Experiences of Transmasculine Spectrum People Who Report Nonsuicidal Self-Injury: A Qualitative Investigation

被引:26
作者
Jackman, Kasey [1 ]
Edgar, Brittany [1 ]
Ling, Amanda [1 ]
Honig, Judy [1 ]
Bockting, Walter [2 ,3 ,4 ]
机构
[1] Columbia Univ, Sch Nursing, 630 West 168th St,Mail Code 6, New York, NY 10032 USA
[2] Columbia Univ, Dept Psychiat, New York, NY USA
[3] Columbia Univ, Sch Nursing, New York, NY USA
[4] New York State Psychiat Inst & Hosp, New York, NY 10032 USA
关键词
nonsuicidal self-injury; transgender and gender nonconforming; stigma; minority stress; identity development; MENTAL-HEALTH; TRANSGENDER YOUTH; TRANS PEOPLE; ONLINE SAMPLE; RISK; GAY; SUICIDALITY; STRESS; POPULATIONS; RESILIENCE;
D O I
10.1037/cou0000304
中图分类号
G44 [教育心理学];
学科分类号
0402 ; 040202 ;
摘要
Transgender populations experience mental and physical health disparities compared to nontransgender populations, including nonsuicidal self-injury (NSSI). Guided by the minority stress theory and Nock's model of NSSI, this study explored perspectives of transmasculine spectrum people (i.e., people with a gender identity that is man, male, transgender man, genderqueer, or nonbinary and who were assigned female at birth) who engage in NSSI. Qualitative interviews were conducted with transmasculine spectrum people (N = 18) who reported a history of NSSI. Their mean age was 24.9 years old (SD = 5.43, range = 17-38). Participants reported that NSSI was influenced by a variety of factors including stress from gender nonconformity in childhood and adolescence. Stigma related to minority status and identity as well as proximal minority stress processes of concealment and expectations of rejection were identified as contributing to NSSI. Transgender identity development tasks such as coming out and identity exploration also appeared to affect NSSI. Finding a community of peers who engage in NSSI was helpful in mitigating social isolation, but at times reinforced NSSI. We discuss clinical implications at the individual and family levels. Interventions to reduce NSSI among transmasculine-spectrum people should include facilitating connections with gender minority peers and providing individual support and family interventions to facilitate transgender identity development. Public Significance Statement This study suggests that nonsuicidal self-injury (NSSI) among transmasculine spectrum people may be related to a combination of known risk factors for NSSI and experiences of stress from stigma due to their transgender identity. Findings highlight the need for health care providers to anticipate stressors related to transgender identity development in the context of societal stigma attached to gender minority identities and NSSI, take steps to intervene at the individual and family levels, and advocate for changes in policy to reduce stigma and facilitate gender affirmation.
引用
收藏
页码:586 / 597
页数:12
相关论文
共 62 条
[1]   Self-Harm and Suicidality in Children Referred for Gender Dysphoria [J].
Aitken, Madison ;
VanderLaan, Doug P. ;
Wasserman, Lori ;
Stojanovski, Sonja ;
Zucker, Kenneth J. .
JOURNAL OF THE AMERICAN ACADEMY OF CHILD AND ADOLESCENT PSYCHIATRY, 2016, 55 (06) :513-520
[2]   You still feel different: The experience and meaning of women's self-injury in the context of a lesbian or bisexual identity [J].
Alexander, N ;
Clare, L .
JOURNAL OF COMMUNITY & APPLIED SOCIAL PSYCHOLOGY, 2004, 14 (02) :70-84
[3]   Guidelines for Psychological Practice With Transgender and Gender Nonconforming People [J].
American Psychological Association .
AMERICAN PSYCHOLOGIST, 2015, 70 (09) :832-864
[4]  
[Anonymous], 2011, HLTH LESB GAY BISEX
[5]  
APA, 2013, DIAGNOSTIC STAT MANU, DOI DOI 10.1176/APPI.BOOKS.9780890425596.744053
[6]   Self-Cutting and Suicidal Ideation among Adolescents: Gender Differences in the Causes and Correlates of Self-Injury [J].
Bakken, Nicholas W. ;
Gunter, Whitney D. .
DEVIANT BEHAVIOR, 2012, 33 (05) :339-356
[7]  
Bockting W., 2002, 14 INT AIDS C JUL 7
[8]   Stigma, Mental Health, and Resilience in an Online Sample of the US Transgender Population [J].
Bockting, Walter O. ;
Miner, Michael H. ;
Romine, Rebecca E. Swinburne ;
Hamilton, Autumn ;
Coleman, Eli .
AMERICAN JOURNAL OF PUBLIC HEALTH, 2013, 103 (05) :943-951
[9]   Mental Health and Suicidality Among Racially/Ethnically Diverse Sexual Minority Youths [J].
Bostwick, Wendy B. ;
Meyer, Ilan ;
Aranda, Frances ;
Russell, Stephen ;
Hughes, Tonda ;
Birkett, Michelle ;
Mustanski, Brian .
AMERICAN JOURNAL OF PUBLIC HEALTH, 2014, 104 (06) :1129-1136
[10]   Anxiety and Depression in Transgender Individuals: The Roles of Transition Status, Loss, Social Support, and Coping [J].
Budge, Stephanie L. ;
Adelson, Jill L. ;
Howard, Kimberly A. S. .
JOURNAL OF CONSULTING AND CLINICAL PSYCHOLOGY, 2013, 81 (03) :545-557