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A Comparison of Post-Traumatic Stress and Depressive Symptoms by Suicidal Ideation Among Black Transgender Women.

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Title: A Comparison of Post-Traumatic Stress and Depressive Symptoms by Suicidal Ideation Among Black Transgender Women.
Authors: Sherman ADF; Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, Georgia, USA., Balthazar MS; AGACNP-BC - Penn State University Ross and Carol Nese College of Nursing, Nursing Sciences Building University Park, State College, Pennsylvania, USA., Berish D; Ross and Carol Nese College of Nursing, The Pennsylvania State University, University Park, University Park, Pennsylvania, USA., Wishloff S; Emory University School of Medicine, Atlanta, Georgia, USA., Duroseau B; AAHIVS - Center for Infectious Diseases and Nursing Innovation (CIDNI), Johns Hopkins University School of Nursing, Baltimore, Maryland, USA., Szczech M; Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, Georgia, USA., Pelkmans J; Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, Georgia, USA., Samuels DM; Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, Georgia, USA., Hernandez A; Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, Georgia, USA., Zhang W; Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, Georgia, USA., Cimino AN; MSW - Rogue Scholar Consulting, Baltimore, Maryland, USA., Lin Y; Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, Georgia, USA., Barandouzi ZA; Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, Georgia, USA.; Winship Cancer Institute, Emory University, Atlanta, Georgia, USA., Schneider JS; Emory University School of Medicine, Atlanta, Georgia, USA., Operario D; Rollins School of Public Health, Emory University, Atlant, Georgia, USA.
Corporate Authors: Together We Thrive Community Advisory Board
Source: Research in nursing & health [Res Nurs Health] 2026 Aug; Vol. 49 (4), pp. 467-485. Date of Electronic Publication: 2026 Jul 01.
Publication Type: Journal Article; Comparative Study
Language: English
Journal Info: Publisher: Wiley Country of Publication: United States NLM ID: 7806136 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1098-240X (Electronic) Linking ISSN: 01606891 NLM ISO Abbreviation: Res Nurs Health Subsets: MEDLINE
Imprint Name(s): Original Publication: New York, Wiley.
MeSH Terms: Stress Disorders, Post-Traumatic*/psychology , Stress Disorders, Post-Traumatic*/epidemiology , Stress Disorders, Post-Traumatic*/ethnology , Black or African American*/psychology , Black or African American*/statistics & numerical data , Transgender Persons*/psychology , Transgender Persons*/statistics & numerical data , Depression*/psychology , Depression*/epidemiology , Depression*/ethnology , Suicidal Ideation*, United States/epidemiology ; Humans ; Female ; Cross-Sectional Studies ; Male ; Adult ; Prevalence ; Middle Aged ; Surveys and Questionnaires
Abstract: Black transgender women in the United States (US) report a significant burden of minority stress contributing to high post-traumatic stress disorder (PTSD) and depressive symptom severity and suicidality. Literature suggests Black Americans are less likely than White peers to report suicidal ideation (SI) but more likely to attempt suicide in the last year. Limited research exists to identify specific symptoms that may indicate increased risk of suicidality among Black transgender women who do not disclose SI-limiting clinicians' ability to identify those at risk of suicidality. Our study aimed to compare the prevalence and severity of PTSD and depressive symptoms among Black transgender women who endorse or do not endorse SI. We analyzed cross-sectional online survey data from a convenience sample of Black transgender women in the US (N = 153). Symptoms were measured using the PTSD Symptom Checklist - DSM-V version and the Beck Depression Inventory-II. Statistical analyses included Wilcoxon Rank Sum Tests, Fischer's Exact Tests, and logistic regression. Worthlessness, changes in appetite, and severity of total Beck Depression Inventory II (BDI-II) scores were consistently significantly higher or more prominent in those endorsing SI compared to those who did not. Findings highlight those two symptoms and the total depressive symptom score as potential indicators of suicidality, which highlights opportunities for providers to further assess for SI and consider safety planning even in the absence of SI disclosure. More research is needed with larger samples of gender-expansive people to further explore these findings.
(© 2026 Wiley Periodicals LLC.)
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Grant Information: F31 NR020760 United States NR NINR NIH HHS; K23 NR020208 United States NR NINR NIH HHS; 2022 Southern Nursing Research Society
Entry Date(s): Date Created: 20260701 Date Completed: 20260715 Latest Revision: 20260726
Update Code: 20260726
PubMed Central ID: PMC13369850
DOI: 10.1002/nur.70095
PMID: 42381460
Database: MEDLINE
Description
ISSN:1098-240X
DOI:10.1002/nur.70095