Suicide in trans populations: A systematic review of prevalence and correlates.

Trans people experience high rates of attempted suicide and suicidal ideation. No study to date has collated the various findings concerning correlates of trans-suicide. This systematic review aimed to summarise the available data and provide recommendations based on this evidence. Papers were included if published before February 2016, English, were peer reviewed, and presented data concerning trans people’s suicide attempts or ideation. Nine
databases were searched, and 30 papers were selected. Discrimination emerged as strongly related to suicidal ideation and attempts, while positive social interactions and timely access to interventions appeared protective. Limitations included differences in how papers defined trans people or measured suicide, and in their largely cross-sectional nature, making assumptions about causality in reference to lifetime ideation or attempts impossible. However, results clearly indicated a need to work at both individual and structural levels to  reduce societal and service-level discrimination, enhance peer support, and ensure access to required interventions. The review highlights the need to explore suicidality in the trans population both in relation to general suicide models as well in relation to models of minority stress.