Dustin T. Duncan is with the Department of Social and Behavioral Sciences and the Harvard Youth Violence Prevention Center, Harvard School of Public Health, Boston, MA. Mark L. Hatzenbuehler is with the Department of Sociomedical Sciences and the Center for the Study of Social Inequalities and Health, Mailman School of Public Health, Columbia University, New York, NY.
Am J Public Health. 2014 Feb;104(2):272-8. doi: 10.2105/AJPH.2013.301424. Epub 2013 Dec 12.
We examined whether past-year suicidality among sexual-minority adolescents was more common in neighborhoods with a higher prevalence of hate crimes targeting lesbian, gay, bisexual, and transgender (LGBT) individuals.
Participants' data came from a racially/ethnically diverse population-based sample of 9th- through 12th-grade public school students in Boston, Massachusetts (n = 1292). Of these, 108 (8.36%) reported a minority sexual orientation. We obtained data on LGBT hate crimes involving assaults or assaults with battery between 2005 and 2008 from the Boston Police Department and linked the data to the adolescent's residential address.
Sexual-minority youths residing in neighborhoods with higher rates of LGBT assault hate crimes were significantly more likely to report suicidal ideation (P = .013) and suicide attempts (P = .006), than were those residing in neighborhoods with lower LGBT assault hate crime rates. We observed no relationships between overall neighborhood-level violent and property crimes and suicidality among sexual-minority adolescents (P > .05), providing evidence for specificity of the results to LGBT assault hate crimes.
Neighborhood context (i.e., LGBT hate crimes) may contribute to sexual-orientation disparities in adolescent suicidality, highlighting potential targets for community-level suicide-prevention programs.
我们研究了性少数群体青少年在过去一年中的自杀倾向是否在仇恨犯罪针对女同性恋、男同性恋、双性恋和跨性别者(LGBT)个人的高发率的社区中更为普遍。
参与者的数据来自马萨诸塞州波士顿的一所种族/民族多样化的公立学校 9 至 12 年级的学生的基于人群的样本(n=1292)。其中,108 人(8.36%)报告了少数性取向。我们从波士顿警察局获得了 2005 年至 2008 年间涉及攻击或袭击的 LGBT 仇恨犯罪的数据,并将数据与青少年的居住地址联系起来。
与居住在 LGBT 攻击仇恨犯罪率较低的社区的青少年相比,居住在 LGBT 攻击仇恨犯罪率较高的社区的性少数群体青少年更有可能报告自杀意念(P=0.013)和自杀企图(P=0.006)。我们没有观察到整体社区层面的暴力和财产犯罪与性少数群体青少年的自杀倾向之间存在任何关系(P>0.05),这为 LGBT 攻击仇恨犯罪是导致自杀的特异性原因提供了证据。
社区环境(即 LGBT 仇恨犯罪)可能导致青少年自杀倾向中的性取向差异,突出了社区层面自杀预防计划的潜在目标。