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使用危机服务的 LGBTQ 青年中的无家可归、心理健康与自杀倾向

Homelessness, Mental Health and Suicidality Among LGBTQ Youth Accessing Crisis Services.

作者信息

Rhoades Harmony, Rusow Joshua A, Bond David, Lanteigne Amy, Fulginiti Anthony, Goldbach Jeremy T

机构信息

USC Suzanne Dworak-Peck School of Social Work, University of Southern California, 669 W. 34th Street, MRF Bldg, Los Angeles, CA, 90089-0411, USA.

USC Suzanne Dworak-Peck School of Social Work, University of Southern California, 1149 S. Hill St., Suite 360, Los Angeles, CA, 90015, USA.

出版信息

Child Psychiatry Hum Dev. 2018 Aug;49(4):643-651. doi: 10.1007/s10578-018-0780-1.

Abstract

LGBTQ youth experience increased risks of homelessness, mental health disorder symptoms, and suicidality. Utilizing data from LGBTQ youth contacting a suicide crisis services organization, this study examined: (a) rates of homelessness among crisis services users, (b) the relationship between disclosure of LGBTQ identity to parents and parental rejection and homelessness, and (c) the relationship between homelessness and mental health disorder outcomes and suicidality. A nationwide sample of LGBTQ youth was recruited for a confidential online survey from an LGBTQ-focused crisis services hotline. Overall, nearly one-third of youth contacting the crisis services hotline had experienced lifetime homelessness, and those who had disclosed their LGBTQ identity to parents or experienced parental rejection because of LGBTQ status experienced higher rates of homelessness. Youth with homelessness experiences reported more symptoms of several mental health disorders and higher rates of suicidality. Suggestions for service providers are discussed.

摘要

LGBTQ青年面临更高的无家可归、心理健康障碍症状和自杀风险。本研究利用LGBTQ青年与自杀危机服务组织联系的数据,考察了:(a)危机服务使用者中的无家可归率;(b)向父母披露LGBTQ身份、遭遇父母拒绝与无家可归之间的关系;(c)无家可归与心理健康障碍结果及自杀倾向之间的关系。通过一个以LGBTQ为重点的危机服务热线,招募了一个全国性的LGBTQ青年样本进行保密的在线调查。总体而言,拨打危机服务热线的青年中近三分之一有过终身无家可归的经历,那些向父母披露LGBTQ身份或因LGBTQ身份而遭遇父母拒绝的人无家可归率更高。有过无家可归经历的青年报告了几种心理健康障碍的更多症状以及更高的自杀率。文中还讨论了对服务提供者的建议。

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