Williams A Jess, Arcelus Jon, Townsend Ellen, Michail Maria
Institute for Mental Health, University of Birmingham, Birmingham, UK
Self-Harm Research Group, University of Nottingham, Nottingham, UK.
BMJ Open. 2019 Nov 11;9(11):e031541. doi: 10.1136/bmjopen-2019-031541.
Young people who identify as Lesbian, Gay, Bisexual, Transgender, Queer or Questioning (LGBTQ+) are at increased risk for self-harm, suicide ideation and behaviours. However, there has yet to be a comprehensive understanding of what risk factors influence these behaviours within LGBTQ+ young people as a whole. The purpose of this systematic review is to examine risk factors associated with self-harm, suicidal ideation and behaviour in LGBTQ+) young people.
A systematic review will be conducted, conforming to the reporting guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement recommendations. Electronic databases (MEDLINE, Scopus, EMBASE, PsycINFO and Web of Science) will be systematically searched for cross-sectional, prospective, longitudinal, cohort and case-control designs which examine risk factors for self-harm and/or suicidal ideation and behaviour in LGBTQ+ young people (aged 12-25 years). Only studies published in English will be included. No date restrictions will be applied. Study quality assessment will be conducted using the original and modified Newcastle-Ottawa Scales. Meta-analysis or narrative synthesis will be used, dependent on findings.
This is a systematic review of published literature and thereby ethical approval was not sought. The review will be submitted to a peer-reviewed journal, be publicly disseminated at conferences focusing on mental health, self-harm and suicide prevention. The findings will also be shared through public engagement and involvement, particularly those related to young LGBTQ+ individuals.
CRD42019130037.
自我认同为女同性恋、男同性恋、双性恋、跨性别者、酷儿或性取向存疑者（LGBTQ+）的年轻人，自我伤害、自杀意念及行为的风险更高。然而，对于哪些风险因素影响整个LGBTQ+青年群体的这些行为，目前尚未有全面的认识。本系统评价的目的是研究与LGBTQ+青年自我伤害、自杀意念及行为相关的风险因素。
将进行一项系统评价，遵循系统评价和Meta分析的首选报告项目声明的报告指南。将系统检索电子数据库（MEDLINE、Scopus、EMBASE、PsycINFO和Web of Science），查找研究LGBTQ+青年（12至25岁）自我伤害和/或自杀意念及行为风险因素的横断面、前瞻性、纵向、队列和病例对照研究设计。仅纳入以英文发表的研究。不设日期限制。将使用原始版和修订版纽卡斯尔-渥太华量表进行研究质量评估。根据研究结果，将采用Meta分析或叙述性综合分析。
这是一项对已发表文献的系统评价，因此未寻求伦理批准。该评价将提交给同行评审期刊，并在关注心理健康、自我伤害和自杀预防的会议上公开传播。研究结果还将通过公众参与和介入分享，特别是与LGBTQ+青年个体相关的结果。
PROSPERO注册号：CRD42019130037。
