Suchergebnisse

Human immunodeficiency virus (HIV) continues to disproportionately affect gay, bisexual, and other men who have sex with men (GBM) and transgender and nonbinary (trans/NB) individuals. This study investigated attitudes toward participation in HIV survey research, guided by Emanuel's framework for ethical clinical research (e.g., risk–benefit ratio, fair participant selection, respect for participants, social value, and collaborative partnership). GBM ( n = 294) and trans/NB ( n = 86) persons recruited at a Pride event in Milwaukee completed a survey assessing risks and benefits of participation in, and comfort responding to, sexual health surveys. Participants reported few ethical concerns (e.g., privacy and confidentiality), with notable differences by race, sexual orientation and gender identity, and prior research experiences. Implications for HIV research with GBM and trans/NB individuals are discussed.

Background: Suicide prevention literature currently suffers from inconsistent measurement and incomplete theoretical development. Aims: Using a recommended suicide measurement approach for epidemiological studies (i.e. the Suicidal Behaviors Questionnaire–Revised (SBQ-R)), the present investigation assessed United Kingdom young adult suicide prevalence rates. This study also investigated the utility of a Preferences in Information Processing (PIP) model of suicide in identifying those at increased odds for elevated suicide risk, as well as lifetime ideation and attempt. Method: A cross-sectional mental health and well-being survey study ( n = 414) was conducted. Results: The prevalence rates of elevated risk (49.8%), lifetime ideation only (55.3%) and lifetime attempt (13.5%) were high. Bivariate associations demonstrated that elevated depression, anxiety and Need for Affect (NFA) Avoidance were associated with worsened suicide outcomes, whereas elevated Need for Cognition (NFC) was associated with decreased suicide risk. Logistic regression results identified depression and NFA Avoidance as the strongest predictors of elevated suicide risk. Multinomial logistic regression results established several PIP-based moderation effects for depression and anxiety in which NFA Approach and NFC differentially influenced odds of suicide attempt group membership. Conclusion: The SBQ-R is an appropriate tool for UK young adult suicide research. NFA and NFC demonstrated potential for inclusion in young adult suicide prevention programming. Further research is needed to fully evaluate the PIP model of suicide and effectiveness of proposed theory-based approaches to suicide prevention.

AbstractLittle empirical work exists examining predictors of support or opposition of hate crime penalty enhancement laws despite such laws remaining a socially and politically contentious issue. Grounded in legal and philosophical arguments concerning hate crime laws, we tested political identity, victim minority status, and hate crime‐related beliefs as predictors of perceptions concerning penalty enhancement laws for bias‐motivated crime. Jury‐eligible Texas community members (n = 382) participating in a community survey of social and legal attitudes took part in the present study. Participants read a vignette of a hate‐motivated homicide that varied victim type (African American, gay, transgender) and answered questions regarding demographics, political identity, and hate crime penalty enhancement support. Qualitatively coded hate crime‐related beliefs yielded the following categories: legal arguments, moral statements, victim‐related beliefs, offender‐related beliefs, and an "other" category. Political identity, legal arguments, victim‐related and offender‐related beliefs all predicted views of penalty enhancement laws in logistic regression analyses. Exploratory mediation tests identified two pathways: (1) political conservatism–legal arguments–penalty enhancement opposition, and (2) political liberalism–offender beliefs–penalty enhancement support. Implications concerning social justice, public policy, trial consultation practice, and future research are discussed.

Moral injury (MI) results from perpetration of or exposure to distressing events, known as morally injurious events (MIEs), that challenge moral beliefs and values. Due to the type of involvement in recent military conflicts, many veterans report MIEs that may cause dissonance and, in turn, MI. Although two existing measures assess MIEs, neither currently assesses the defining characteristics of MI (i.e., guilt, shame, difficulty forgiving self and others, and withdrawal). The present study reports the initial psychometric test of a modified version (Robbins, Kelley, Hamrick, Bravo, & White, 2017) of the Moral Injury Questionnaire – Military version (MIQ-M; Currier, Holland, Drescher, & Foy, 2015) in a sample of 328 military personnel (e.g., veterans, National Guard/reservists, active duty members). The MIQ-M was modified to assess both MIEs and the defining characteristics of MI. Exploratory factor analyses suggested a three-factor model of MIEs consisting of Atrocities of war, Psychological consequences of war, and Leadership failure or betrayal. The modified MIQ-M factors were correlated with defining characteristics of MI. In addition, each MIE factor and associated defining characteristics of MI were positively correlated with symptoms of posttraumatic stress disorder, depression, and anxiety, as well as substance use. The modified MIQ-M is a reliable measure of MI that is comprised of three subscales that are associated with, but distinct from, mental health outcomes. Although findings are promising, further research evaluating the applicability of the modified MIQ-M in clinical settings is required to establish construct validity of the defining characteristics and secondary manifestations of MI.

Objective/Background: A clear link between insomnia concerns and suicidal ideation has been shown in a variety of populations. These investigations failed to use a theoretical lens in understanding this relationship. Research within the veteran population has demonstrated that feelings of thwarted belongingness (TB), but not perceived burdensomeness (PB), mediate the insomnia and suicidal ideation relationship. Using two high risk samples, the present investigation replicated and extended this line of inquiry to include interpersonal hopelessness about TB, a key component of the Interpersonal Psychological Theory of Suicide. Methods/Results/Conclusions: Using medical record review and survey data, study 1 replicated the finding that TB is a stronger explanatory factor of the insomnia to suicidal ideation/suicide risk relationship in a sample of N=200 treatment-seeking active-duty personnel. Study 2 found that insomnia symptoms had an indirect effect on suicidal ideation through TB and PB but not interpersonal hopelessness in a sample of N=151 college students with a history of suicidal thoughts and/or behaviors. TB was the only mediator of the insomnia-suicide attempt likelihood link and insomnia to clinically significant suicide risk screening status. Limitations include cross-sectional design of both studies and the lack of formal diagnoses of insomnia. Implications and future research directions are discussed.

Abstract
Introduction
Emerging transgender and gender diverse (TGD) health models focus on social well-being. The present study contributes to this movement through investigation of hate crime statutes, state-level political and anti-TGD attitudes, and multiple marginalized identities as correlates of social well-being (i.e., outness, community connection, and workplace and familial support).

Methods
The current study merged data from three sources: (a) the 2015 United States Transgender Survey (USTS), (b) the 2014 and 2018 Cooperative Congressional Election Studies (CCES), and (c) the 2018 Anti-Defamation League's (ADL) Hate Crime Map. Bivariate (e.g., chi-square) and regression analyses were used to identify correlates of social well-being among TGD adults in the USA.

Results
All types of hate crime laws showed bivariate protective associations for outness and family support. Regression models showed that several marginalized identities (e.g., having a disability) were the most consistent and largest correlates of social well-being. Higher state-level anti-TGD attitudes were linked with lower familial support and outness. The presence of state-level hate crime law civil action and police training statutes was positively associated with outness.

Conclusions
The results extend the limited research on correlates of TGD social well-being. Findings support TGD health models addressing resilience and social safety. Future research should address hate crime law policy analysis, police training evaluation, and prospective testing of TGD social well-being.

Policy Implications
Hate crime laws, in particular civil action and police training statutes, may be associated with better outcomes for transgender and gender diverse (TGD) persons. Evaluation of hate crime law effectiveness may need to focus on implementation as opposed to mere presence of laws. Policies specific to police training should include guidelines for training content and rigorous evaluation.

Background: Suicide and interpersonal violence (i.e. victimization and perpetration) represent pressing public health problems, and yet remain mostly addressed as separate topics. Aims: To identify the (1) frequency and overlap of suicide and interpersonal violence and (2) characteristics differentiating subgroups of violence-related experiences. Methods: A health survey was completed by 2,175 respondents comprised of three groups: college students ( n = 702), adult members of a sexuality special interest organization ( n = 816) and a community adult sample ( n = 657). Latent class analysis was used to identify subgroups characterized by violence experiences; logistic regression was used to identify respondent characteristics differentiating subgroups. Results: Overall rates of violence perpetration were low; perpetration, victimization and self-directed violence all varied by sample. Adults with alternative sexual interests reported high rates of victimization and self-directed violence. Analyses indicated two subgroups: (1) victimization + self-directed violence and (2) self-directed violence only. The victimization + self-directed violence subgroup was characterized by older, White, female and sexual orientation minority persons. The self-directed violence subgroup was characterized by younger, non-White, male and straight counterparts engaging with more sexual partners and more frequent drug use. Conclusion: Findings support the Centers for Disease Control and Prevention (CDC) definition of suicide as self-directed violence. Suicide intervention and prevention should further account for the role of violent victimization by focusing on the joint conceptualization of self-directed and interpersonal violence. Additional prevention implications are discussed.