Prevalence and factors associated with suicidal behavior among trans women in Rio de Janeiro, Brazil.

<h4>Background</h4>Trans women face disproportionate burden of adverse health outcomes, including mental health issues. Very little is known about suicidal behavior among trans women in low- and middle-income settings, such as Brazil. We aimed to estimate the prevalence of lifetime suici...

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Autores principales:	Ricardo de Mattos Russo Rafael, Emilia Moreira Jalil, Paula Mendes Luz, Cristiane Regina Vinissius de Castro, Erin C Wilson, Laylla Monteiro, Michelle Ramos, Ronaldo Ismério Moreira, Valdiléa Gonçalves Veloso, Beatriz Gilda Jegerhorn Grinsztejn, Luciane de Souza Velasque
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/4ed20937f1664dd89ee5f2c68138bbab
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spelling	oai:doaj.org-article:4ed20937f1664dd89ee5f2c68138bbab2021-12-02T20:13:34ZPrevalence and factors associated with suicidal behavior among trans women in Rio de Janeiro, Brazil.1932-620310.1371/journal.pone.0259074https://doaj.org/article/4ed20937f1664dd89ee5f2c68138bbab2021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0259074https://doaj.org/toc/1932-6203<h4>Background</h4>Trans women face disproportionate burden of adverse health outcomes, including mental health issues. Very little is known about suicidal behavior among trans women in low- and middle-income settings, such as Brazil. We aimed to estimate the prevalence of lifetime suicidal behavior and to identify its associated factors among Brazilian trans women.<h4>Methods</h4>This was a cross-sectional study conducted among 345 trans women living in Rio de Janeiro, Brazil. We examined the prevalence of suicidal behavior (ideation and suicide attempt) and its associated factors using stepwise backward Poisson regression analysis with robust variance.<h4>Results</h4>Suicidal ideation was present among 47.25% of participants, and the prevalence of lifetime suicide attempt was 27.25%. Trans women with prior physical violence perpetrated by a family member had significantly higher prevalence of suicidal ideation (adjusted prevalence ratios [aPR]1.37), whereas those who reported sex work had lower prevalence ratio of suicidal ideation (aPR 0.76). Suicide attempt was significantly associated with living alone (aPR 1.48), physical violence by a casual partner (aPR 1.92), and sexual violence by a family member (aPR 1.69). Depression was significantly associated with both outcomes (aPR 1.90 for suicidal ideation and aPR 2.21 for suicide attempt).<h4>Conclusion</h4>Suicidal behavior prevalence rates among Brazilian trans women were alarming and directly linked to violence and poor mental health. Effective mental health and public health policies addressing violence against trans women are urgently needed to prevent suicidal behavior among this highly vulnerable population.Ricardo de Mattos Russo RafaelEmilia Moreira JalilPaula Mendes LuzCristiane Regina Vinissius de CastroErin C WilsonLaylla MonteiroMichelle RamosRonaldo Ismério MoreiraValdiléa Gonçalves VelosoBeatriz Gilda Jegerhorn GrinsztejnLuciane de Souza VelasquePublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 10, p e0259074 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Ricardo de Mattos Russo Rafael Emilia Moreira Jalil Paula Mendes Luz Cristiane Regina Vinissius de Castro Erin C Wilson Laylla Monteiro Michelle Ramos Ronaldo Ismério Moreira Valdiléa Gonçalves Veloso Beatriz Gilda Jegerhorn Grinsztejn Luciane de Souza Velasque Prevalence and factors associated with suicidal behavior among trans women in Rio de Janeiro, Brazil.
description	<h4>Background</h4>Trans women face disproportionate burden of adverse health outcomes, including mental health issues. Very little is known about suicidal behavior among trans women in low- and middle-income settings, such as Brazil. We aimed to estimate the prevalence of lifetime suicidal behavior and to identify its associated factors among Brazilian trans women.<h4>Methods</h4>This was a cross-sectional study conducted among 345 trans women living in Rio de Janeiro, Brazil. We examined the prevalence of suicidal behavior (ideation and suicide attempt) and its associated factors using stepwise backward Poisson regression analysis with robust variance.<h4>Results</h4>Suicidal ideation was present among 47.25% of participants, and the prevalence of lifetime suicide attempt was 27.25%. Trans women with prior physical violence perpetrated by a family member had significantly higher prevalence of suicidal ideation (adjusted prevalence ratios [aPR]1.37), whereas those who reported sex work had lower prevalence ratio of suicidal ideation (aPR 0.76). Suicide attempt was significantly associated with living alone (aPR 1.48), physical violence by a casual partner (aPR 1.92), and sexual violence by a family member (aPR 1.69). Depression was significantly associated with both outcomes (aPR 1.90 for suicidal ideation and aPR 2.21 for suicide attempt).<h4>Conclusion</h4>Suicidal behavior prevalence rates among Brazilian trans women were alarming and directly linked to violence and poor mental health. Effective mental health and public health policies addressing violence against trans women are urgently needed to prevent suicidal behavior among this highly vulnerable population.
format	article
author	Ricardo de Mattos Russo Rafael Emilia Moreira Jalil Paula Mendes Luz Cristiane Regina Vinissius de Castro Erin C Wilson Laylla Monteiro Michelle Ramos Ronaldo Ismério Moreira Valdiléa Gonçalves Veloso Beatriz Gilda Jegerhorn Grinsztejn Luciane de Souza Velasque
author_facet	Ricardo de Mattos Russo Rafael Emilia Moreira Jalil Paula Mendes Luz Cristiane Regina Vinissius de Castro Erin C Wilson Laylla Monteiro Michelle Ramos Ronaldo Ismério Moreira Valdiléa Gonçalves Veloso Beatriz Gilda Jegerhorn Grinsztejn Luciane de Souza Velasque
author_sort	Ricardo de Mattos Russo Rafael
title	Prevalence and factors associated with suicidal behavior among trans women in Rio de Janeiro, Brazil.
title_short	Prevalence and factors associated with suicidal behavior among trans women in Rio de Janeiro, Brazil.
title_full	Prevalence and factors associated with suicidal behavior among trans women in Rio de Janeiro, Brazil.
title_fullStr	Prevalence and factors associated with suicidal behavior among trans women in Rio de Janeiro, Brazil.
title_full_unstemmed	Prevalence and factors associated with suicidal behavior among trans women in Rio de Janeiro, Brazil.
title_sort	prevalence and factors associated with suicidal behavior among trans women in rio de janeiro, brazil.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/4ed20937f1664dd89ee5f2c68138bbab
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Prevalence and factors associated with suicidal behavior among trans women in Rio de Janeiro, Brazil.

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