Division of Violence Prevention, National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia.
Extramural Research Program Office, Office of the Associate Director for Science, National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia.
Am J Prev Med. 2019 Apr;56(4):512-521. doi: 10.1016/j.amepre.2018.11.012. Epub 2019 Feb 21.
Information regarding the epidemiology of suicide among lesbian and gay male individuals is limited, and comprehensive information is needed. This study seeks to describe the characteristics and precipitating circumstances of suicide among lesbian and gay male decedents when compared with non-lesbian and non-gay male decedents.
An analysis was conducted of National Violent Death Reporting System data from 18 U.S. states for the years 2003-2014. Sociodemographic characteristics and precipitating circumstances of suicide among lesbian and gay male decedents were compared with non-lesbian and non-gay male decedents. Logistic regression analysis was conducted to examine the association between precipitating circumstances and suicide by sexual orientation. The analysis was conducted in December 2017.
There were a total of 123,289 suicide decedents from 18 states participating in National Violent Death Reporting System during 2003-2014; of those, 621 (0.5%) were identified as lesbian, gay, bisexual, or transgender. The majority of lesbian, gay, bisexual, or transgender decedents were identified as gay male (53.9%), followed by lesbian (28.0%), transgender (10.4%), and bisexual (7.5%). The analysis revealed several differences by age, mechanism of injury, and precipitating circumstances, including intimate partner problems among lesbian decedents, suicide planning and intent for both lesbian and gay male decedents, and mental health problems among gay male decedents.
Findings highlight differences in the characteristics of suicide among lesbian and gay male and non-lesbian and non-gay male decedents. It is important for suicide prevention efforts to be culturally sensitive and consider the needs of sexual minority populations.
有关女同性恋和男同性恋个体自杀的流行病学信息有限，因此需要全面的信息。本研究旨在比较女同性恋和男同性恋死者与非女同性恋和非男同性恋死者，描述自杀者的特征和促成自杀的情况。
对来自美国 18 个州的 2003-2014 年国家暴力死亡报告系统的数据进行了分析。比较了女同性恋和男同性恋死者与非女同性恋和非男同性恋死者的自杀特征和促成自杀的情况。使用逻辑回归分析检验了促成自杀的情况与性取向之间的关联。分析于 2017 年 12 月进行。
共有来自 18 个州的国家暴力死亡报告系统的 123289 名自杀死者参与了 2003-2014 年的研究；其中 621 名（0.5%）被认定为女同性恋、男同性恋、双性恋或跨性别者。女同性恋、男同性恋、双性恋或跨性别死者中，大多数为男同性恋者（53.9%），其次是女同性恋者（28.0%）、跨性别者（10.4%）和双性恋者（7.5%）。分析结果显示，在年龄、受伤机制和促成自杀的情况方面存在差异，包括女同性恋死者中存在的亲密伴侣问题、男同性恋和女同性恋死者的自杀计划和意图、男同性恋死者的心理健康问题。
研究结果突出了女同性恋和男同性恋与非女同性恋和非男同性恋死者的自杀特征存在差异。预防自杀工作必须具有文化敏感性，并考虑性少数群体的需求。
