Department of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy.
Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA.
J Am Coll Health. 2021 May-Jun;69(4):404-412. doi: 10.1080/07448481.2019.1679155. Epub 2019 Oct 29.
To compare the effect of sexual orientation, history of sexual assault and sense of belonging on depression and suicidality among lesbian, gay, bisexual, queer and questioning (LGBQ) and heterosexual students. A total of 60,194 students from 60 US campuses who participated in the 2017-2018 Healthy Minds Study. Three-way interaction effects were analyzed using PROCESS macro models in SPSS. Significant three-way interaction effects were found for sexual orientation, sexual assault and sense of belonging predicting depressive symptoms ( = -0.06, = 0.042, CI: -0.12 to -0.00), and suicidality ( = -0.10, = 0.004, CI: -0.01 to -0.003). The effect of sexual assault on mental health differed depending on sexual orientation and sense of belonging. Particularly among LGBQ students, high sense of belonging was protective in the presence of sexual assault, and its absence had a deleterious effect on mental health. Enhancing sense of belonging may represent a strategy to mitigate depression and promote suicide prevention, particularly among LGBQ students.
比较性取向、性侵犯史和归属感对男女同性恋、双性恋、酷儿和疑问 (LGBQ) 及异性恋学生的抑郁和自杀倾向的影响。共有 60194 名来自美国 60 个校区的学生参加了 2017-2018 年的健康思维研究。使用 SPSS 中的 PROCESS 宏模型分析了三向交互效应。发现性取向、性侵犯和归属感对抑郁症状（= -0.06，= 0.042，CI：-0.12 至-0.00）和自杀倾向（= -0.10，= 0.004，CI：-0.01 至-0.003）的预测存在显著的三向交互效应。性侵犯对心理健康的影响因性取向和归属感而异。特别是在 LGBQ 学生中，高归属感在性侵犯存在时具有保护作用，而缺乏归属感对心理健康则有不利影响。增强归属感可能是减轻抑郁和促进自杀预防的一种策略，尤其是在 LGBQ 学生中。
