Population Research Center, Human Development and Family Sciences, University of Texas at Austin, 305 E. 23rd St. Stop G1800, Austin, TX, 78712, USA.
The Methodology Center, The Pennsylvania State University, University Park, PA, 16802, USA.
Prev Sci. 2019 Apr;20(3):353-365. doi: 10.1007/s11121-018-0878-5.
The developmental timing of suicide-related disparities between heterosexuals and sexual minorities (i.e., lesbian/gay and bisexual (LGB) people) is an understudied area that has critical prevention implications. In addition to developmentally situated experiences that shape risk for suicidality in the general population, sexual minorities also experience unique social stressors (e.g., anti-LGB stigma) that may alter their risk for suicidal behavior at different ages. Using a nationally representative US sample of adults, we assessed age-varying rates of suicidal behavior among heterosexuals and sexual minorities ages 18 to 60 and the age-varying association between anti-LGB discrimination and suicidal behavior. We also tested whether these age-varying prevalences and associations differed for men and women and for sexual minorities who did and did not endorse a sexual minority identity. Results indicate a critical period for suicide behavior risk for sexual minorities during young adulthood, with the highest rates of risk at age 18 followed by a steady decline until the early 40s. Disparities were particularly robust for sexual minorities who identified as lesbian, gay, or bisexual. This pattern was present for both men and women, though sexual minority women in their 30s were more likely to report suicidal behavior than heterosexuals and sexual minority men. Sexual minorities who experienced anti-LGB discrimination were more likely to report suicidal behavior, but the significance of this association was limited to those under 30. The effect of discrimination on suicidal behavior was stronger among young adult sexual minority men, relative to sexual minority women, but was present for a wider age range for sexual minority women (until age 30) relative to sexual minority men (until age 25).
自杀相关差异在异性恋者和性少数群体(即同性恋/双性恋(LGB)人群)之间的发展时间是一个研究不足的领域,具有重要的预防意义。除了在普通人群中塑造自杀风险的发展性经历外,性少数群体还经历着独特的社会压力源(例如,反 LGB 耻辱感),这些压力源可能会改变他们在不同年龄阶段的自杀行为风险。使用美国全国代表性的成年人样本,我们评估了 18 至 60 岁的异性恋者和性少数群体的自杀行为的年龄变化率,以及反 LGB 歧视与自杀行为之间的年龄变化关联。我们还测试了这些年龄变化的流行率和关联是否因男性和女性以及是否认同性少数群体身份的性少数群体而有所不同。结果表明,性少数群体在青年期存在自杀行为风险的关键时期,风险最高的年龄是 18 岁,随后稳步下降,直到 40 多岁。对于认同同性恋、双性恋或异性恋的性少数群体来说,这种差异尤为明显。这种模式存在于男性和女性中,但 30 多岁的性少数群体女性比异性恋者和性少数群体男性更有可能报告自杀行为。经历反 LGB 歧视的性少数群体更有可能报告自杀行为,但这种关联的意义仅限于 30 岁以下的人群。相对于性少数群体女性,歧视对年轻成年的性少数群体男性自杀行为的影响更大,但对于性少数群体女性来说,这种影响的年龄范围更广(直到 30 岁),而对于性少数群体男性来说(直到 25 岁)。