A cross-sectional study of mental health and suicidality among trans women in São Paulo, Brazil
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://dx.doi.org/10.1186/s12888-021-03557-9 http://hdl.handle.net/11449/222835 |
Resumo: | Background: Trans women have been shown to experience disproportionately poor outcomes in physical and mental health. Although it is common to talk about the violence against trans people, little is still known about mental health outcomes and experiences of suicidality among trans women, particularly in developing countries. This study aims to investigate risk factors and associations with mental health, suicide ideation and suicide attempts among trans women in the largest metropolitan area in Brazil. Methods: Trans women living in São Paulo were recruited between May 2017 and July 2019 using the long-chain peer referral method Respondent-Driven Sampling. Multivariate regression models were used to investigate the associations with K10 score classification (logistic) and suicidal ideation/suicide attempt (ordinal logistic). Results: A total of 763 trans women were included in the study. Over one quarter (26.5%) of trans women had been diagnosed with anxiety in the past, and close to one in five (19.1%) trans women had received a diagnosis of depression. More than two in five (41.9%) trans women had moderate to severe psychological distress. More than half of all participating trans women reported having previously either experienced suicidal ideation or attempted to take their own lives (25.0 and 31.2% respectively). In multivariate regression, moderate to severe psychological distress was associated with homelessness, income, current sex work, use of stimulant drugs, history of physical abuse, depression diagnosis and access to mental health treatment. Suicidal ideation and suicide attempts were associated with race/skin color, living arrangements, marital status, current sex work, history of sexual violence, depression and PTSD diagnoses, access to mental health treatment and psychological distress. Conclusions: This study showed that there is a significant association between mental health conditions, lack of treatment for these conditions and suicidality among trans gender women. Findings point to the need for a structural transformation in Brazil that enables a reduction in the social inequality and violence that impact the mental health of trans women. A number of recommendations to achieve this are provided. |
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A cross-sectional study of mental health and suicidality among trans women in São Paulo, BrazilMental healthRisk factorsSuicidal ideationSuicide attemptTransgender womenBackground: Trans women have been shown to experience disproportionately poor outcomes in physical and mental health. Although it is common to talk about the violence against trans people, little is still known about mental health outcomes and experiences of suicidality among trans women, particularly in developing countries. This study aims to investigate risk factors and associations with mental health, suicide ideation and suicide attempts among trans women in the largest metropolitan area in Brazil. Methods: Trans women living in São Paulo were recruited between May 2017 and July 2019 using the long-chain peer referral method Respondent-Driven Sampling. Multivariate regression models were used to investigate the associations with K10 score classification (logistic) and suicidal ideation/suicide attempt (ordinal logistic). Results: A total of 763 trans women were included in the study. Over one quarter (26.5%) of trans women had been diagnosed with anxiety in the past, and close to one in five (19.1%) trans women had received a diagnosis of depression. More than two in five (41.9%) trans women had moderate to severe psychological distress. More than half of all participating trans women reported having previously either experienced suicidal ideation or attempted to take their own lives (25.0 and 31.2% respectively). In multivariate regression, moderate to severe psychological distress was associated with homelessness, income, current sex work, use of stimulant drugs, history of physical abuse, depression diagnosis and access to mental health treatment. Suicidal ideation and suicide attempts were associated with race/skin color, living arrangements, marital status, current sex work, history of sexual violence, depression and PTSD diagnoses, access to mental health treatment and psychological distress. Conclusions: This study showed that there is a significant association between mental health conditions, lack of treatment for these conditions and suicidality among trans gender women. Findings point to the need for a structural transformation in Brazil that enables a reduction in the social inequality and violence that impact the mental health of trans women. A number of recommendations to achieve this are provided.School of Health Sciences Western Sydney UniversityTranslational Health Research Institute Western Sydney UniversityFaculdade de Ciências Médicas Santa Casa de São PauloSchool of Sciences São Paulo State UniversityInstituto de Comunicação e Informação Científica e Tecnológica em Saúde, Fundação Oswaldo CruzSan Francisco Department of Public Health Center for Public Health ResearchDepartment of Epidemiology and Statistics University of CaliforniaSan Francisco Department of Public Health Trans Research unit for Equity (TRUE)School of Sciences São Paulo State UniversityWestern Sydney UniversitySanta Casa de São PauloUniversidade Estadual Paulista (UNESP)Instituto de Comunicação e Informação Científica e Tecnológica em SaúdeCenter for Public Health ResearchUniversity of CaliforniaTrans Research unit for Equity (TRUE)Reis, ArianneSperandei, Sandrode Carvalho, Paula Galdino CardinPinheiro, Thiago Félixde Moura, Ferdinando DinizGomez, José LuisPorchat, Patrícia [UNESP]Bastos, Francisco InácioMcFarland, WilliWilson, Erin C.Veras, Maria Amélia2022-04-28T19:47:05Z2022-04-28T19:47:05Z2021-12-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttp://dx.doi.org/10.1186/s12888-021-03557-9BMC Psychiatry, v. 21, n. 1, 2021.1471-244Xhttp://hdl.handle.net/11449/22283510.1186/s12888-021-03557-92-s2.0-85118847650Scopusreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengBMC Psychiatryinfo:eu-repo/semantics/openAccess2022-04-28T19:47:05Zoai:repositorio.unesp.br:11449/222835Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462022-04-28T19:47:05Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
A cross-sectional study of mental health and suicidality among trans women in São Paulo, Brazil |
title |
A cross-sectional study of mental health and suicidality among trans women in São Paulo, Brazil |
spellingShingle |
A cross-sectional study of mental health and suicidality among trans women in São Paulo, Brazil Reis, Arianne Mental health Risk factors Suicidal ideation Suicide attempt Transgender women |
title_short |
A cross-sectional study of mental health and suicidality among trans women in São Paulo, Brazil |
title_full |
A cross-sectional study of mental health and suicidality among trans women in São Paulo, Brazil |
title_fullStr |
A cross-sectional study of mental health and suicidality among trans women in São Paulo, Brazil |
title_full_unstemmed |
A cross-sectional study of mental health and suicidality among trans women in São Paulo, Brazil |
title_sort |
A cross-sectional study of mental health and suicidality among trans women in São Paulo, Brazil |
author |
Reis, Arianne |
author_facet |
Reis, Arianne Sperandei, Sandro de Carvalho, Paula Galdino Cardin Pinheiro, Thiago Félix de Moura, Ferdinando Diniz Gomez, José Luis Porchat, Patrícia [UNESP] Bastos, Francisco Inácio McFarland, Willi Wilson, Erin C. Veras, Maria Amélia |
author_role |
author |
author2 |
Sperandei, Sandro de Carvalho, Paula Galdino Cardin Pinheiro, Thiago Félix de Moura, Ferdinando Diniz Gomez, José Luis Porchat, Patrícia [UNESP] Bastos, Francisco Inácio McFarland, Willi Wilson, Erin C. Veras, Maria Amélia |
author2_role |
author author author author author author author author author author |
dc.contributor.none.fl_str_mv |
Western Sydney University Santa Casa de São Paulo Universidade Estadual Paulista (UNESP) Instituto de Comunicação e Informação Científica e Tecnológica em Saúde Center for Public Health Research University of California Trans Research unit for Equity (TRUE) |
dc.contributor.author.fl_str_mv |
Reis, Arianne Sperandei, Sandro de Carvalho, Paula Galdino Cardin Pinheiro, Thiago Félix de Moura, Ferdinando Diniz Gomez, José Luis Porchat, Patrícia [UNESP] Bastos, Francisco Inácio McFarland, Willi Wilson, Erin C. Veras, Maria Amélia |
dc.subject.por.fl_str_mv |
Mental health Risk factors Suicidal ideation Suicide attempt Transgender women |
topic |
Mental health Risk factors Suicidal ideation Suicide attempt Transgender women |
description |
Background: Trans women have been shown to experience disproportionately poor outcomes in physical and mental health. Although it is common to talk about the violence against trans people, little is still known about mental health outcomes and experiences of suicidality among trans women, particularly in developing countries. This study aims to investigate risk factors and associations with mental health, suicide ideation and suicide attempts among trans women in the largest metropolitan area in Brazil. Methods: Trans women living in São Paulo were recruited between May 2017 and July 2019 using the long-chain peer referral method Respondent-Driven Sampling. Multivariate regression models were used to investigate the associations with K10 score classification (logistic) and suicidal ideation/suicide attempt (ordinal logistic). Results: A total of 763 trans women were included in the study. Over one quarter (26.5%) of trans women had been diagnosed with anxiety in the past, and close to one in five (19.1%) trans women had received a diagnosis of depression. More than two in five (41.9%) trans women had moderate to severe psychological distress. More than half of all participating trans women reported having previously either experienced suicidal ideation or attempted to take their own lives (25.0 and 31.2% respectively). In multivariate regression, moderate to severe psychological distress was associated with homelessness, income, current sex work, use of stimulant drugs, history of physical abuse, depression diagnosis and access to mental health treatment. Suicidal ideation and suicide attempts were associated with race/skin color, living arrangements, marital status, current sex work, history of sexual violence, depression and PTSD diagnoses, access to mental health treatment and psychological distress. Conclusions: This study showed that there is a significant association between mental health conditions, lack of treatment for these conditions and suicidality among trans gender women. Findings point to the need for a structural transformation in Brazil that enables a reduction in the social inequality and violence that impact the mental health of trans women. A number of recommendations to achieve this are provided. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-12-01 2022-04-28T19:47:05Z 2022-04-28T19:47:05Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1186/s12888-021-03557-9 BMC Psychiatry, v. 21, n. 1, 2021. 1471-244X http://hdl.handle.net/11449/222835 10.1186/s12888-021-03557-9 2-s2.0-85118847650 |
url |
http://dx.doi.org/10.1186/s12888-021-03557-9 http://hdl.handle.net/11449/222835 |
identifier_str_mv |
BMC Psychiatry, v. 21, n. 1, 2021. 1471-244X 10.1186/s12888-021-03557-9 2-s2.0-85118847650 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
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BMC Psychiatry |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.source.none.fl_str_mv |
Scopus reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
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UNESP |
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Repositório Institucional da UNESP |
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Repositório Institucional da UNESP |
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Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
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1803649654299033600 |