Suicidal ideation in transgender people: Gender minority stress and interpersonal theory factors.
Abstract
Research has revealed alarmingly high rates of suicidal ideation (SI) and suicide attempts among transgender and gender nonconforming (TGNC) people. This study aims to analyze the role of factors from the gender minority stress and resilience (GMSR) model (Testa, Habarth, Peta, Balsam, & Bockting, 2015), the interpersonal-psychological theory of suicide (IPTS; Joiner, 2005; Van Orden et al., 2010), and the potential integration of these factors, in explaining SI in this population. A convenience sample of 816 TGNC adults responded to measures of current SI, gender minority stressors, and IPTS factors. Path analysis was utilized to test 2 models. Model 1 evaluated the associations between external minority stressors and SI through internal minority stressors. Model 2 examined the relationships between internal minority stressors and SI through IPTS variables (perceived burdensomeness and thwarted belongingness). All GMSR external stressors (rejection, nonaffirmation, victimization, and discrimination), internal stressors (internalized transphobia, negative expectations, and nondisclosure), and IPTS factors (thwarted belongingness and perceived burdensomeness) were related to SI. Both models demonstrated good fit. Model 1 revealed that rejection, nonaffirmation, and victimization were related to SI through experiences of internalized transphobia and negative expectations. Model 2 indicated that internalized transphobia and negative expectations were associated with SI through I…
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All studies to date on TGNC minority stress experiences have used cross-sectional research designs.
“however, to our knowledge, all studies to date have used cross-sectional research designs.”
From Psychological Processes Underlying the Impact of Gender-Related Discrimination on Psychological Distress in Transgender and Gender Nonconforming People. (2019) · cites this paper as Testa et al., 2017
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- Authors
- Testa, R. J., Michaels, M. S., Bliss, W., Rogers, M. L., Balsam, K. F., & Joiner, T.
- Affiliations
- Rhodes College (US)
- Florida State University (US)
- Palo Alto University (US)
- Venue
- Journal of Abnormal Psychology
- Published
- 2017-01
- Volume
- 126
- Issue
- 1
- Pages
- 125-136
- ISSN
- 0021-843X (ISSN-L)
- 1939-1846
- OpenAlex
- W2553667616
- Cited by
- 455
- References
- 46
- Citations by year
- 2026: 48 · 2025: 45 · 2024: 63 · 2023: 62 · 2022: 47 · 2021: 55 · 2020: 51 · 2019: 48 · 2018: 26 · 2017: 10
- FWCI
- 43.97
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Abnormal Psychology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Social Psychology › LGBTQ Health, Identity, and Policy
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Social Sciences › Psychology › Social Psychology › Death Anxiety and Social Exclusion
- Keywords
- suicidal ideation, transgender people, gender non-conforming people, gender minority stress, resilience, interpersonal theory of suicide, perceived burdensomeness, thwarted belongingness, internalized transphobia, non-disclosure, rejection, victimization, discrimination, negative expectations
- MeSH terms
- Sexual and Gender Minorities, Adolescent, Adult, Aged, Female, Humans, Interpersonal Relations, Male, Middle Aged, Psychological Theory, Stress, Psychological, Young Adult, Suicidal Ideation, Transgender Persons
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