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  <front>
    <journal-meta>
      <journal-id journal-id-type="publisher-id">JPSIM</journal-id>
      <journal-title-group>
        <journal-title>Journal of Pakistan Society of Internal Medicine</journal-title>
        <abbrev-title>J Pak Soc Intern Med</abbrev-title>
      </journal-title-group>
      <issn publication-format="print">2709-8729</issn>
      <issn publication-format="electronic">2710-0804</issn>
      <publisher>
        <publisher-name>Pakistan Society of Internal Medicine</publisher-name>
      </publisher>
    </journal-meta>
    <article-meta>
      <article-id pub-id-type="doi">10.70302/jpsim.v3i3.2252</article-id>
      <article-id pub-id-type="publisher-id">jpsim.v3i3.2252</article-id>
      <article-categories>
        <subj-group subj-group-type="heading">
          <subject>STUDENT CORNER</subject>
        </subj-group>
      </article-categories>
      <title-group>
        <article-title>Psychological Stressors and Suicidal Ideation among Transgender in Lahore, Pakistan</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author" corresp="yes">
          <name>
            <surname>Faiz</surname>
            <given-names>Rameen</given-names>
          </name>
          <email>rameenfaiz1997@gmail.com</email>
          <xref ref-type="aff" rid="aff1"/>
          <xref ref-type="corresp" rid="cor1">*</xref>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Farooq</surname>
            <given-names>Muhammad Talha</given-names>
          </name>
          <xref ref-type="aff" rid="aff1"/>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Umair</surname>
            <given-names>Muhammad</given-names>
          </name>
          <xref ref-type="aff" rid="aff1"/>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Ramzan</surname>
            <given-names>Rabia</given-names>
          </name>
          <xref ref-type="aff" rid="aff1"/>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Sajid</surname>
            <given-names>Rida Fatima</given-names>
          </name>
          <xref ref-type="aff" rid="aff1"/>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Malook</surname>
            <given-names>Qais ul</given-names>
          </name>
          <xref ref-type="aff" rid="aff1"/>
        </contrib>
      </contrib-group>
      <aff id="aff1">
        <institution>King Edward Medical University</institution>
      </aff>
      <author-notes>
        <corresp id="cor1">*Correspondence: Rameen Faiz (rameenfaiz1997@gmail.com)</corresp>
      </author-notes>
      <pub-date date-type="pub" publication-format="electronic" iso-8601-date="2022-09-12">
        <day>12</day>
        <month>09</month>
        <year>2022</year>
      </pub-date>
      <pub-date date-type="collection" publication-format="electronic">
        <year>2022</year>
      </pub-date>
      <volume>3</volume>
      <issue>3</issue>
      <fpage>256</fpage>
      <lpage>261</lpage>
      <history>
        <date date-type="received" iso-8601-date="2022-04-07">
          <day>07</day>
          <month>04</month>
          <year>2022</year>
        </date>
        <date date-type="accepted" iso-8601-date="2022-07-12">
          <day>12</day>
          <month>07</month>
          <year>2022</year>
        </date>
      </history>
      <permissions>
        <copyright-statement>Copyright © 2022 The Author(s)</copyright-statement>
        <copyright-year>2022</copyright-year>
        <copyright-holder>The Author(s)</copyright-holder>
        <ali:free_to_read xmlns:ali="http://www.niso.org/schemas/ali/1.0/"/>
        <license license-type="open-access" xlink:href="https://creativecommons.org/licenses/by/4.0/">
          <ali:license_ref xmlns:ali="http://www.niso.org/schemas/ali/1.0/">https://creativecommons.org/licenses/by/4.0/</ali:license_ref>
          <license-p>This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
        </license>
      </permissions>
      <self-uri xlink:href="https://psimj.com/article/jpsim.v3i3.2252" content-type="text/html"/>
      <self-uri xlink:href="https://psimj.com/article/jpsim.v3i3.2252.pdf" content-type="application/pdf"/>
      <abstract>
        <sec>
          <title>Objective</title>
          <p>Transgenders, in Pakistan, face verbal victimization, physical discrimination and sexual abuse at the hands of society, which endanger both their physical and mental health significantly. The aim of the study was to measure the frequency of psychological stressors and suicidal ideation among adult trans-gender individuals in Lahore, Pakistan.</p>
        </sec>
        <sec>
          <title>Methodology</title>
          <p>A cross-sectional study using snow-ball sampling technique was conducted, from January 2019 to September 2019. 113 transgenders (sample size calculated using confidence interval of 95% and absolute precision of 9%) were interviewed at the Fountain House of Lahore, Pakistan. A questionnaire based on Kessler scale of psychological distress served the purpose of data collection tool. The questionnaires were translated into two languages, Urdu and English, for the ease of the participants. Data obtained was analyzed using SPSS-26, with a significance level set at p</p>
        </sec>
        <sec>
          <title>Results</title>
          <p>High levels of psychological distress (47.7%) were prevalent among the transgenders. Verbal victimization (69.9%), institutional discrimination (32.7%), physical discrimination (33.6%), sexual abuse (33.6%), workplace discrimination (43.4%) and lack of family support (38.1%) were reported in large proportion.</p>
        </sec>
        <sec>
          <title>Conclusion</title>
          <p>Levels of psychological stressors and suicidal ideation among transgenders were alarmingly high. The transgender community is socially excluded by the society where they face discriminatory behavior in daily life. Such attitudes make them vulnerable to psychological stress.</p>
        </sec>
      </abstract>
      <kwd-group xml:lang="en" kwd-group-type="author-keywords">
        <title>Keywords</title>
        <kwd>Transgenders</kwd>
        <kwd>suicidal ideation.</kwd>
      </kwd-group>
    </article-meta>
  </front>
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  <back>
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</article>
