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trans/bullying_and_suicide.md
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## Bullying and Suicide
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#### Suicidality is heavily influenced by bullying, discrimination, and poor treatment. Suicide attempt rates are also far higher among individuals who experience substantial discrimination or harassment.
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* [National Transgender Discrimination Survey: Grant et al. 11](https://www.transequality.org/sites/default/files/docs/resources/NTDS_Report.pdf)
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* **41%** of respondents reported **attempting suicide** compared to 1.6% of the general population
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* these rates rising for those who:
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* **lost a job** due to bias (55%)
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* were **harassed/bullied** in school (51%)
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* had low household income
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* were the victim of **physical assault** (61%)
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* were the victim or **sexual assault** (64%)
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* [Virupaksha 16](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5178031/)
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* Broad meta-analysis of **21 studies** on the trans suicide rate (it’s quite high).
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* The suicide attempt rate ranges from **32% to 50%** across countries
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* The following were found to have an impact on the suicide attempt rate
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* Gender-based victimization
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* Discrimination
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* Bullying
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* Violence
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* being rejected by the family, friends, and community
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* harassment by an intimate partner, family members, police and public
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* discrimination and ill-treatment in healthcare
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* [Zeluf 18](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5905855/)
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* Swedish study on trans suicide prevention
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* **37%** of respondents reported that they have seriously considered suicide during the past 12 months and **32%** had ever attempted a suicide
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* Suicide ideation is associated with:
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* Offensive treatment
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* lifetime exposure to trans-related violence
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* less satisfaction with contacts with friends and acquaintances and with one's own psychological wellbeing
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* lack of practical support
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* [Williams Institute: Haas et al. 14](https://williamsinstitute.law.ucla.edu/wp-content/uploads/AFSP-Williams-Suicide-Report-Final.pdf)
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* **Massive demographic analysis** which codifies the many **social & institutional factors** which contribute to trans suicide rates
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* Prevalence of **suicide attempts is elevated** among those who:
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* **disclose to everyone** that they are transgender or gender-non-conforming (50%)
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* among those that report **others can tell** always (42%) or most of the time (45%) that they are transgender or gender non-conforming
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* The suicide attempt rate was associated with mental health factors and experiences of:
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* Harassment
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* Discrimination
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* Violence
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* Rejection
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