TY  - JOUR
PY  - 2018//
TI  - Determinants of transgender individuals' well-being, mental health, and suicidality in a rural state
JO  - Journal of rural mental health
A1  - Smith, Adina J.
A1  - Hallum-Montes, Rachel
A1  - Nevin, Kyndra
A1  - Zenker, Roberta
A1  - Sutherland, Bree
A1  - Reagor, Shawn
A1  - Ortiz, M. Elizabeth
A1  - Woods, Catherine
A1  - Frost, Melissa
A1  - Cochran, Bryan N.
A1  - Oost, Kathryn M.
A1  - Gleason, Hillary
A1  - Brennan, James Michael
SP  - 116
EP  - 132
VL  - 42
IS  - 2
N2  - This project utilized a Community-Based Participatory Research (CBPR) approach to conduct qualitative interviews with 30 transgender adults living in a rural state. Participants' identities spanned from trans women and men to nonbinary and Two-Spirit. The aim of this study was to better understand the experiences, needs, and priorities of the participants as well as to examine possible determinants of mental health, well-being, and suicidality for transgender individuals in Montana. These factors were investigated at individual, interpersonal, community, and societal levels using an ecological framework. Qualitative results indicate that participants experienced discrimination at all levels. Participants noted that discrimination contributed to mental health challenges and limited access to adequate general and transgender-specific health care services, both of which impacted overall well-being. This is reflected most notably in the elevated rate of past suicidal ideation attempts among the sample. Participants reported that the ability to transition, as well as other protective factors, played a role in reducing suicidality and improving mental and physical health. Our findings highlight the need to address transgender mental health through implementing changes at multiple ecological levels. (PsycINFO Database Record (c) 2019 APA, all rights reserved)<p />  <p>Language: en</p>
LA  - en
SN  - 1935-942X
UR  - http://dx.doi.org/10.1037/rmh0000089
ID  - ref1
ER  -