Center for Research on Health and Sexual Orientation, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, PA 15213, USA.
J Adolesc Health. 2011 Aug;49(2):115-23. doi: 10.1016/j.jadohealth.2011.02.005. Epub 2011 May 26.
To examine disparities between sexual minority youth (SMY) and heterosexual youth in rates of suicidality and depression symptoms.
Separate meta-analyses were conducted to examine suicidality and depression disparities. Studies were included if the average age of the participants was <18 years, and if suicidality or depression symptoms were compared across SMY and heterosexual youth.
SMY reported significantly higher rates of suicidality (odds ratio [OR] = 2.92) and depression symptoms (standardized mean difference, d = .33) as compared with the heterosexual youth. Disparities increased with the increase in the severity of suicidality (ideation [OR = 1.96], intent/plans [OR = 2.20], suicide attempts [OR = 3.18], suicide attempts requiring medical attention [OR = 4.17]). Effects did not vary across gender, recruitment source, and sexual orientation definition.
Disparities in suicidality and depression may be influenced by negative experiences including discrimination and victimization. Clinicians should assess sexual orientation, analyze psychosocial histories to identify associated risk factors, and promote prevention and intervention opportunities for SMY and their families.
调查性少数青年（SMY）与异性恋青年在自杀意念和抑郁症状发生率方面的差异。
分别进行荟萃分析以调查自杀意念和抑郁差异。如果参与者的平均年龄<18 岁，并且比较了 SMY 和异性恋青年之间的自杀意念或抑郁症状，则纳入研究。
与异性恋青年相比，SMY 报告的自杀意念（优势比[OR] = 2.92）和抑郁症状（标准化均数差，d =.33）发生率明显更高。随着自杀意念严重程度的增加，差异也随之增加（意向[OR = 1.96]，意图/计划[OR = 2.20]，自杀尝试[OR = 3.18]，需要医疗关注的自杀尝试[OR = 4.17]）。这些效应在性别、招募来源和性取向定义方面没有差异。
自杀意念和抑郁的差异可能受到歧视和受害等负面经历的影响。临床医生应评估性取向，分析心理社会史以确定相关风险因素，并为 SMY 及其家人提供预防和干预机会。
