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Gender Minority Stress Themes and Suicide Prevention for Adult Transgender Inpatients: A Content Analysis of Brief Cognitive-Behavioral Therapy
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DOI：10.1037/sgd0000830.png)
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Abstract
En 中文
Gender minority stress may contribute to elevated suicide risk for transgender individuals. Yet, it is unclear to what extent minority stress themes are addressed in existing suicide prevention treatments. To address this gap, it is important to explore if and how clinicians incorporate themes of minority stress in suicide prevention treatment. Qualitative and quantitative content analysis was conducted for Brief Cognitive-Behavioral Therapy-Inpatient (BCBT-I) treatment sessions of six transgender participants. Themes related to minority stress and the treatment process were coded. Despite variability in explicit querying by clinicians, minority stress components were uniformly discussed in relation to participant's BCBT-I case formulation and/or skills development. Content related to social connection and disconnection were the most frequently identified themes. Content related to gender dysphoria, identity disclosure, negative external events, and anticipation of negative events were discussed less frequently. These findings highlight that discussions of transgender minority stress can be incorporated into existing, evidence-based models of suicide prevention treatment. Training clinicians to specifically raise pertinent issues for transgender people may be beneficial for identifying specific vulnerabilities and sources of resilience for transgender clients. Future exploration of the efficacy of BCBT-I for transgender participants is needed.
Keywords:
suicide prevention
cognitive-behavioral therapy
gender minority stress
transgender adults
content analysis
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