Risk and protective factors for self-harm thoughts and behaviours in transgender and gender diverse people: A systematic review

Background: Self-harm (any self-injury or -poisoning regardless of intent) is highly prevalent in transgender and gender diverse (TGD) populations. It is strongly associated with various adverse health and wellbeing outcomes, including suicide. Despite increased risk, TGD individuals' unique se...

ver descrição completa

Detalhes bibliográficos
Autores: Bird, K., Arcelus, Jon, Matsagoura, L., O'Shea, B.A., Townsend, E.
Tipo de documento: artigo
Estado:Versão publicada
Data de publicação:2024
País:España
Recursos:Universidad de Barcelona
Repositório:Dipòsit Digital de la UB
OAI Identifier:oai:diposit.ub.edu:2445/214404
Acesso em linha:https://hdl.handle.net/2445/214404
Access Level:Acceso aberto
Palavra-chave:Comportament autolesiu
Transgèneres
Self-injurious behavior
Transgender people
id ES_740e4df44fa47577e07f891cd26da4b0
oai_identifier_str oai:diposit.ub.edu:2445/214404
network_acronym_str ES
network_name_str España
repository_id_str
spelling Risk and protective factors for self-harm thoughts and behaviours in transgender and gender diverse people: A systematic reviewBird, K.Arcelus, JonMatsagoura, L.O'Shea, B.A.Townsend, E.Comportament autolesiuTransgèneresSelf-injurious behaviorTransgender peopleBackground: Self-harm (any self-injury or -poisoning regardless of intent) is highly prevalent in transgender and gender diverse (TGD) populations. It is strongly associated with various adverse health and wellbeing outcomes, including suicide. Despite increased risk, TGD individuals' unique self-harm pathways are not well understood. Following PRISMA guidelines we conducted the first systematic review of risk and protective factors for self-harm in TGD people to identify targets for prevention and intervention. Methods: We searched five electronic databases (PubMed, PsychInfo, Scopus, MEDLINE, and Web of Science) published from database inception to November 2023 for primary and secondary studies of risk and/or protective factors for self-harm thoughts and behaviours in TGD people. Data was extracted and study quality assessed using Newcastle -Ottawa Scales. Findings: Overall, 78 studies published between 2007 and 2023 from 16 countries (N = 322,144) were eligible for inclusion. Narrative analysis identified six key risk factors for self-harm in TGD people (aged 7-98years) were identified. These are younger age, being assigned female at birth, illicit drug and alcohol use, sexual and physical assault, gender minority stressors (especially discrimination and victimisation), and depression or depressive symptomology. Three important protective factors were identified: social support, connectedness, and school safety. Other possible unique TGD protective factors against self-harm included: chosen name use, gender-identity concordant documentation, and protective state policies. Some evidence of publication bias regarding sample size, non-responders, and confounding variables was identified. Interpretation: This systematic review indicates TGD people may experience a unique self-harm pathway. Importantly, the risk and protective factors we identified provide meaningful targets for intervention. TGD youth and those assigned female at birth are at increased risk. Encouraging TGD people to utilise and foster existing support networks, family/parent and peer support groups, and creating safe, supportive school environments may be critical for self-harm and suicide prevention strategies. Efforts to reduce drug and alcohol use and experiences of genderbased victimisation and discrimination are recommended to reduce self-harm in this high -risk group. Addressing depressive symptoms may reduce gender dysphoria and self-harm. The new evidence presented in this systematic review also indicates TGD people may experience unique pathways to self-harm related to the lack of social acceptance of their gender identity. However, robust longitudinal research which examines gender -specific factors is now necessary to establish this pathway.Elsevier BV2024info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://hdl.handle.net/2445/214404Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL))reponame:Dipòsit Digital de la UBinstname:Universidad de BarcelonaInglésReproducció del document publicat a: https://doi.org/10.1016/j.heliyon.2024.e26074Heliyon, 2024, vol. 10, num. 5https://doi.org/10.1016/j.heliyon.2024.e26074cc by-nc-nd (c) Bird, K. et al, 2024http://creativecommons.org/licenses/by-nc-nd/3.0/es/info:eu-repo/semantics/openAccessoai:diposit.ub.edu:2445/2144042026-05-27T06:46:51Z
dc.title.none.fl_str_mv Risk and protective factors for self-harm thoughts and behaviours in transgender and gender diverse people: A systematic review
title Risk and protective factors for self-harm thoughts and behaviours in transgender and gender diverse people: A systematic review
spellingShingle Risk and protective factors for self-harm thoughts and behaviours in transgender and gender diverse people: A systematic review
Bird, K.
Comportament autolesiu
Transgèneres
Self-injurious behavior
Transgender people
title_short Risk and protective factors for self-harm thoughts and behaviours in transgender and gender diverse people: A systematic review
title_full Risk and protective factors for self-harm thoughts and behaviours in transgender and gender diverse people: A systematic review
title_fullStr Risk and protective factors for self-harm thoughts and behaviours in transgender and gender diverse people: A systematic review
title_full_unstemmed Risk and protective factors for self-harm thoughts and behaviours in transgender and gender diverse people: A systematic review
title_sort Risk and protective factors for self-harm thoughts and behaviours in transgender and gender diverse people: A systematic review
dc.creator.none.fl_str_mv Bird, K.
Arcelus, Jon
Matsagoura, L.
O'Shea, B.A.
Townsend, E.
author Bird, K.
author_facet Bird, K.
Arcelus, Jon
Matsagoura, L.
O'Shea, B.A.
Townsend, E.
author_role author
author2 Arcelus, Jon
Matsagoura, L.
O'Shea, B.A.
Townsend, E.
author2_role author
author
author
author
dc.subject.none.fl_str_mv Comportament autolesiu
Transgèneres
Self-injurious behavior
Transgender people
topic Comportament autolesiu
Transgèneres
Self-injurious behavior
Transgender people
description Background: Self-harm (any self-injury or -poisoning regardless of intent) is highly prevalent in transgender and gender diverse (TGD) populations. It is strongly associated with various adverse health and wellbeing outcomes, including suicide. Despite increased risk, TGD individuals' unique self-harm pathways are not well understood. Following PRISMA guidelines we conducted the first systematic review of risk and protective factors for self-harm in TGD people to identify targets for prevention and intervention. Methods: We searched five electronic databases (PubMed, PsychInfo, Scopus, MEDLINE, and Web of Science) published from database inception to November 2023 for primary and secondary studies of risk and/or protective factors for self-harm thoughts and behaviours in TGD people. Data was extracted and study quality assessed using Newcastle -Ottawa Scales. Findings: Overall, 78 studies published between 2007 and 2023 from 16 countries (N = 322,144) were eligible for inclusion. Narrative analysis identified six key risk factors for self-harm in TGD people (aged 7-98years) were identified. These are younger age, being assigned female at birth, illicit drug and alcohol use, sexual and physical assault, gender minority stressors (especially discrimination and victimisation), and depression or depressive symptomology. Three important protective factors were identified: social support, connectedness, and school safety. Other possible unique TGD protective factors against self-harm included: chosen name use, gender-identity concordant documentation, and protective state policies. Some evidence of publication bias regarding sample size, non-responders, and confounding variables was identified. Interpretation: This systematic review indicates TGD people may experience a unique self-harm pathway. Importantly, the risk and protective factors we identified provide meaningful targets for intervention. TGD youth and those assigned female at birth are at increased risk. Encouraging TGD people to utilise and foster existing support networks, family/parent and peer support groups, and creating safe, supportive school environments may be critical for self-harm and suicide prevention strategies. Efforts to reduce drug and alcohol use and experiences of genderbased victimisation and discrimination are recommended to reduce self-harm in this high -risk group. Addressing depressive symptoms may reduce gender dysphoria and self-harm. The new evidence presented in this systematic review also indicates TGD people may experience unique pathways to self-harm related to the lack of social acceptance of their gender identity. However, robust longitudinal research which examines gender -specific factors is now necessary to establish this pathway.
publishDate 2024
dc.date.none.fl_str_mv 2024
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/2445/214404
url https://hdl.handle.net/2445/214404
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Reproducció del document publicat a: https://doi.org/10.1016/j.heliyon.2024.e26074
Heliyon, 2024, vol. 10, num. 5
https://doi.org/10.1016/j.heliyon.2024.e26074
dc.rights.none.fl_str_mv cc by-nc-nd (c) Bird, K. et al, 2024
http://creativecommons.org/licenses/by-nc-nd/3.0/es/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv cc by-nc-nd (c) Bird, K. et al, 2024
http://creativecommons.org/licenses/by-nc-nd/3.0/es/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Elsevier BV
publisher.none.fl_str_mv Elsevier BV
dc.source.none.fl_str_mv Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL))
reponame:Dipòsit Digital de la UB
instname:Universidad de Barcelona
instname_str Universidad de Barcelona
reponame_str Dipòsit Digital de la UB
collection Dipòsit Digital de la UB
repository.name.fl_str_mv
repository.mail.fl_str_mv
_version_ 1869410854068289536
score 15,812429

Registros relacionados