背景:非自杀性自我伤害(NSSI)和自杀行为(SB)在变性人中普遍存在。公布的数据令人困惑,因为它没有区分构思和实现,年龄组,性别,或医疗干预的程度。他们在西班牙的实际患病率未知。
目的:我们的目的是调查青少年和年轻变性成年人的NSSI行为和SB的患病率,区分观念和完善的行为,在他们接受任何类型的性别确认医疗之前。
方法:我们回顾性回顾了一组年龄在10至35岁之间的变性人的病史,在巴伦西亚社区性别认同股接受治疗。我们分析了收集到的关于四个变量存在的数据:NSSI概念,NSSI行为,自杀和自杀企图的想法,以及根据年龄组和性别的差异。
结果:最终样本包括110名变性人和90名变性人。其中,21%的人曾尝试过自杀,50%的人有过自杀的想法,31%有NSSI行为史,35%有NSSI想法。没有发现基于性别的差异。关于年龄,与年轻人相比,20岁以下的受试者在自杀想法方面的患病率明显更高(43%vs.25%),而在其余变量中,差异无统计学意义。
结论:在西班牙青少年和年轻的变性人群中,自杀观念和行为史的患病率是显著的,并且根据性别或年龄范围没有差异。NSSI思想和行为的患病率不同,并且在青少年变性者中更为常见。
BACKGROUND: Nonsuicidal self-injury (NSSI) and suicidal behavior (SB) have a significant prevalence in transsexual people. The published data is confusing as it does not distinguish between ideation and realization, age groups, gender, or the degree of medical intervention. Their actual prevalence in Spain is unknown.
OBJECTIVE: Our objective was to investigate the prevalence of NSSI behavior and SB in adolescents and young transsexual adults, differentiating between ideation and consummated behavior, prior to their receiving any type of gender-affirming medical treatment.
METHODS: We retrospectively reviewed the medical history of a cohort of transsexual people aged between 10 and 35 years, treated at the Gender Identity Unit of the Valencian Community. We analyzed the data collected regarding the presence of four variables: NSSI ideation, NSSI behavior, ideas of suicide and suicide attempts, as well as differences according to age group and gender.
RESULTS: The final sample consisted of 110 transsexual men and 90 transsexual women. Of these, 21% had made a suicide attempt, 50% had had suicidal ideas, 31% had a history of NSSI behavior and 35% had had NSSI ideas. No differences were found based on gender. Regarding age, subjects under 20 years of age presented a significantly higher prevalence regarding suicidal ideas compared to young adults (43% vs. 25%), while in the remaining variables, no statistically significant differences were found.
CONCLUSIONS: The prevalence of a history of suicidal ideas and behavior in the Spanish adolescent and young transsexual population is significant and does not differ according to gender or age range. The prevalence of NSSI ideas and behavior differs and is more frequent in adolescent transsexuals.