It’s my safe space: The life-saving role of the internet in the lives of transgender and gender diverse youth

Abstract

Background: Public awareness of Transgender and Gender Diverse (TGD) identities has grown significantly; however, acceptance and support remain elusive for many TGD youth. Resultant experiences of marginalization and stigmatization contribute to elevated rates of psychological distress and suicidality among TGD youth. Emergent evidence suggests that the internet may offer TGD youth safety, support, and community previously unavailable.

Aim: The primary aim of this qualitative inquiry is to engage in an in-depth exploration of the online experiences and processes which help protect against psychological distress and promote well-being among TGD youth.

Methods: Data were culled from a mixed-methods, online study of sexual and gender minority youth from across the United States and Canada which followed Institutional Review Board approved protocols. Participants for this study represent a sample (n?=?260) of TGD participants aged 14–22 (x? = 17.30). Data were analyzed using Charmaz’ grounded theory strategies.

Results: Data revealed that the internet offers TGD youth affirming spaces that, for the most part, do not exist in their offline lives. Online, TGD youth were able to engage meaningfully with others as their authentic selves, often for the first time. These experiences fostered well-being, healing, and growth through five processes: 1. Finding an escape from stigma and violence, 2. Experiencing belonging, 3. Building confidence, 4. Feeling hope, and 5. Giving back.

Discussion: The unique and innovative ways in which participants use online spaces to foster resilience offer important insights to inform affirmative practices with TGD young people.     

“White Skin”: Lyotard’s Sketch of a Postcolonial Libidinal Economy

ABSTRACT

In 1975 Jean-François Lyotard published a short text entitled Pacific Wall. A mash-up of philosophy, fiction, biography, and art criticism, it is highly gnomic if read in isolation. Studied alongside other works from this period, however, it may be understood as sketching a postcolonial libidinal economy. The book’s central concept, “white (or blank) skin” avoids any simple identification and instead expresses a series of permutations of desire in relation to race and sex: it is equally the skin of white heterosexual women and of black homosexual men; equally the otherness at the borders of capital’s expansion and the supposed identity at the heart of Empire. Lyotard suggests that political issues endemic to the postcolonial situation may be understood in terms of feelings such as lust, jealousy, fear, and the desire for revenge, and that these circulate and mutate along with the flows and transformations of capital.     

An Examination of Historical Loss Thinking Frequency and Rumination on Suicide Ideation in American Indian Young Adults

No research has empirically investigated whether frequency of historical loss thinking is a potential risk factor for suicide ideation in American Indians. Results of this study demonstrated that the frequency of historical loss thinking was positively associated with brooding and reflection at a small magnitude, but was not directly related to suicide ideation. Bootstrapping analyses indicated small indirect effects of historical loss thinking frequency on suicide ideation through brooding and reflection individually, but only through brooding when analyzed in a parallel mediation model. These findings suggest that American Indians who more frequently engage in historical loss thinking may be susceptible to suicide ideation via an increase in ruminative tendencies, specifically brooding.     

Size as Diversity Absent from Multicultural Textbooks

Abstract

The current clinical approach adopted by many mental health clinicians is the medical model, which, in the case of size diversity, has been connected with weight stigma. Mental health practitioners need to be exposed to the critique of the medicalized view that fat is a disease that can be cured through dieting. Weight stigma and fat-shaming may be reduced through adoption of a social justice perspective on sizeism as a form of oppression. An analysis of textbooks designed for use in graduate multicultural courses indicates that size is not currently addressed as a diversity or social justice issue within psychology. It is recommended that fat be conceptualized as a social identity that intersects with other diversity dimensions within coursework for mental health trainees as opposed to a sizeist paradigm where fat is depicted as pathological.     

Prior Health Care Utilization Patterns and Suicide Among U.S. Army Soldiers

Suicides among U.S. Army soldiers are increasing and, in January 2009, outpaced deaths due to combat. For this study, 1,873 army suicides identified through death, inpatient, and emergency room records were matched with 5,619 controls. In multivariate models, older, male, White, single, and enlisted soldiers with a prior injury (OR = 2.04, 95% CI = 1.64‐2.54), alcohol (OR = 3.41, 95% CI = 2.32‐4.99), or mental health hospitalization (OR = 6.62, 95% CI = 4.77‐9.20) were at increased risk for suicide. Risk was greatest immediately following diagnoses, but remained elevated even after 5 or more years of follow‐up. Most injury hospitalizations were unintentional but, nonetheless, significantly associated with suicide. Interactions indicate soldiers with both mental health and injury history are particularly vulnerable.     

Anxiety Sensitivity Differentially Predicts Factors of Interpersonal–Psychological Suicide Risk: A Consideration of Specificity

Recent studies have identified anxiety sensitivity (AS) as a risk factor for suicidality; however, limited work has been performed to understand this risk within the context of the interpersonal–psychological theory of suicide (IPTS; Joiner, 2005). The current study examined the relationship between overall AS, each AS subfactor (cognitive, social, and physical), and the three IPTS domains (perceived burdensomeness, thwarted belongingness, and acquired capability). While each AS subfactor uniquely predicted one IPTS domain, greater overall AS only predicted greater acquired capability, suggesting that assessment of AS at the subfactor level may offer us more information about an individual's interpersonal suicide risk.