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Non-suicidal self-injury, suicide ideation, and past suicide attempts: Comparison between transgender and gender diverse veterans and non-veterans.
J Affect Disord. 2019 12 01; 259:186-194.JA

Abstract

BACKGROUND

Transgender and gender diverse (TGD) individuals, especially veterans, experience elevated rates of non-suicidal self-injury (NSSI) and suicide related behaviors compared to gender majority individuals. Research has yet to compare TGD veterans to non-veterans or look at correlates of NSSI and related behaviors to suicide related outcomes. This study examines prevalence and suicide related correlates of NSSI among TGD veterans and TGD non-veterans.

METHOD

Data analyzed in the were part of the Trans Lifeline Mental Health Survey. Both TGD veterans (N = 313) and non-veterans (N = 3,972) completed an online, cross-sectional survey that included self-report measures of NSSI, suicidal ideation (SI), and suicidal attempt (SA) along with lifetime hospitalization and avoidance of care due to NSSI.

RESULTS

Results of this paper indicate that prevalence of NSSI, SI, and SA are elevated in both the TGD veterans and non-veteran subpopulations. Further, veterans compared to non-veterans have a lower prevalence of NSSI but higher prevalence of hospitalization when self-harm is inflicted, reflecting more healthcare utilization or increased severity of NSSI episodes. Additionally, veterans were less likely to avoid care due to NSSI. Further, veteran status seemed to be a protective factor against demographic differences that increased rates of NSSI history in non-veteran TGD individuals.

LIMITATIONS

The limitations of this study include its cross-sectional study design, one question assessing SA, and few TGD male veterans.

CONCLUSION

NSSI is an important risk factor in future suicide related outcome such as SI and SA. Further, differences in healthcare utilization among TGD veterans and non-veterans are apparent.

Authors+Show Affiliations

Louisiana State University, 216 Audubon, Baton Rouge, LA 70803, United States. Electronic address: aabous2@lsu.edu.University of Kentucky, United States.University of Kentucky, United States.Louisiana State University, 216 Audubon, Baton Rouge, LA 70803, United States.

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

31446379

Citation

Aboussouan, Alix, et al. "Non-suicidal Self-injury, Suicide Ideation, and Past Suicide Attempts: Comparison Between Transgender and Gender Diverse Veterans and Non-veterans." Journal of Affective Disorders, vol. 259, 2019, pp. 186-194.
Aboussouan A, Snow A, Cerel J, et al. Non-suicidal self-injury, suicide ideation, and past suicide attempts: Comparison between transgender and gender diverse veterans and non-veterans. J Affect Disord. 2019;259:186-194.
Aboussouan, A., Snow, A., Cerel, J., & Tucker, R. P. (2019). Non-suicidal self-injury, suicide ideation, and past suicide attempts: Comparison between transgender and gender diverse veterans and non-veterans. Journal of Affective Disorders, 259, 186-194. https://doi.org/10.1016/j.jad.2019.08.046
Aboussouan A, et al. Non-suicidal Self-injury, Suicide Ideation, and Past Suicide Attempts: Comparison Between Transgender and Gender Diverse Veterans and Non-veterans. J Affect Disord. 2019 12 1;259:186-194. PubMed PMID: 31446379.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Non-suicidal self-injury, suicide ideation, and past suicide attempts: Comparison between transgender and gender diverse veterans and non-veterans. AU - Aboussouan,Alix, AU - Snow,Annie, AU - Cerel,Julie, AU - Tucker,Raymond P, Y1 - 2019/08/19/ PY - 2019/02/15/received PY - 2019/07/10/revised PY - 2019/08/17/accepted PY - 2019/8/26/pubmed PY - 2020/7/14/medline PY - 2019/8/26/entrez KW - Gender non-conforming KW - Non-suicidal self-injury KW - Suicide KW - Transgender KW - Veteran SP - 186 EP - 194 JF - Journal of affective disorders JO - J Affect Disord VL - 259 N2 - BACKGROUND: Transgender and gender diverse (TGD) individuals, especially veterans, experience elevated rates of non-suicidal self-injury (NSSI) and suicide related behaviors compared to gender majority individuals. Research has yet to compare TGD veterans to non-veterans or look at correlates of NSSI and related behaviors to suicide related outcomes. This study examines prevalence and suicide related correlates of NSSI among TGD veterans and TGD non-veterans. METHOD: Data analyzed in the were part of the Trans Lifeline Mental Health Survey. Both TGD veterans (N = 313) and non-veterans (N = 3,972) completed an online, cross-sectional survey that included self-report measures of NSSI, suicidal ideation (SI), and suicidal attempt (SA) along with lifetime hospitalization and avoidance of care due to NSSI. RESULTS: Results of this paper indicate that prevalence of NSSI, SI, and SA are elevated in both the TGD veterans and non-veteran subpopulations. Further, veterans compared to non-veterans have a lower prevalence of NSSI but higher prevalence of hospitalization when self-harm is inflicted, reflecting more healthcare utilization or increased severity of NSSI episodes. Additionally, veterans were less likely to avoid care due to NSSI. Further, veteran status seemed to be a protective factor against demographic differences that increased rates of NSSI history in non-veteran TGD individuals. LIMITATIONS: The limitations of this study include its cross-sectional study design, one question assessing SA, and few TGD male veterans. CONCLUSION: NSSI is an important risk factor in future suicide related outcome such as SI and SA. Further, differences in healthcare utilization among TGD veterans and non-veterans are apparent. SN - 1573-2517 UR - https://www.unboundmedicine.com/medline/citation/31446379/Non_suicidal_self_injury_suicide_ideation_and_past_suicide_attempts:_Comparison_between_transgender_and_gender_diverse_veterans_and_non_veterans_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0165-0327(19)30351-9 DB - PRIME DP - Unbound Medicine ER -