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dc.contributor.authorSmith, Adina J.
dc.contributor.authorHallum-Montes, Rachel
dc.contributor.authorNevin, Kyndra
dc.contributor.authorZenker, Roberta
dc.contributor.authorSutherland, Bree
dc.contributor.authorReagor, Shawn
dc.contributor.authorOrti, M. Elizabeth
dc.contributor.authorWoods, Catherine A.
dc.contributor.authorFrost, Melissa
dc.contributor.authorCochran, Bryan N.
dc.contributor.authorOost, Kathryn M.
dc.contributor.authorGleason, Hillary
dc.contributor.authorBrennan, James M.
dc.identifier.citationSmith, Adina J., Rachel Hallum-Montes, Kyndra Nevin, Roberta Zenker, Bree Sutherland, Shawn Reagor, M. Elizabeth Orti, Catherine Woods, Melissa Frost, Bryan N. Cochran, Kathryn M. Oost, Hillary Gleason, and James Michael Brennan. "Determinants of transgender individuals' well-being, mental health, and suicidality in a rural state ." Journal of Rural Mental Health 42, no. 2 (April 2018): 116-132. DOI:10.1037/rmh0000089.en_US
dc.description.abstractThis 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.en_US
dc.rightsThis Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. For other uses you need to obtain permission from the rights-holder(s).en_US
dc.titleDeterminants of transgender individuals' well-being, mental health, and suicidality in a rural stateen_US
mus.citation.journaltitleJournal of Rural Mental Healthen_US
mus.identifier.categoryHealth & Medical Sciencesen_US
mus.relation.collegeCollege of Education, Health & Human Developmenten_US
mus.relation.departmentHealth & Human Development.en_US
mus.relation.universityMontana State University - Bozemanen_US

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