Skip to main content
Top
Gepubliceerd in: Research on Child and Adolescent Psychopathology 4/2019

28-09-2018

A Preliminary Examination of the Association between Adolescent Gender Nonconformity and Suicidal Thoughts and Behaviors

Auteurs: Leigh A. Spivey, Mitchell J. Prinstein

Gepubliceerd in: Research on Child and Adolescent Psychopathology | Uitgave 4/2019

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

Suicidal thoughts and behaviors are a significant health concern for adolescents. Extant research suggests that sexual and gender minority adolescents are a vulnerable population at elevated risk for suicidal thoughts and behaviors, yet to date few studies have examined the unique associations between adolescent gender nonconformity and suicide risk. This study examined data from the Youth Risk Behavior Surveillance Survey (n = 7730) to estimate the association between gender nonconformity and high school-aged adolescents’ likelihood of endorsing four distinct suicide outcomes: suicidal ideation, suicide plans, any suicide attempts, and single vs. multiple suicide attempts. Multivariate logistic regression analyses were utilized to control for other known risk factors for suicidal thoughts and behaviors, including age, sex, sexual minority status, depression symptoms, and suicidal ideation. Results revealed that gender nonconformity was significantly associated with higher odds of reporting suicidal ideation, suicide plans, and multiple suicide attempts in the past year above and beyond other known risk factors. Gender nonconformity is an understudied vulnerability factor that should be taken into consideration by researchers and clinicians seeking to understand adolescents’ risk for suicidal thoughts and behaviors.
Voetnoten
1
We re-ran this model excluding adolescents who endorsed having a suicide plan or attempting suicide in the past year, and the effect of gender nonconformity remained significant (OR = 1.13; 95% CI 1.04–1.24).
 
2
We re-ran this model excluding adolescents who endorsed attempting suicide in the past year, and the effect of gender nonconformity remained significant (OR = 1.13; 95% CI 1.05–1.21).
 
Literatuur
go back to reference American Psychological Association. (2015). Guidelines for psychological practice with transgender and gender nonconforming people. American Psychologist, 70(9), 832–864.CrossRef American Psychological Association. (2015). Guidelines for psychological practice with transgender and gender nonconforming people. American Psychologist, 70(9), 832–864.CrossRef
go back to reference Bell, B. A., Onwuegbuzie, A. J., Ferron, J. M., Jiao, Q. G., Hibbard, S. T., & Kromrey, J. D. (2012). Use of design effects and sample weights in complex health survey data: A review of published articles using data from 3 commonly used adolescent health surveys. American Journal of Public Health, 102(7), 1399–1405.CrossRefPubMedPubMedCentral Bell, B. A., Onwuegbuzie, A. J., Ferron, J. M., Jiao, Q. G., Hibbard, S. T., & Kromrey, J. D. (2012). Use of design effects and sample weights in complex health survey data: A review of published articles using data from 3 commonly used adolescent health surveys. American Journal of Public Health, 102(7), 1399–1405.CrossRefPubMedPubMedCentral
go back to reference Brener, N. D., Kann, L., Shanklin, S., Kinchen, S., Eaton, D. K., Hawkins, J., & Flint, K. H. (2013). Methodology of the youth risk behavior surveillance system—2013. Morbidity and Mortality Weekly Report: Recommendations and Reports, 62(1), 1–20. Brener, N. D., Kann, L., Shanklin, S., Kinchen, S., Eaton, D. K., Hawkins, J., & Flint, K. H. (2013). Methodology of the youth risk behavior surveillance system—2013. Morbidity and Mortality Weekly Report: Recommendations and Reports, 62(1), 1–20.
go back to reference Caputi, T. L., Smith, D., & Ayers, J. W. (2017). Suicide risk behaviors among sexual minority adolescents in the United States, 2015. JAMA, 318(23), 2349–2351.CrossRefPubMedPubMedCentral Caputi, T. L., Smith, D., & Ayers, J. W. (2017). Suicide risk behaviors among sexual minority adolescents in the United States, 2015. JAMA, 318(23), 2349–2351.CrossRefPubMedPubMedCentral
go back to reference Centers for Disease Control and Prevention (2013). Youth Risk Behavior Survey Data. Available at: www.cdc.gov/yrbs. Accessed on October 19, 2017. Centers for Disease Control and Prevention (2013). Youth Risk Behavior Survey Data. Available at: www.​cdc.​gov/​yrbs. Accessed on October 19, 2017.
go back to reference Centers for Disease Control and Prevention (2015a). Youth Risk Behavior Survey Data. Available at: www.cdc.gov/yrbs. Accessed on October 19, 2017. Centers for Disease Control and Prevention (2015a). Youth Risk Behavior Survey Data. Available at: www.​cdc.​gov/​yrbs. Accessed on October 19, 2017.
go back to reference Centers for Disease Control and Prevention (2016). Software for analysis of YRBS data. Available at www.cdc.gov/healthyyouth/data/yrbs/pdf/yrbs_analysis_software.pdf Accessed October 19, 2017. Centers for Disease Control and Prevention (2016). Software for analysis of YRBS data. Available at www.cdc.gov/healthyyouth/data/yrbs/pdf/yrbs_analysis_software.pdf Accessed October 19, 2017.
go back to reference Franklin, J. C., Ribeiro, J. D., Fox, K. R., Bentley, K. H., Kleiman, E. M., Huang, X., et al. (2017). Risk factors for suicidal thoughts and behaviors: A meta-analysis of 50 years of research. Psychological Bulletin, 143(2), 187–232.CrossRefPubMed Franklin, J. C., Ribeiro, J. D., Fox, K. R., Bentley, K. H., Kleiman, E. M., Huang, X., et al. (2017). Risk factors for suicidal thoughts and behaviors: A meta-analysis of 50 years of research. Psychological Bulletin, 143(2), 187–232.CrossRefPubMed
go back to reference Gartner, R. E., & Sterzing, P. R. (2018). Social ecological correlates of family-level interpersonal and environmental microaggressions toward sexual and gender minority adolescents. Journal of Family Violence, 33(1), 1–16.CrossRefPubMed Gartner, R. E., & Sterzing, P. R. (2018). Social ecological correlates of family-level interpersonal and environmental microaggressions toward sexual and gender minority adolescents. Journal of Family Violence, 33(1), 1–16.CrossRefPubMed
go back to reference Gill, A. M., & Frazer, M. S. (2016). Health risk behaviors among gender expansive students: Making the case for including a measure of gender expression in population-based surveys. Washington, DC: Advocates for Youth. Gill, A. M., & Frazer, M. S. (2016). Health risk behaviors among gender expansive students: Making the case for including a measure of gender expression in population-based surveys. Washington, DC: Advocates for Youth.
go back to reference Goldblum, P., Testa, R. J., Pflum, S., Hendricks, M. L., Bradford, J., & Bongar, B. (2012). The relationship between gender-based victimization and suicide attempts in transgender people. Professional Psychology: Research and Practice, 43, 468–475. https://doi.org/10.1037/a0029605.CrossRef Goldblum, P., Testa, R. J., Pflum, S., Hendricks, M. L., Bradford, J., & Bongar, B. (2012). The relationship between gender-based victimization and suicide attempts in transgender people. Professional Psychology: Research and Practice, 43, 468–475. https://​doi.​org/​10.​1037/​a0029605.CrossRef
go back to reference Hendricks, M. L., & Testa, R. J. (2012). A conceptual framework for clinical work with transgender and gender nonconforming clients: An adaptation of the minority stress model. Professional Psychology: Research and Practice, 43, 460–467. https://doi.org/10.1037/a0029597.CrossRef Hendricks, M. L., & Testa, R. J. (2012). A conceptual framework for clinical work with transgender and gender nonconforming clients: An adaptation of the minority stress model. Professional Psychology: Research and Practice, 43, 460–467. https://​doi.​org/​10.​1037/​a0029597.CrossRef
go back to reference Hom, M. A., Joiner Jr., T. E., & Bernert, R. A. (2016). Limitations of a single-item assessment of suicide attempt history: Implications for standardized suicide risk assessment. Psychological Assessment, 28(8), 1026–1030.CrossRefPubMed Hom, M. A., Joiner Jr., T. E., & Bernert, R. A. (2016). Limitations of a single-item assessment of suicide attempt history: Implications for standardized suicide risk assessment. Psychological Assessment, 28(8), 1026–1030.CrossRefPubMed
go back to reference Leon, A. C., Friedman, R. A., Sweeney, J. A., Brown, R. P., & Mann, J. J. (1990). Statistical issues in the identification of risk factors for suicidal behavior: The application of survival analysis. Psychiatry Research, 31(1), 99–108.CrossRefPubMed Leon, A. C., Friedman, R. A., Sweeney, J. A., Brown, R. P., & Mann, J. J. (1990). Statistical issues in the identification of risk factors for suicidal behavior: The application of survival analysis. Psychiatry Research, 31(1), 99–108.CrossRefPubMed
go back to reference Meier, S. C., & Labuski, C. M. (2013). The demographics of the transgender population. In International Handbook on the Demography of Sexuality (pp. 289-327). Springer, Dordrecht, The Demographics of the Transgender Population. Meier, S. C., & Labuski, C. M. (2013). The demographics of the transgender population. In International Handbook on the Demography of Sexuality (pp. 289-327). Springer, Dordrecht, The Demographics of the Transgender Population.
go back to reference Miranda, R., Scott, M., Hicks, R., Wilcox, H. C., Munfakh, J. L. H., & Shaffer, D. (2008). Suicide attempt characteristics, diagnoses, and future attempts: Comparing multiple attempters to single attempters and ideators. Journal of the American Academy of Child & Adolescent Psychiatry, 47(1), 32–40. https://doi.org/10.1097/chi.0b013e31815a56cb.CrossRef Miranda, R., Scott, M., Hicks, R., Wilcox, H. C., Munfakh, J. L. H., & Shaffer, D. (2008). Suicide attempt characteristics, diagnoses, and future attempts: Comparing multiple attempters to single attempters and ideators. Journal of the American Academy of Child & Adolescent Psychiatry, 47(1), 32–40. https://​doi.​org/​10.​1097/​chi.​0b013e31815a56cb​.CrossRef
go back to reference National Action Alliance for Suicide Prevention: Research prioritization task force. (2014). A prioritized research agenda for suicide prevention: An action plan to save lives. Rockville MD: National Institute of Mental Health and Research Prioritization Task Force. National Action Alliance for Suicide Prevention: Research prioritization task force. (2014). A prioritized research agenda for suicide prevention: An action plan to save lives. Rockville MD: National Institute of Mental Health and Research Prioritization Task Force.
go back to reference Nock, M. K., Borges, G., Bromet, E. J., Cha, C. B., Kessler, R. C., & Lee, S. (2008). Suicide and suicidal behavior. Epidemiologic Reviews, 30(1), 133–154.CrossRefPubMed Nock, M. K., Borges, G., Bromet, E. J., Cha, C. B., Kessler, R. C., & Lee, S. (2008). Suicide and suicidal behavior. Epidemiologic Reviews, 30(1), 133–154.CrossRefPubMed
go back to reference Perez-Brumer, A., Day, J. K., Russell, S. T., & Hatzenbuehler, M. L. (2017). Prevalence and correlates of suicidal ideation among transgender youth in California: Findings from a representative, population-based sample of high school students. Journal of the American Academy of Child & Adolescent Psychiatry, 56(9), 739–746. https://doi.org/10.1016/j.jaac.2017.06.010.CrossRef Perez-Brumer, A., Day, J. K., Russell, S. T., & Hatzenbuehler, M. L. (2017). Prevalence and correlates of suicidal ideation among transgender youth in California: Findings from a representative, population-based sample of high school students. Journal of the American Academy of Child & Adolescent Psychiatry, 56(9), 739–746. https://​doi.​org/​10.​1016/​j.​jaac.​2017.​06.​010.CrossRef
go back to reference Silverman, M. M., Berman, A. L., Sanddal, N. D., O'Carroll, P. W., & Joiner, T. E. (2007). Rebuilding the tower of babel: A revised nomenclature for the study of suicide and suicidal behaviors: Part 2: Suicide-related ideations, communications, and behaviors. Suicide & Life-Threatening Behavior, 37(3), 264–277.CrossRef Silverman, M. M., Berman, A. L., Sanddal, N. D., O'Carroll, P. W., & Joiner, T. E. (2007). Rebuilding the tower of babel: A revised nomenclature for the study of suicide and suicidal behaviors: Part 2: Suicide-related ideations, communications, and behaviors. Suicide & Life-Threatening Behavior, 37(3), 264–277.CrossRef
Metagegevens
Titel
A Preliminary Examination of the Association between Adolescent Gender Nonconformity and Suicidal Thoughts and Behaviors
Auteurs
Leigh A. Spivey
Mitchell J. Prinstein
Publicatiedatum
28-09-2018
Uitgeverij
Springer US
Gepubliceerd in
Research on Child and Adolescent Psychopathology / Uitgave 4/2019
Print ISSN: 2730-7166
Elektronisch ISSN: 2730-7174
DOI
https://doi.org/10.1007/s10802-018-0479-6

Andere artikelen Uitgave 4/2019

Research on Child and Adolescent Psychopathology 4/2019 Naar de uitgave