Factors associated with suicidal ideation among travestis and transsexuals receiving assistance from transgender organizations

Silva, Glauber Weder dos Santos; Meira, Karina Cardoso; Azevedo, Dulcian Medeiros de; Sena, Romeika Carla Ferreira de; Lins, Suerda Lillian da Fonseca; Dantas, Eder Samuel Oliveira; Miranda, Francisco Arnoldo Nunes de

doi:10.1590/1413-812320212611.3.32342019

Glauber Weder dos Santos Silva

Direção de Enfermagem, Hospital Giselda Trigueiro. R. Cônego Monte 110, Quintas. 59037-170 Natal RN Brasil. glauberweder@hotmail.com

http://orcid.org/0000-0002-0570-1944

Karina Cardoso Meira

Escola de Saúde, Universidade Federal do Rio Grande do Norte. Natal RN Brasil.

http://orcid.org/0000-0002-1722-5703

Dulcian Medeiros de Azevedo

Departamento de Enfermagem, Universidade do Estado do Rio Grande do Norte. Natal RN Brasil.

http://orcid.org/0000-0002-4323-091X

Romeika Carla Ferreira de Sena

Direção de Enfermagem, Hospital Giselda Trigueiro. R. Cônego Monte 110, Quintas. 59037-170 Natal RN Brasil. glauberweder@hotmail.com

http://orcid.org/0000-0003-1230-3888

Suerda Lillian da Fonseca Lins

Direção de Enfermagem, Hospital Giselda Trigueiro. R. Cônego Monte 110, Quintas. 59037-170 Natal RN Brasil. glauberweder@hotmail.com

http://orcid.org/0000-0002-2154-968X

Eder Samuel Oliveira Dantas

Hospital Universitário Onofre Lopes, Universidade Federal do Rio Grande do Norte. Natal RN Brasil

http://orcid.org/0000-0002-6595-6105

Francisco Arnoldo Nunes de Miranda

Direção de Enfermagem, Hospital Giselda Trigueiro. R. Cônego Monte 110, Quintas. 59037-170 Natal RN Brasil. glauberweder@hotmail.com

http://orcid.org/0000-0002-8648-811X

Collaborations

GWS Silva worked on the conception, design, data analysis and interpretation, in the writing of the article, its critical review and approval of the version to be published; KM Cardoso , DM Azevendo, RCF Sena, SLF Lins and ESO Dantas contributed in data analysis and interpretation, in the writing of the article, its critical review and approval of the final version; FAN Miranda contributed to the design, data analysis and interpretation of data, in the writing of the article, its critical review and approval of the version to be published.

Chief editors:

Romeu Gomes, Antônio Augusto Moura da Silva

Variables		n	%
Gender identity	Travesti	22	37.9
Gender identity	Transsexual	36	62.1
Sexual orientation	Heterosexual	48	82.8
Sexual orientation	Non-heterosexual	10	17.2
Age group*	> 29 years	18	31.0
Age group*	≤ 29 years	40	69.0
Age at which came out as transgender^†	≤ 18 years	39	67.2
Age at which came out as transgender^†	≥ 19 years	19	32.8
Marital status	Married or stable union	11	19.0
Marital status	Single or widowed	47	81.0
Spirituality	Yes	37	63.8
Spirituality	No	21	36.2
Education	Higher education	13	22.4
Education	Secondary education or below	45	77.6
Color/race	White	18	31.0
Color/race	Black/brown	40	69.0
Occupation	Yes	48	82.8
	Retired	01	1.7
	No	09	15.5
Prostitution	No	41	70.7
Prostitution	Yes	17	29.3
Income^‡	> 1 minimum salary	23	39.7
Income^‡	< 1 minimum salary	35	60.3

Variables	Suicidal ideation					p-value*
		Present		Absent
		n	%	n	%
Gender identity	Travesti	14	24.1	8	13.8	0.544
Gender identity	Transsexual	20	34.5	16	27.6	0.544
Sexual orientation	Heterosexual	26	44.8	22	37.9	0.171^†
Sexual orientation	Non-heterosexual	8	13.8	2	3.5	0.171^†
Age group	> 29 years	22	37.9	18	31.1	0.403
Age group	≤ 29 years	12	20.7	6	10.3	0.403
Age at which came out as transgender	≤ 18 years	21	36.2	18	31.1	0.29
Age at which came out as transgender	≥ 19 years	13	22.4	6	10.3	0.29
Marital status	Married or stable union	26	44.8	21	36.2	0.333^†
Marital status	Single or widowed	8	13.8	3	5.2	0.333^†
Spirituality	Yes	25	43.1	12	20.7	0.066
Spirituality	No	9	15.5	12	20.7	0.066
Education	Higher education	26	44.8	19	32.8	0.808
Education	Secondary education or below	8	13.8	5	8.6	0.808
Color/race	White	8	13.8	10	17.2	0.141
Color/race	Black/brown	26	44.8	14	24.2	0.141
Employability	Yes/retired	28	48.3	20	34.5	0.999^†
Employability	No	6	10.3	4	6.9	0.999^†
Prostitution	No	24	41.4	17	29.3	0.983
Prostitution	Yes	10	17.2	7	12.1	0.983
Income	> 1 minimum salary	13	22.4	10	17.2	0.792
Income	< 1 minimum salary	21	36.2	14	24.1	0.792
Lifetime sexually transmitted diseases	No	25	43.1	19	32.8	0.621
Lifetime sexually transmitted diseases	Yes	9	15.5	5	8.6	0.621
Awareness of HIV status	No	29	50	23	39.7	0.384^†
Awareness of HIV status	Yes	5	8.6	1	1.7	0.384^†
Sex reassignment surgery^§	No	34	58.6	24	41.4	-
	Yes	0	0	0	0	-
Presence of liquid silicone in the body	No	19	32.8	13	22.4	0.897
Presence of liquid silicone in the body	Yes	15	25.9	11	19	0.897
Hormone therapy	No	6	10.3	7	12.1	0.3
	Yes	28	48.3	17	29.3	0.3
Professional follow-up for hormone therapy	No	8	13.8	11	19	0.074
Professional follow-up for hormone therapy	Yes	26	44.8	13	22.4	0.074
Use of licit or illicit psychoactive substances	No	6	10.3	1	1.7	0.220^†
Use of licit or illicit psychoactive substances	Yes	28	48.3	23	39.7	0.220^†
Depression level	Minimal/mild	30	51.7	12	20.7	0.002^†
Depression level	Moderado/grave	4	6.9	12	20.7	0.002^†

Variables	Suicidal ideation					p-value*
		Ausente		Presente
		n	%	n	%
Victimization	Yes	33	56.9	23	39.7	0.999^†
Victimization	No	1	1.7	1	1.7	0.999^†
Typology
Verbal	No	5	8.6	4	6.9	0.999^†
Verbal	Yes	29	50	20	34.5	0.999^†
Sexual	No	15	25.9	9	15.5	0.614
Sexual	Yes	19	32.8	15	25.9	0.614
Psychological	No	18	31	13	22.4	0.926
Psychological	Yes	16	27.6	11	19	0.926
Physical	No	21	36.2	14	24.4	0.792
Physical	Yes	13	22.4	10	17.2	0.792
Place of violence
Home	No	22	37.9	15	25.9	0.863
Home	Yes	12	20.7	9	15.5	0.863
Street	No	9	15.5	6	10.3	0.899
Street	Yes	25	43.1	18	31.1	0.899
School	No	24	41.4	9	15.5	0.012
School	Yes	10	17.2	15	25.9	0.012
Health services	No	32	55.2	19	32.8	0.113^†
Health services	Yes	2	3.4	5	8.6	0.113^†
Other	No	31	53.4	21	36.2	0.683^†
Other	Yes	3	5.2	3	5.2	0.683^†
Perpetrators
Family members	No	22	37.9	15	25.9	0.863
Family members	Yes	12	20.7	9	15.5	0.863
People unknown to the victim	No	4	6.9	2	3.4	0.999^†
People unknown to the victim	Yes	30	51.7	22	37.9	0.999^†
Being cast out by the family because of gender identity	No	19	32.8	21	36.2	0.020^†
Being cast out by the family because of gender identity	Yes	15	25.9	3	5.2	0.020^†
Full respect for preferred name	Yes	20	34.5	13	22.4	0.724
Full respect for preferred name	No	14	24.1	11	19	0.724
Feel ashamed of oneself and of one’s gender identity	No	21	36.2	10	17.2	0.13
Feel ashamed of oneself and of one’s gender identity	Sim	13	22.4	14	24.1	0.13

Variables	Suicidal ideation					p-value*
		Absent		Present
		n	%	n	%
History of past suicide attempt	No	27	46.6	11	19.0	0.008
History of past suicide attempt	Yes	7	12.1	13	22.4	0.008
Intensity of the will to die at the last attempt	Never tried or weak intensity	30	51.7	15	25.9	0.028^†
Intensity of the will to die at the last attempt	Moderate or strong intensity	4	6.9	9	15.5	0.028^†
Suicidal behavior in the family	No	27	46.6	20	34.5	0.999^†
Suicidal behavior in the family	Yes	7	12.1	4	6.9	0.999^†
Suicidal behavior among friends	No	5	8.6	5	8.6	0.543
Suicidal behavior among friends	Yes	29	50	19	32.8	0.543
Travesti or transsexual friends with suicidal behavior	No	13	22.4	11	19.0	0.562
Travesti or transsexual friends with suicidal behavior	Sim	21	36.2	13	22.4	0.562

Variables	Non-adjusted PR* (95%CI†)	Adjusted PR* (95%CI†)
Depression level
Minimal/mild depression	1^‡
Moderate/severe	1.36 (1.16-1.60)	3.86 (1.51-9.83)
Place of violence - School
No	1^‡
Yes	1.28 (1.06-1.49)	2.05 (1.08-3.87)

[1] Collaborations

GWS Silva worked on the conception, design, data analysis and interpretation, in the writing of the article, its critical review and approval of the version to be published; KM Cardoso , DM Azevendo, RCF Sena, SLF Lins and ESO Dantas contributed in data analysis and interpretation, in the writing of the article, its critical review and approval of the final version; FAN Miranda contributed to the design, data analysis and interpretation of data, in the writing of the article, its critical review and approval of the version to be published.

Brasil

Brasil

Factors associated with suicidal ideation among travestis and transsexuals receiving assistance from transgender organizations

Abstract