From rejection by others to affirmation of self: Understanding the dynamics of cissexism-based stress, resilience factors, and suicidal ideation among bi+ transgender and gender diverse adults.

= 18 - 49); 39.0% identified as White, 24.9% Latine, 8.8% Black, 20.0% Multiracial, and 7.3% other racial identities. cissexism-based stress (rejection, non-affirmation, internalized transphobia), resilience factors (self-affirmation, support), and mental health (SI frequency, SI severity) were assessed. Self-affirmation moderated the association between rejection and SI. At mean and high levels, but not low levels of self-affirmation, rejection was significantly related to higher frequency and severity of SI. No other associations between cissexism-based stress and SI were moderated by resilience factors. Higher rates of non-affirmation, internalized transphobia, and self-affirmation were associated with a higher frequency of SI. Although TGD identity-related support does not buffer the effects of cissexism-based stress, self-affirmation may be important to consider when addressing SI among bi+ TGD people. Findings suggest that self-affirmation may be associated with other factors that make TGD people more likely to encounter cissexism-based stressors, and thus more vulnerable to SI.