Suicidal ideation, suicide attempts and sexual harassment among transgender people in Puducherry, South India: a cross sectional analytical study
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20233157Keywords:
Transgender, Suicidal thoughts, Ideation, Abuse, HarassmentAbstract
Background: Transgender people are stigmatized, victimized and often driven towards attempting suicide due to institutionalized discrimination. We aimed, to determine the proportion and factors associated with suicidal ideation in last one year and suicide attempts in their lifetime and the proportion of transgender people who have faced sexual harassment in Puducherry.
Methods: It was a cross sectional analytical study. All consenting adult transgender residing in Puducherry and registered with SCOHD (NGO) were included in the study. Pre-tested semi structured questionnaire was used as study tools (C-SSRS and TGISS). Suicidal ideation, suicide attempts and sexual harassment were expressed in proportion and multivariate analysis was done to find the independent association of variables with the outcomes using adjusted prevalence ratios.
Results: Of the 119 transgender people who participated in this study, 50% were unemployed and 28.6% were involved in sex work. Overall prevalence of suicidal ideation, suicide attempts and sexual harassment was found to be 31.1% (95%CI 23.3%-39.8%), 46.2% (95%CI 37.4%-55.2%) and 84.87% (95%CI 77.5%-90.4%) respectively. In multivariate analyses, suicidal ideation was significantly associated with higher income; suicide attempts were associated with being employed.
Conclusions: Lack of support from the family and friends and the stigmatizing behaviour of the society were the causes of their fear of living in the society. Extreme forms of stigma ultimately leads to their suicidal behaviour.
References
TransGender/Others - Census 2011 India. Available at: https://www.census2011.co.in/transgender.php. Accessed on 20 February 2023.
Virupaksha H, Muralidhar D, Ramakrishna J. Suicide and suicidal behavior among transgender persons. Indian J Psychol Med. 2016;38:505-9.
Haas AP, Rodgers PL, Herman JL. Suicide attempts among transgender and gender non-conforming adults findings of the national transgender discrimination survey. Available at: https://williamsinstitute.law.ucla.edu/wp-content/ uploads/Trans-GNC-Suicide-Attempts-Jan-2014.pdf. Accessed on 20 February 2023.
Kalra G. International Journal of Culture and Hijras : the unique transgender culture of India. Int J Cult Ment Health 2011;5:121-6.
Goldblum P, Testa RJ, Pflum S. The relationship between gender-based victimization and suicide attempts in transgender people. Prof Psychol Res Pract. 2012;43:468-75.
McNeil J, Ellis SJ, Eccles FJR. Suicide in trans populations: A systematic review of prevalence and correlates. Psychol Sex Orientat Gend Divers. 2017;4:341-53.
Grant J, Mottet LA, Tanis J. Injustice At Every Turn: A Report Of The National Transgender Discrimination Survey. Available at: https://transequality.org/issues/resources/national-transgender-discrimination-survey-full-report. Accessed on 20 February 2023.
Mustanski B, Liu RT. A longitudinal study of predictors of suicide attempts among lesbian, gay, bisexual, and transgender youth. Arch Sex Behav. 2013;42:437-48.
Bauer GR, Scheim AI, Pyne J. Intervenable factors associated with suicide risk in transgender persons: A respondent driven sampling study in Ontario, Canada Health behavior, health promotion and society. BMC Public Health. 2015;15:1-15.
Clements-Nolle K, Marx R, Katz M. Attempted Suicide Among Transgender Persons. J Homosex 2006;51:53-69.
Toomey RB, Syvertsen AK, Shramko M. Transgender Adolescent Suicide Behavior. Pediatr. 2018;142:1-10.
Devís-Devís J, Pereira-García S, Valencia-Peris A. Harassment Patterns and Risk Profile in Spanish Trans Persons. J Homosex. 2017;64:239-55.
Mitchell KJ, Ybarra ML, Korchmaros JD. Sexual harassment among adolescents of different sexual orientations and gender identities. Child Abus Negl. 2014;38:280-95.
Shaw SY, Lorway RR, Deering K. Factors associated with sexual violence against men who have sex with men and transgendered individuals in Karnataka, India. PLoS One. 2012;7:1-9.
Kota KK, Salazar LF, Culbreth RE. Psychosocial mediators of perceived stigma and suicidal ideation among transgender women. BMC Public Health. 2020;20:1-10.
Somasundaram O. Transgenderism : Facts and fictions. Indian J Psychiatr. 2009;51:73-75.
Shaikh S, Mburu G, Arumugam V. Empowering communities and strengthening systems to improve transgender health : outcomes from the Pehchan programme in India. J Int AIDS Soc. 2016;19:1-9.
