Ybarra Michele L, Mitchell Kimberly J, Kosciw Joseph G, Korchmaros Josephine D
Center for Innovative Public Health Research, 555 El Camino Real A347, San Clemente, CA, 92672, USA,
Prev Sci. 2015 Apr;16(3):451-62. doi: 10.1007/s11121-014-0510-2.
While there is an extant research base regarding suicidal ideation in relation to bullying and peer harassment, how findings may be similar and different for lesbian, gay, and bisexual (LGB) and non-LGB youth is less well understood. To address this gap, we analyzed data from 5,542 13- to 18-year-old youth who were nationally surveyed online in the United States in 2010. Results suggest that the relative odds of suicidal ideation are elevated for youth who are victims of bullying (OR = 5.61, 95 % CI, 4.11, 7.64), as well as those who are victims of peer harassment (OR = 2.06, 95 % CI, 1.53, 2.79). Within the context of other important factors, bullying was associated with odds of suicidal ideation twice that of non-victimized youth (aOR = 2.02, 95 % CI, 1.30, 3.13). Within sexual identity, the relation between bullying and suicidal ideation was particularly strong for gay, lesbian, and queer youth, even after adjusting for other influential factors (aOR = 6.29, 95 % CI, 2.69, 14.66). Across sexual identities, the odds of suicidal ideation are higher for bisexual youth (aOR = 1.77, 95 % CI, 1.23, 2.55) but not for other sexual minority youth when compared with otherwise similar heterosexual youth. Other factors, including depressive symptomatology and low self-esteem, were also predictive of recent ideation across all sexual identities. Findings highlight the complexity of bullying and suicidal ideation. Furthermore, given the relation between bullying and suicidal ideation, and the disproportionate level of bullying experienced by LGB youth, our findings suggest the need for more protective environments for LGB youth.
虽然已有关于与欺凌和同伴骚扰相关的自杀意念的研究基础，但女同性恋、男同性恋和双性恋（LGB）青少年与非LGB青少年的研究结果可能如何相似和不同，目前还了解得较少。为了填补这一空白，我们分析了2010年在美国全国范围内对5542名13至18岁青少年进行在线调查的数据。结果表明，遭受欺凌的青少年（OR = 5.61，95% CI，4.11，7.64）以及遭受同伴骚扰的青少年（OR = 2.06，95% CI，1.53，2.79）出现自杀意念的相对几率有所升高。在其他重要因素的背景下，欺凌与自杀意念几率的关联是未受欺凌青少年的两倍（校正OR = 2.02，95% CI，1.30，3.13）。在性取向方面，即使在调整了其他影响因素之后，欺凌与自杀意念之间的关系在男同性恋、女同性恋和酷儿青少年中尤为强烈（校正OR = 6.29，95% CI，2.69，14.66）。在所有性取向中，双性恋青少年出现自杀意念的几率更高（校正OR = 1.77，95% CI，1.23，2.55），但与其他情况相似的异性恋青少年相比，其他性少数群体青少年则不然。其他因素，包括抑郁症状和低自尊，在所有性取向中也都能预测近期的自杀意念。研究结果凸显了欺凌和自杀意念的复杂性。此外，鉴于欺凌与自杀意念之间的关系，以及LGB青少年遭受欺凌的比例过高，我们的研究结果表明需要为LGB青少年提供更具保护性的环境。
