Abstract
The study aimed to investigate factors associated with non-binary gender identity in Russian female psychiatric inpatients with suicidal ideation. This case–control study included 38 female inpatients with non-binary gender identity and a control group—76 cisgender women matched for age (age range 19–35 years, M age, 21.5 years); both groups were psychiatric inpatients with suicidal thoughts. All patients underwent the Self-Injurious Thoughts and Behaviors Interview and completed the brief Reasons for Living Inventory. We also used the WHO Quality of Life Questionnaire (WHOQOL-100) and the Life Style Index (LSI). Non-binary gender identity in inpatients with suicidal ideation was associated with lower educational level, higher unemployment rate, being more socially reticent in preschool, and lifetime sexual experience with both male and female partners. In addition, they were younger at the time of the first suicidal ideation, suicide plan development, and attempt. Non-binary inpatients had lower scores in freedom, physical safety, and security facets of WHOQOL-100 and a higher level of intellectualization on LSI. People with non-binary gender identity face educational, employment, and communication issues. They also have distinct suicidal thoughts and behavioral profiles. These issues and differences mean unique approaches to suicide prevention for a population of inpatients with non-binary gender identity are needed.
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The authors are indebted to the following persons who helped them in doing technical work: Drs. Popova Sofya (manuscript preparation), Raguzin Anton (data acquisition), Sviatskaia Ekaterina (translation, data acquisition).
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This study was performed as a part of the research program of the Moscow Research and Clinical Center for Neuropsychiatry. No grants from funding agencies in the public, commercial, or not-for-profit sectors were obtained.
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MZ took part in conceptualization, manuscript writing, and data acquisition. GK took part in data acquisition, manuscript writing, and statistical analysis. MB involved in literature review, conceptualization, manuscript writing. NV took part in data acquisition, manuscript writing, and review. EP involved in data acquisition, manuscript writing, and review. EB involved in methodology, manuscript writing, and review. AA took part in conceptualization and manuscript review. AG took part in conceptualization and manuscript review. All authors reviewed and approved the article prior to submission.
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Ettore Beghi reports grants from the Italian Ministry of Health, grants from SOBI Pharma Company, personal compensation from Arvelle Therapeutics for advisory board meeting, and compensation for meeting attendance from UCB-Pharma. None of these disclosures are in conflict with his contribution.
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Zinchuk, M., Kustov, G., Beghi, M. et al. Factors Associated with Non-Binary Gender Identity in Psychiatric Inpatients with Suicidal Ideation Assigned Female at Birth: A Case-Control Study. Arch Sex Behav 51, 3601–3612 (2022). https://doi.org/10.1007/s10508-022-02424-2
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DOI: https://doi.org/10.1007/s10508-022-02424-2