Marshall Alexandra
Department of Health Behavior & Health Education, University of Arkansas for Medical Sciences.
Yale J Biol Med. 2016 Jun 27;89(2):205-13. eCollection 2016 Jun.
Suicide is currently the second leading cause of death in the U.S. among youth ages 10 to 24. Sexual and gender minority (SGM) youth face heightened risk for suicide and report greater odds of attempting suicide than their heteronormative peers. Contributing factors of experience, which are distinctly different from the experiences of heteronormative youth, place SGM youth at heightened risk for suicide. While interventions aimed at addressing suicide risk factors for all youth are being implemented and many have proven effective in the general population, no evidence-based intervention currently exists to reduce suicide risk within this special population. This perspective article discusses this need and proposes the development of an evidence-based suicide risk reduction intervention tailored to SGM youth. Creating a supportive school climate for SGM youth has been shown to reduce suicide risk and may provide protective effects for all youth while simultaneously meeting the unique needs of SGM youth.
目前,自杀是美国10至24岁青少年的第二大死因。性取向和性别少数群体(SGM)的青少年面临更高的自杀风险,且与异性恋同龄人相比,他们尝试自杀的几率更高。与异性恋青少年的经历截然不同的经历因素,使SGM青少年面临更高的自杀风险。虽然针对所有青少年自杀风险因素的干预措施正在实施,而且许多措施在普通人群中已被证明有效,但目前尚无基于证据的干预措施来降低这一特殊人群的自杀风险。这篇观点文章讨论了这一需求,并提议开发一种针对SGM青少年的基于证据的降低自杀风险干预措施。事实证明,为SGM青少年营造一个支持性的学校氛围可以降低自杀风险,并且可能为所有青少年提供保护作用,同时满足SGM青少年的独特需求。