scholarly journals A cross-sectional study of mental health and suicidality among trans women in São Paulo, Brazil

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Arianne Reis ◽  
Sandro Sperandei ◽  
Paula Galdino Cardin de Carvalho ◽  
Thiago Félix Pinheiro ◽  
Ferdinando Diniz de Moura ◽  
...  
Keyword(s):  
Mental Health ◽  
Psychological Distress ◽  
Suicidal Ideation ◽  
Sex Work ◽  
Mental Health Treatment ◽  
Multivariate Regression ◽  
Suicide Attempts ◽  
Health Treatment ◽  
History Of ◽  
Trans Women

Abstract Background Trans women have been shown to experience disproportionately poor outcomes in physical and mental health. Although it is common to talk about the violence against trans people, little is still known about mental health outcomes and experiences of suicidality among trans women, particularly in developing countries. This study aims to investigate risk factors and associations with mental health, suicide ideation and suicide attempts among trans women in the largest metropolitan area in Brazil. Methods Trans women living in São Paulo were recruited between May 2017 and July 2019 using the long-chain peer referral method Respondent-Driven Sampling. Multivariate regression models were used to investigate the associations with K10 score classification (logistic) and suicidal ideation/suicide attempt (ordinal logistic). Results A total of 763 trans women were included in the study. Over one quarter (26.5%) of trans women had been diagnosed with anxiety in the past, and close to one in five (19.1%) trans women had received a diagnosis of depression. More than two in five (41.9%) trans women had moderate to severe psychological distress. More than half of all participating trans women reported having previously either experienced suicidal ideation or attempted to take their own lives (25.0 and 31.2% respectively). In multivariate regression, moderate to severe psychological distress was associated with homelessness, income, current sex work, use of stimulant drugs, history of physical abuse, depression diagnosis and access to mental health treatment. Suicidal ideation and suicide attempts were associated with race/skin color, living arrangements, marital status, current sex work, history of sexual violence, depression and PTSD diagnoses, access to mental health treatment and psychological distress. Conclusions This study showed that there is a significant association between mental health conditions, lack of treatment for these conditions and suicidality among trans gender women. Findings point to the need for a structural transformation in Brazil that enables a reduction in the social inequality and violence that impact the mental health of trans women. A number of recommendations to achieve this are provided.

scholarly journals A Cross-Sectional Study of Mental Health and Suicidality Among Trans Women in São Paulo, Brazil

2021 ◽  
Author(s):  
Arianne Reis ◽  
Sandro Sperandei ◽  
Paula Galdino Cardin de Carvalho ◽  
Thiago Félix Pinheiro ◽  
Ferdinando Diniz de Moura ◽  
...  
Keyword(s):  
Mental Health ◽  
Psychological Distress ◽  
Suicidal Ideation ◽  
Sex Work ◽  
Mental Health Treatment ◽  
Multivariate Regression ◽  
Suicide Attempts ◽  
Health Treatment ◽  
History Of ◽  
Trans Women

Abstract Background Trans women have also been shown to experience disproportionately poor outcomes in physical and mental health. Although it is common to talk about the violence against trans people, little is still known about mental health outcomes and experiences of suicidality among trans women, particularly in developing countries. This study aims to investigate risk factors and associations with mental health, suicide ideation and suicide attempts among trans women in the largest metropolitan area in Brazil. Methods We surveyed 763 adult trans women living in São Paulo between May 2017 and July 2019. Multivariate regression models were used to investigate the associations with K10 score classification (logistic) and suicidal ideation/suicide attempt (ordinal logistic). Results Over one quarter of trans women had been diagnosed with anxiety in the past, and close to one in five trans women had received a diagnosis of depression. More than two in five trans women had moderate to severe psychological distress. More than half of all participating trans women reported having previously either experienced suicidal ideation or attempted to take their own lives. In multivariate regression, moderate to severe psychological distress was correlated with homelessness, income, current sex work, use of stimulant drugs, history of physical abuse, depression diagnosis and access to mental health treatment. Suicidal ideation and suicide attempts were correlated with race, living arrangements, marital status, current sex work, history of sexual violence, depression and PTSD diagnoses, access to mental health treatment and psychological distress. Conclusions This study showed that there is a clear association between mental health conditions, lack of treatment for these conditions and suicidality among trans gender women. This is the largest published empirical study of trans women’s mental health outcomes and related socioeconomic risk factors in Brazil and, to our knowledge, one of the largest worldwide.

scholarly journals Protocol of a Multi-centric Randomized Controlled Trial to Evaluate Efficacy of Telephone-Based Psychosocial Interventions on Future Suicide Risk in Suicide Attempters

2020 ◽  
Vol 42 (6_suppl) ◽  
pp. S39-S45
Author(s):  
Ram Pratap Beniwal ◽  
Priya Sreedaran ◽  
Uttara Chari ◽  
Ashok MV ◽  
Triptish Bhatia
Keyword(s):  
Mental Health ◽  
Randomized Controlled Trial ◽  
Mental Health Treatment ◽  
Suicide Attempts ◽  
Controlled Trial ◽  
Psychosocial Interventions ◽  
Health Treatment ◽  
Risk Of Death ◽  
Randomized Controlled ◽  
Telephone Reminders

Background: Persons with previous history of a suicide attempt are at increased future risk of death by suicide. These vulnerable individuals, however, do not seek receive or seek help from mental health services. Telephone-based psychosocial interventions are potential strategies in augmenting mental health care in such persons. Methods: We aim to compare the efficacy of telephone-based psychosocial interventions (TBPI) with routine telephone reminders in persons with recent suicide attempts using a multi-site, parallel group, rater-blind, two-arm randomized controlled trial design in 362 participants. In the first group, participants will receive three sessions of TBPI comprising of brief supportive interventions, problem-solving strategies, and reminders for adherence to prescribed mental health treatment at weekly intervals. In the second group, participants will receive three telephone reminders for adherence to prescribed mental health treatment at weekly intervals. We will follow up participants for 6 months. Primary outcomes are suicidal ideation scores on Beck’s Scale for Suicide Ideation and number of repeat suicide attempts. Secondary outcomes are scores on Beck’s Hopelessness Scale, Beck’s Depression Inventory, Connor–Davidson Resilience Scale and Visual Analogue Rating Scales for acceptability of interventions. Outcomes will be assessed at 1, 3, and 6 months after receiving telephone interventions or reminders. Results: The trial is currently underway after prospective registration under Clinical Trials Registry of India and has recruited 260 participants till August 15, 2020. Conclusion: This study has potential to generate evidence on additional strategies for use along with standard mental health treatments in management of high-risk suicide behaviors.

Barriers to Practitioners' Endorsement of a Recovery Perspective

2021 ◽  
pp. 861-879
Author(s):  
Debra Kram-Fernandez
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Mental Health Treatment ◽  
Behavioral Theory ◽  
Meaningful Life ◽  
Health Treatment ◽  
Surgeon General ◽  
History Of ◽  
Cognitive Behavioral Theory ◽  
The Impact

This chapter is concerned with the impact of practitioner biases on the experience of a meaningful life for individuals who live with serious mental illness (SMI). Professional biases, systemic biases that originate in societal fear and lack of knowledge, and internalized stigma taken on by the consumer affect life decisions. Following a history of treatment initiatives experienced by consumers as abusive, it is important to understand how a system envisioned to protect and treat was often experienced as harmful. In the 1980s a movement emerged to transform the nature of mental health treatment to a client-centered, recovery-oriented model. In 1999, the Surgeon General proclaimed that all agencies serving this population should be recovery oriented. Yet, the shift to this approach to understanding people with SMI has not been complete. While there are many explanations why practitioners may not fully embrace this perspective, this chapter introduces the concept of “schemas” from cognitive behavioral theory as a way of examining professional biases in the field of SMI.

Social desirability, psychological distress, and consumer satisfaction with mental health treatment.

1989 ◽  
Vol 36 (3) ◽  
pp. 352-356 ◽  
Author(s):  
Stéphane Sabourin ◽  
Noëlla Laferrière ◽  
Francesca Sicuro ◽  
Jean-Claude Coallier ◽  
Louis-Georges Cournoyer ◽  
...  
Keyword(s):  
Mental Health ◽  
Psychological Distress ◽  
Social Desirability ◽  
Mental Health Treatment ◽  
Consumer Satisfaction ◽  
Health Treatment

Telemental Health in Latin America and the Caribbean

2017 ◽  
Author(s):  
Tammi-Marie Phillip
Keyword(s):  
Mental Health ◽  
Latin America ◽  
Mental Health Treatment ◽  
Telemental Health ◽  
Health Treatment ◽  
The World ◽  
Health Gap ◽  
History Of ◽  
The Caribbean ◽  
Technological Means

This chapter presents an in-depth look at the potential for telemental health within the diverse region of Latin America and the Caribbean. A review of history of mental health and the current needs and limited available services in the Caribbean and Latin America will be provided. The chapter will use the example of, yet primitive, experience of implementing telemedicine or telehealth in the region to infer the potential utility of technological means in bridging the existing mental health gap. Although this mode of treatment has not been implemented yet, horizons for implementation of telemental health are open in this region, as it promises increased access to mental health treatment to those who need it the most. Future steps will have address cost-effectiveness and cultural acceptability unique to this part of the world.

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