Cited by 455LGBTQ Health, Identity, and PolicySuicide and Self-Harm StudiesDeath Anxiety and Social Exclusion

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Suicidal ideation in transgender people: Gender minority stress and interpersonal theory factors.

Testa, Rylan J., Michaels, Matthew S., Bliss, Whitney, Rogers, Megan L., Balsam, Kimberly F., Joiner, Thomas·2017·Journal of Abnormal Psychology

DOI 10.1037/abn0000234

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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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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)
ORCID: Testa, Rylan J.
Michaels, Matthew S.
Rogers, Megan L.
Balsam, Kimberly F.
Joiner, Thomas
Venue: Journal of Abnormal Psychology
Publisher: American Psychological Association (APA)
Published: 2017-01
Volume: 126
Issue: 1
Pages: 125-136
ISSN: 0021-843X (ISSN-L)
1939-1846
DOI: 10.1037/abn0000234
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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Suicidal ideation in transgender people: Gender minority stress and interpersonal theory factors.

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