Transgender Women’s Experiences with Stigma, Trauma, and Attempted Suicide in the Dominican Republic
Suicide and Life-Threatening Behavior
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Background: Studies on attempted suicide in transgender populations, particularly those in resource-limited settings are scarce. We examined the relationships between stigma, trauma, and suicide attempts in a national sample of transgender women from the Dominican Republic. Methods: Bivariate analysis examined differences between suicide attempters and non-attempters (n=298). Multivariate analysis reported odds ratios with attempted suicide as the outcome (n=260). Results: About a quarter of respondents (23.9%) experienced sexual abuse, 12.3% were tortured and 20.3% experienced a murder attempt. More than a quarter reported using illegal drugs. Independent sample t-tests found significant differences between suicide attempters and non-attempters. Attempters were more likely to have experienced sexual abuse, psychological abuse, torture, and a murder attempt (p<.001 for all). Respondents who experienced psychological abuse had over three times higher odds of attempting suicide, compared to respondents who had not (OR=3.203, p<.01). Experience with torture and attempted murder were associated with higher odds of attempting suicide (OR=2.967, p<.05 and OR=2.894, p<.05 respectively). Conclusions: Although some nations have implemented anti-discrimination policies protecting transgender citizens, these policies are often not consistently enforced. Eliminating stigmatizing policies may reduce rates of negative health outcomes subsequently improving population health.
AuthorsBudhwani, H; Hearld, KR; MILNER, AN; Charow, R; McGlaughlin, E; Rodriguez-Lauzurique, RM; Rosairo, S; Paulino-Ramirez, R
- Population Health