Psychosocial mediators of perceived stigma and suicidal ideation among transgender women

Kota, K.K., Salazar, L.F., Culbreth, R.E. et al. Psychosocial mediators of perceived stigma and suicidal ideation among transgender women. BMC Public Health 20125 (2020). https://doi.org/10.1186/s12889-020-8177-z

Abstract

Background

Transgender women (TGW) in the U.S. experience high rates of stigma, depression, and elevated rates of suicide. This study examined correlates of suicidal ideation and estimated the conditional indirect effects of perceived stigma and psychosocial mediators on suicidal ideation.

Methods

Using a cross-sectional study design, TGW (N = 92) were recruited through snowball sampling in Atlanta, Georgia. Structured interviews were conducted. Suicidal ideation was assessed by combining two variables that measured suicidal thoughts. Logistic regression models were performed to identify the potential risk and protective factors for suicidal ideation. We examined hypothesized psychosocial factors, including anxiety, depression, psychosocial impact of gender minority status, and substance use behaviors as potential mediators for the relationship between perceived stigma and suicidal ideation. All models were controlled for age, race, education, and homelessness.

Results

Suicidal ideation was reported by 33% (N = 30) of the study participants. In multivariable analysis, suicidal ideation was associated with sexual abuse (AOR = 3.17, 95% CI = 1.10–9.30), anxiety (AOR = 1.74, 95% CI = 1.10–2.73), family verbal abuse (AOR = 2.99, 95% CI = 1.10–8.40), stranger verbal abuse (AOR = 3.21, 95% CI = 1.02–10.08), and psychosocial impact of gender minority status (AOR = 3.42, 95% CI = 1.81–6.46). Partner support was found to be the protective factor for suicidal ideation (AOR = 0.34, 95% CI = 0.13–0.90). In the mediation analysis, the psychosocial impact of gender minority status mediated the relationship between perceived stigma and suicidal ideation. The estimated conditional indirect effect was 0.46, (95% CI = 0.12–1.11).

Conclusion

Interventions that aim to reduce suicidal behaviors among TGW should address stigma, psychosocial imfamilpact of gender minority status, and different forms of violence and abuse.

Towards a Safe Place: Raising Awareness of Domestic Violence in LGBTIQA+ Communities (resource)

Catalyst Foundation, 2019

The Towards a Safe Place project has created resources for LGBTIQA+ communities to use both as individuals or in communities to support and inform at risk individuals of available services and supports in relation to Domestic Violence and to increase awareness and understanding of Domestic Violence and its impact within LGBTIQA+ communities.

We have worked closely with LGBTIQA+ communities to develop these resources and are thankful for the help and support of our Reference Group comprising individuals, community organisations and service providers who have helped us in the development of these resources.

We hope the resources are used to inform and support at risk individuals and the wider community on LGBTIQA+ specific Domestic Violence and that service providers use the resources to continually develop and improve service responses and avenues for reporting domestic violence.

Training in culturally appropriate LGBTIQA+ domestic violence service delivery and response strategies is available and has been developed in partnership with Uniting Communities Adelaide’s Bfriend Project and a local LGBTIQA+ social group Pride of the South. If your organisation would like information on the training please contact us on (08) 81688700 or by email 

The project was supported by South Australian Government Attorney-General’s  Department, Bfriend (Uniting Communities) and Pride of the South.

Resources to download:

 

‘My mob is telling their story and it makes me feel good’: here’s what Aboriginal survivors of child sexual abuse told us they need

The Conversation, October 22, 2019 6.00am AEDT

There are an estimated 60,000 survivors of institutional child sexual abuse in Australia. Based on the private sessions held as part of the Royal Commission into Institutional Responses to Child Sexual Abuse, 15% of survivors are Aboriginal. That suggests an estimated 9,000 Aboriginal survivors. This is likely an under estimation.

Not only do Aboriginal survivors experience the trauma of institutional child sexual abuse, if they were part of the Stolen Generations, they also experience the cultural trauma from being forcibly removed from family as children because they were Aboriginal. These children were denied connection to community, country, spirituality, language and culture.

This context and its impacts today, including ongoing disadvantage and systemic racism, needs to be understood in developing healing solutions for Aboriginal survivors.

We need a new definition of pornography – with consent at the centre

The Conversation, March 18, 2019 5.51am AEDT

We all think we know what pornography is, whether we oppose it, use it, or tolerate it. But are we all conjuring up the same images?

Before we began our research on the meaning of pornography in young women’s lives, we wanted to define it. Our review of the literature found no consistently used definition.

It was notable that there was no mention of consent in any of the definitions we reviewed.

Rules about sex: getting them right – upcoming training day

SHINE SA, September 2018

This stand-alone workshop introduces participants to a wide range of education resources that may be borrowed from SHINE SA and provides permanent access to an electronic resource on CD that can be applied immediately in the workplace.

The CD based resource has been produced to assist workers and carers to assess knowledge and teach rules about touch and sexual behaviour and strategies for sexual safety and improved relationships.

In this practical full-day module, you will be supported to apply the resource practically and ethically, using your own laptop.

The aims are to:
> reduce sexual victimisation of people with disability
> reduce the incidence of sexual behaviours which may cause offence to others
> prevent vulnerable people with a disability from involvement with the law and possible long-term consequences of this

Suitable participants include: developmental educators, service coordinators, special
education workers, therapists, disability advocates, police and parents.

Important: Please bring a laptop computer with a CD drive, installed with MS Word,
MS Powerpoint, or equivalent. An external plug-in mouse will be an advantage.

Details:
When – Monday 22 October 2018
Where – SHINE SA, 64c Woodville Road, Woodville
Time – 9:30am – 4:30pm
Cost – $175

 

Grey area: The fragile frontier of dementia, intimacy and sexual consent

The Globe & Mail (Canada), July 14, 2018

Amid ever-widening cultural conversations about sexual consent, dementia remains uncharted territory. As Canadians live longer, more are moving into long-term care with advancing dementia disorders. It’s a growing population with complex needs, not least of all in their intimate lives.

In the close-quarters environment of nursing homes, these people’s sexuality poses difficult ethical dilemmas for staff and for families