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• W1885468644 abstract "This study assessed individual (ie, internalized transphobia) and structural forms of stigma as risk factors for suicide attempts among transgender adults. Internalized transphobia was assessed through a 26-item scale including four dimensions: pride, passing, alienation, and shame. State-level structural stigma was operationalized as a composite index, including density of same-sex couples; proportion of Gay-Straight Alliances per public high school; 5 policies related to sexual orientation discrimination; and aggregated public opinion toward homosexuality. Multivariable logistic generalized estimating equation models assessed associations of interest among an online sample of transgender adults (N = 1,229) representing 48 states and the District of Columbia. Lower levels of structural stigma were associated with fewer lifetime suicide attempts (AOR 0.96, 95% CI 0.92-0.997), and a higher score on the internalized transphobia scale was associated with greater lifetime suicide attempts (AOR 1.18, 95% CI 1.04-1.33). Addressing stigma at multiple levels is necessary to reduce the vulnerability of suicide attempts among transgender adults." @default.
• W1885468644 created "2016-06-24" @default.
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• W1885468644 date "2015-07-03" @default.
• W1885468644 modified "2023-10-17" @default.
• W1885468644 title "Individual- and Structural-Level Risk Factors for Suicide Attempts Among Transgender Adults" @default.
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• W1885468644 doi "https://doi.org/10.1080/08964289.2015.1028322" @default.
• W1885468644 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/4707041" @default.
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