性取向与自杀意念、计划、尝试和有医学意义的尝试：来自 2001-2009 年当地青少年风险行为调查的证据。
Sexual orientation and suicide ideation, plans, attempts, and medically serious attempts: evidence from local Youth Risk Behavior Surveys, 2001-2009.
机构信息
Deborah M. Stone, Caroline Lippy, Marci F. Hertz, and Alex E. Crosby are with the Division of Violence Prevention, National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, GA. Feijun Luo is with the Division of Analysis, Research, and Practice Integration, National Center for Injury Prevention and Control. Lijing Ouyang is with the Division of Birth Defects and Developmental Disabilities, National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention.
出版信息
Am J Public Health. 2014 Feb;104(2):262-71. doi: 10.2105/AJPH.2013.301383. Epub 2013 Dec 12.
OBJECTIVES
We examined the associations between 2 measures of sexual orientation and 4 suicide risk outcomes (SROs) from pooled local Youth Risk Behavior Surveys.
METHODS
We aggregated data from 5 local Youth Risk Behavior Surveys from 2001 to 2009. We defined sexual minority youths (SMYs) by sexual identity (lesbian, gay, bisexual) and sex of sexual contacts (same- or both-sex contacts). Survey logistic regression analyses controlled for a wide range of suicide risk factors and sample design effects.
RESULTS
Compared with non-SMYs, all SMYs had increased odds of suicide ideation; bisexual youths, gay males, and both-sex contact females had greater odds of suicide planning; all SMYs, except same-sex contact males, had increased odds of suicide attempts; and lesbians, bisexuals, and both-sex contact youths had increased odds of medically serious attempts. Unsure males had increased odds of suicide ideation compared with heterosexual males. Not having sexual contact was protective of most SROs among females and of medically serious attempts among males.
CONCLUSIONS
Regardless of sexual orientation measure used, most SMY subgroups had increased odds of all SROs. However, many factors are associated with SROs.
目的
我们通过汇总来自 2001 年至 2009 年的 5 项本地青少年风险行为调查的数据，考察了两种性取向测量方法与 4 种自杀风险结果（SRO）之间的关联。
方法
我们通过汇总来自 2001 年至 2009 年的 5 项本地青少年风险行为调查的数据，定义了性少数群体青少年（SMY），包括性身份（女同性恋、男同性恋、双性恋）和性接触对象的性别（同性或异性接触）。调查逻辑回归分析控制了广泛的自杀风险因素和样本设计效应。
结果
与非性少数群体青少年相比，所有性少数群体青少年自杀意念的可能性增加；双性恋青少年、男同性恋者和异性接触女性自杀计划的可能性更大；除了同性接触男性外，所有性少数群体青少年自杀尝试的可能性增加；女同性恋者、双性恋者和异性接触青少年自杀未遂的可能性增加。不确定男性自杀意念的可能性比异性恋男性增加。女性中没有性接触对大多数 SRO 有保护作用，而男性中没有性接触对医学上严重的自杀未遂有保护作用。
结论
无论使用哪种性取向测量方法，大多数性少数群体青少年的所有 SRO 可能性都增加。然而，许多因素与 SRO 相关。
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