Suicidal Ideation Modeling based on Body Image and Rumination with the Mediation of Social Phobia in Individuals with Gender Dysphoric Disorder

The aim of this study was to model suicidal ideation based on body image and rumination with the mediation of social phobia in individuals with gender dysphoric disorder.

In a  descriptive correlational study among individuals with gender dysphoric disorder and members of transsexuals before and after gender reassignment surgery of the Iranian association for the support of patients with gender dysphoria in 2021 using available sampling, 200 people were selected. Then all subjects completed the beck suicide scale ideation (BSSI), body image concern inventory (BICI), rumination response scale (RRS), and social phobia scale (SPS). Data were analyzed by structural equation modeling and SPSS26 and Lisrel8.8 software.

The results showed that the variables of rumination (T= 3.96), body image concern (T= 5.50), and social anxiety (T= 3.83) have a direct positive and significant effect on suicidal ideation. Social phobia could mediate the relationship between rumination and body image concern with suicidal ideation as welln.

According to the research findings, it can be concluded that rumination, body image concern, and social phobia can affect suicidal ideation.