title: Prevalence and Correlates of Lifetime Suicide Attempts Among Transgender Persons in Argentina.
abstract: This study examined the lifetime prevalence and correlates of attempted suicide among transgender persons in Argentina. Data were derived from a nation-wide, cross-sectional survey conducted in 2013. We assessed individual, social, and structural correlates of reporting a history of attempting suicide using logistic regression. Among 482 participants, the median age was 30, 91% identified as transwomen, and 32% resided in the Buenos Aires metropolitan area. A lifetime suicide attempt was reported by 159 (33%), among whom the median age at first attempt was 17. In a multivariate model, internalized stigma was positively associated with a history of suicidal behavior, while participants with stable housing had reduced odds of prior suicide attempt(s). These findings suggest that reducing stigma and mitigating structural vulnerabilities (through, for example, the enactment and enforcement of laws that prohibit discrimination based on gender identity to ensure equitable access to housing) could be effective targets for intervention to reduce suicide attempts among transgender individuals in Argentina.
authors.affiliation: a Department of Epidemiology , Brown University School of Public Health , Providence , Rhode Island , USA.
authors.forename: Brandon D L
authors.initials: BD
authors.lastname: Marshall
authors.affiliation: b Fundación Huésped, Buenos Aires, Argentina.
authors.forename: María Eugenia
authors.initials: ME
authors.lastname: Socías
authors.affiliation: c Department of Medicine , University of British Columbia; and Co-Director, Urban Health Research Initiative, British Columbia Centre for Excellence in HIV/AIDS, St. Paul's Hospital , Vancouver , British Columbia , Canada.
authors.forename: Thomas
authors.initials: T
authors.lastname: Kerr
authors.affiliation: b Fundación Huésped, Buenos Aires, Argentina.
authors.forename: Virginia
authors.initials: V
authors.lastname: Zalazar
authors.affiliation: b Fundación Huésped, Buenos Aires, Argentina.
authors.forename: Omar
authors.initials: O
authors.lastname: Sued
authors.affiliation: b Fundación Huésped, Buenos Aires, Argentina.|d Universidad de Palermo , Buenos Aires , Argentina.
authors.forename: Inés
authors.initials: I
authors.lastname: Arístegui
mesh_terms: D000328:Adult; D001118:Argentina / Q000453:epidemiology; D003430:Cross-Sectional Studies; D005260:Female; D005783:Gender Identity; D006801:Humans; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D057545:Social Stigma; D059020:Suicidal Ideation; D013406:Suicide, Attempted / Q000706:statistics & numerical data*; D063106:Transgender Persons / Q000706:statistics & numerical data*
keywords: Argentina; mental health; stigma; suicide; transgender; violence