宗教信仰与性少数群体自杀意念和自杀企图的关联。
Association of Religiosity With Sexual Minority Suicide Ideation and Attempt.
机构信息
Department of Psychiatry, University of Rochester Medical Center, Rochester, New York.
Injury Control Research Center, West Virginia University, Morgantown, West Virginia; Center for Health Equity Research and Promotion, VA Pittsburgh Medical Center, Pittsburgh, Pennsylvania; Division of General Internal Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania.
出版信息
Am J Prev Med. 2018 May;54(5):644-651. doi: 10.1016/j.amepre.2018.01.019. Epub 2018 Mar 15.
INTRODUCTION
The purpose of this study is to explore how the associations between importance of religion and recent suicide ideation, recent suicide attempt, and lifetime suicide attempt vary by sexual orientation.
METHODS
Survey data were collected from the 2011 University of Texas at Austin's Research Consortium data from 21,247 college-enrolled young adults aged 18-30 years. Respondents reported sexual identity as heterosexual, gay/lesbian, bisexual, or questioning. Two sets of multivariable models were conducted to explore the relations of religious importance and sexual orientation with the prevalence of suicidal behavior. The first model was stratified by sexual orientation and the second model was stratified by importance of religion. To explore potential gender differences in self-directed violence, the models were also stratified by gender identity. The main outcome measures were recent suicidal ideation, recent suicide attempt, and lifetime suicide attempt.
RESULTS
Overall, increased importance of religion was associated with higher odds of recent suicide ideation for both gay/lesbian and questioning students. The association between sexual orientation and self-directed violence were mixed and varied by strata. Lesbian/gay students who viewed religion as very important had greater odds for recent suicidal ideation and lifetime suicide attempt compared with heterosexual individuals. Bisexual and questioning sexual orientations were significantly associated with recent suicide ideation, recent attempt, and lifetime attempt across all strata of religious importance, but the strongest effects were among those who reported that religion was very important.
CONCLUSIONS
Religion-based services for mental health and suicide prevention may not benefit gay/lesbian, bisexual, or questioning individuals. Religion-based service providers should actively assure their services are open and supportive of gay/lesbian, bisexual, or questioning individuals.
简介
本研究旨在探讨宗教重要性与近期自杀意念、近期自杀企图和终生自杀企图之间的关联在性取向方面的差异。
方法
该研究的数据来自 2011 年德克萨斯大学奥斯汀分校研究联盟对 21247 名年龄在 18-30 岁的大学生的调查。受访者报告了自己的性取向为异性恋、同性恋/女同性恋、双性恋或不确定。进行了两组多变量模型来探讨宗教重要性和性取向与自杀行为发生率之间的关系。第一个模型按性取向分层，第二个模型按宗教重要性分层。为了探讨自我伤害行为中潜在的性别差异，模型也按性别认同分层。主要结局指标为近期自杀意念、近期自杀企图和终生自杀企图。
结果
总体而言，宗教重要性的增加与同性恋/女同性恋和不确定学生近期自杀意念的几率增加有关。性取向与自我伤害之间的关系是复杂的，且因分层而异。认为宗教非常重要的女同性恋/男同性恋学生与异性恋个体相比，近期自杀意念和终生自杀企图的几率更高。在所有宗教重要性分层中，双性恋和不确定的性取向与近期自杀意念、近期企图和终生企图显著相关，但最强的关联是在那些报告宗教非常重要的个体中。
结论
基于宗教的心理健康和自杀预防服务可能对同性恋/女同性恋、双性恋或不确定的个体没有帮助。基于宗教的服务提供者应积极确保他们的服务对同性恋/女同性恋、双性恋或不确定的个体开放和支持。
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