女同性恋、男同性恋、双性恋和性取向存疑者中种族/族裔身份及宗教信仰与自杀意念的关联。
Associations of racial/ethnic identities and religious affiliation with suicidal ideation among lesbian, gay, bisexual, and questioning individuals.
作者信息
Lytle Megan C, De Luca Susan M, Blosnich John R, Brownson Chris
机构信息
University of Rochester Medical Center, Department of Psychiatry, Rochester, NY, United States.
School of Social Work, University of Texas at Austin, The University of Texas at Austin, Austin, TX, United States.
出版信息
J Affect Disord. 2015 Jun 1;178:39-45. doi: 10.1016/j.jad.2014.07.039. Epub 2015 Mar 6.
BACKGROUND
Our aim was to examine the associations of racial/ethnic identity and religious affiliation with suicidal ideation among lesbian, gay, bisexual, and questioning (LGBQ) and heterosexual college students. An additional aim was to determine the prevalence of passive suicidal ideation (i.e., death ideation) and active suicidal ideation among culturally diverse LGBQ individuals.
METHODS
Data from the National Research Consortium probability-based sample of college students from 70 postsecondary institutions (n=24,626) were used to examine active and passive suicidal ideation in the past 12-months and lifetime active suicidal ideation among students by sexual orientation, racial/ethnic identity, and religious affiliation.
RESULTS
Across most racial/ethnic groups and religious affiliations, LGBQ students were more likely to report active suicidal ideation than non-LGBQ individuals. Among LGBQ students, Latino individuals had lower odds of reporting both past 12-month passive and active suicidal ideation than their non-Hispanic white LGBQ counterparts. Compared to Christian LGBQ students, Agnostic/Atheist LGBQ individuals had greater odds of reporting past 12-month passive suicidal ideation, and Jewish LGBQ students were less likely to endorse past 12-month passive and active suicidal ideation.
LIMITATIONS
Cross-sectional design and self-reported data.
CONCLUSIONS
Results corroborate previous research showing elevated prevalence of suicidal ideation among LGBQ individuals in comparison to their heterosexual counterparts. These findings are among the first to document prevalence differences within the LGBQ population based on intersectional identities (race/ethnicity and religious affiliation). Providers should recognize that LGBQ individuals might need support in negotiating the complex relationship between multiple identities, especially due to their elevated prevalence of suicidal ideation.
背景
我们的目的是研究女同性恋、男同性恋、双性恋和性取向存疑（LGBQ）的大学生以及异性恋大学生的种族/族裔身份和宗教信仰与自杀意念之间的关联。另一个目的是确定不同文化背景的LGBQ个体中被动自杀意念（即死亡意念）和主动自杀意念的发生率。
方法
来自70所高等院校的全国研究联盟基于概率抽样的大学生数据（n = 24,626），用于研究学生在过去12个月内的主动和被动自杀意念以及终生主动自杀意念，按性取向、种族/族裔身份和宗教信仰进行分析。
结果
在大多数种族/族裔群体和宗教信仰中，LGBQ学生比非LGBQ个体更有可能报告主动自杀意念。在LGBQ学生中，拉丁裔个体报告过去12个月被动和主动自杀意念的几率低于非西班牙裔白人LGBQ学生。与基督教LGBQ学生相比，不可知论者/无神论者LGBQ个体报告过去12个月被动自杀意念的几率更高，而犹太LGBQ学生不太可能认可过去12个月的被动和主动自杀意念。
局限性
横断面设计和自我报告数据。
结论
结果证实了先前的研究，即与异性恋者相比，LGBQ个体自杀意念的发生率更高。这些发现首次记录了基于交叉身份（种族/族裔和宗教信仰）的LGBQ人群中的发生率差异。医疗服务提供者应认识到，LGBQ个体在处理多种身份之间的复杂关系时可能需要支持，尤其是考虑到他们较高的自杀意念发生率。
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