LGBTI Legal Service, Legal Aid Queensland and the Queensland Human Rights Commission, in consultation with the Queensland Children’s Gender Service, 2020
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 20, 125 (2020). https://doi.org/10.1186/s12889-020-8177-z
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.
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.
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).
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.
Sexual Health Infolink (NSW Ministry of Health), 2019
As more services are beginning to provide hormonal therapies to trans and gender diverse people, the NSW Sexual Health Infolink (SHIL) has consolidated the key resources to guide best practice.
Bookmark SHIL’s Gender Affirming Care page for quick access to:
- Clinical guidelines and patient fact sheets about hormonal therapies,
- Specialist trans and gender diverse clinical services,
- Counselling and peer support services,
- Information and resources for family and friends.
The Sexual Health Infolink is a NSW Ministry of Health funded telephone and internet based information and referral service. It has been operating since 1989 and is staffed by specialist sexual health nurses.
APS (The Australian Psychological Society), September 2019
The Australian Psychological Society (APS) today released the following statement in support of transgender people in Australia, and challenging the unfounded claim that social media influences the gender of young people specifically:
“Empirical evidence consistently refutes claims that a child’s or adolescent’s gender can be ‘directed’ by peer group pressure or media influence, as a form of ‘social contagion’,” APS Fellow Professor Damien Riggs said.
Queensland Human Rights Commission, 2019
This information is for trans and gender diverse employees, their employers, managers and colleagues who are seeking guidance on issues associated with transitioning at work.
The guidelines suggest ways to:
- work together the achieve a successful transition in the workplace;
- address pre-employment issues; and
- provide ongoing support to trans employees.
Why is a trans inclusive workplace important?
For the employee:
- staying in employment;
- maintaining self-respect;
- having financial security.
For the employer:
- improving staff satisfaction and retention through modern, inclusive workplace policies;
- enhancing public image of the organisation;
- reaching new client groups;
- improving teamwork and increasing productivity;
- complying with state and federal discrimination legislation
The document also contains some real-life stories.
BMJ, September 9, 2019
Care providers need to be aware of the damage of inappropriate curiosity when working with people who are transgender, say Adam Shepherd, Benjamin Hanckel, and Andy Guise.
Encountering inappropriate curiosity is a common experience among people who identify as LGBT. This kind of behaviour shouldn’t happen in a healthcare facility, yet recent reports from Stonewall and the government’s Equalities Office confirm that this is a problem in healthcare and that it particularly affects people who are transgender.
What do we mean when we say that a healthcare provider is showing “inappropriate curiosity?” Researchers provided insight into what this is in a study where they describe trans participants being asked intrusive questions about their personal lives and being subjected to invasive physical examinations. Participants felt that these were irrelevant to why they had sought out medical care, and that their only purpose was to satisfy the personal interest of the healthcare practitioner. Imagine, for example, going to your GP for a chronic cough and being asked what genitals you have, or going for a foot X-ray and the radiographer making comments about your breasts.