.5% reported SI at baseline. Multilevel modeling revealed that only depressive symptoms were positively associated with same-day SI. A trend showed a positive association between intrusive PTSS and same-day SI. Prior-day SI and baseline depressive symptoms were the sole correlates of next-day SI.

Conclusion

The present study does not support a proximal association between intrusive PTSS and SI beyond depressive symptoms and prior SI among TGD people. These conclusions are preliminary given the small and homogenous sample. Pending additional research, clinicians should assess suicide risk of TGD people with depressive and PTSD symptoms. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

SUBMITTER: Wolford-Clevenger C

PROVIDER: S-EPMC8563436 | biostudies-literature | 2021 Oct

REPOSITORIES: biostudies-literature

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Publications

A daily diary study of intrusive PTSD symptoms and suicidal ideation among transgender and gender diverse adults.

Wolford-Clevenger Caitlin C

Psychological trauma : theory, research, practice and policy 20210805 7

<h4>Objective</h4>High rates of trauma exposure and related posttraumatic stress disorder symptoms (PTSS) may partly explain increased suicidal ideation (SI) in transgender and gender diverse (TGD) people. This study examined whether intrusive PTSS are proximally associated with SI among TGD people.<h4>Method</h4>Daily diary surveys (<i>n</i> = 836 surveys; 73.3% compliance rate) were collected over 30 days from a sample of 38 TGD people in the Southeastern United States (mean age: 28.63 years; ...[more]

PMID: 34351210

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Project description:Background: Gender dysphoria (GD) is frequently reported among transgender, nonbinary, and gender-diverse (TNG) populations, and is closely related to anxiety, depression, suicidal ideation, and non-suicidal self-injury (NSSI). This study aimed to understand how GD influences the four mental health disparities among TNG youth, and to compare these outcomes depending on the severity of GD. Methods: 96,218 College students participated in the survey, of which the analysis was run on an extracted sub-set data of 2,315 (2.40%) TNG youth, with a mean age of 19.46 (SD = 1.52). Self-reported inventories measured sociodemographic factors, the severity of GD (Utrecht Gender Dysphoria Scale-Gender Spectrum), anxiety (seven-item Generalized Anxiety Disorder Questionnaire), depression (nine-item Patient Health Questionnaire), suicidal ideation (Suicidal Behaviors Questionnaire-Revised), and NSSI (Clinician-Rated Severity of Non-Suicidal Self-Injury Scale). Binary logistic regression assessed the association between significant GD and the four psychiatric disorders. Adjusted multiple logistic regression, and directed acyclic graph (DAG) analyses were conducted to explore the activating relationship among GD, sociodemographic factors, and psychiatric disorders. Results: 1,582 (68.30%) TNG youth who experienced significant levels of GD (total scores cutoff >= 46) were entered into the analyses. Binary logistic regression displayed significantly positive associations between significant GD and anxiety, depression, suicidal ideation, and NSSI. Multiple regression models showed risk factors included poor relationship with one's father/mother, tobacco smoking, alcohol consumption, and having a lower subjective social status. While family harmony, a higher father's educational level, and partaking in exercise were protective factors that exerted distinct impacts on these four psychiatric disorders. DAG findings showed a poor relationship with one's father with significant GD via other socio-demographic characteristics, activated psychiatric disorders. Conclusions: TNG youth with higher levels of GD also exhibited more severe anxiety, depression, suicidal ideation, and NSSI. Tailored interventions should be provided to prioritize relieving those with severe GD to protect TNG youth from psychiatric outcomes further.

Dataset Information

A daily diary study of intrusive PTSD symptoms and suicidal ideation among transgender and gender diverse adults.

Objective

Method

Results

Conclusion

Publications

A daily diary study of intrusive PTSD symptoms and suicidal ideation among transgender and gender diverse adults.

Similar Datasets

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