Date of Conferral

2020

Degree

Ph.D.

School

Public Health

Advisor

Patrick A. Tschida

Abstract

AbstractThe goal of this phenomenological study was to investigate the phenomenon of transgender suicide and how health provider transgender health knowledge deficits may have contributed to this public health disparity. The constructs of the Social-Ecological Suicide Prevention Model, the Perioperative Medicine Model, and the Perioperative Patient-Focused Model is the Tri-Model framework used to guide this research project in proposing the research question, the sub-questions, and contributed to the analysis of the results. This Triad-Model is also proposed as a framework to eradicate the health provider transgender health knowledge gap; to improve transgender health care delivery; enable physicians and nurses to recognize the transgender person who is at risk for suicide attempts; provide timely transgender competent suicide interventions, and augment desirable health outcomes that could reduce or eliminate perioperative suicides among transgender persons. Four adult postoperative transgender Americans were interviewed in-person or telephonically. Thematic analysis included workplace, family, and social rejection preoperatively and postoperatively, suicidal thoughts and suicide attempts before and after surgery, met health providers inept in transgender health care awareness, preoperative and postoperative health insurance coverage barriers, health provider, and health care systems transgender-aimed discrimination cordons. Participants recommended that medical and nursing schools add Transgender Health competence education and hands-on transgender health care residencies to the present curriculum. This adjunct is a positive social change for better health outcomes, upgraded quality of life, improved transgender health care practices individually and Community wide.

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