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ARTICLES

Family Rejection, Social Isolation, and Loneliness as Predictors of Negative Health Outcomes (Depression, Suicidal Ideation, and Sexual Risk Behavior) Among Thai Male-to-Female Transgender Adolescents

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Pages 347-363 | Received 06 Jul 2013, Accepted 12 Dec 2013, Published online: 10 Oct 2014
 

Abstract

This study examined the influence of family rejection, social isolation, and loneliness on negative health outcomes among Thai male-to-female transgender adolescents. The sample consisted of 260 male respondents, of whom 129 (49.6%) were self-identified as transgender and 131 (50.4%) were self-identified as cisgender (nontransgender). Initial multivariate analysis of variance indicated that the transgender respondents, when compared to the cisgender respondents, reported significantly higher family rejection, lower social support, higher loneliness, higher depression, lower protective factors (PANSI-positive) and higher negative risk factors (PANSI-negative) related to suicidal behavior, and were less certain in avoiding sexual risk behaviors. Multiple regression analysis indicated that the exogenous variables of family rejection, social isolation, and loneliness were significant predictors of both transgender and cisgender adolescents’ reported levels of depression, suicidal thinking, and sexual risk behaviors. The implications of these findings are discussed.

Notes

1One of our reviewers contributed this idea.

Additional information

Notes on contributors

Mohammadrasool Yadegarfard

Mohammadrasool Yadegarfard, MSCP, Graduate School of Counseling Psychology, Assumption University. His research interest area is health psychology, LGBT mental well-being, professional ethic codes and conduct, and mainly work on the influence of social factors on mental well-being.

Mallika E. Meinhold-Bergmann

Mallika E. Meinhold-Bergmann, PhD, Graduate School of Psychology, Assumption University. Her interest area is health psychology, and mainly worked with cultural sensitive approaches, counselling students and clients suffering from HIV/Aids, psychosomatic ailments and Post Traumatic Stress Disorder (PTSD).

Robert Ho

Robert Ho, PhD, is an Associate Professor, Graduate School of Psychology, Assumption University. His research interests include health psychology, attribution theory, intergroup relationships, and quantitative methods.

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