性少数群体和异性恋青年中的自杀意念和行为：1995-2017 年。

Suicidal Ideation and Behavior Among Sexual Minority and Heterosexual Youth: 1995-2017.

机构信息

Department of Psychiatry and Human Behavior, Alpert Medical School, Brown University, Providence, Rhode Island;

Department of Psychiatry and Human Behavior, Alpert Medical School, Brown University, Providence, Rhode Island.

出版信息

Pediatrics. 2020 Mar;145(3). doi: 10.1542/peds.2019-2221. Epub 2020 Feb 10.

DOI:10.1542/peds.2019-2221

PMID:32041813

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7049944/

Abstract

OBJECTIVES

In this study, we determined trends in prevalence of suicidal thoughts and behaviors among lesbian, gay, bisexual, and heterosexual youth from 1995 to 2017 using population-based surveillance data.

METHODS

Data were drawn from the Massachusetts Youth Risk Behavior Survey from 1995 to 2017 (unweighted = 41 636). The annual percent change (APC) in prevalence of suicidal ideation, plans, and attempts was stratified by sexual orientation as indexed by sexual identity and sexual behavior.

RESULTS

Among sexual minority youth, prevalence rates declined over the entire study period for suicidal ideation (APC = -1.25; APC = -1.83), plans (APC = -1.88; APC = -1.95), and attempts (APC = -2.64; APC = -2.47). Among heterosexual youth, prevalence rates declined from 1995 to 2007 for suicidal ideation (APC = -6.67; APC = -6.77) and plans (APC = -5.73; APC = -6.25). These declines in ideation and plans were steeper than those for sexual minority youth. Prevalence of suicide attempts declined across the entire study period among heterosexual youth (APC = -3.66; APC = -4.01). Prevalence of all 3 outcomes remained markedly high among sexual minority youth across the 23-year study period.

CONCLUSIONS

Although suicidal thoughts and behavior have generally declined among sexual minority and heterosexual youth, disparities in these outcomes persist, and their prevalence among sexual minority youth has remained consistently elevated. Prioritized screening for risk for suicidal thoughts and behaviors in this vulnerable population is imperative to reduce disparities and prevalence of these outcomes.

摘要

目的

本研究利用基于人群的监测数据，确定了 1995 年至 2017 年期间男同性恋、女同性恋、双性恋和异性恋青年自杀念头和行为的流行趋势。

方法

数据来自 1995 年至 2017 年的马萨诸塞州青年风险行为调查（未加权 n = 41636）。根据性取向（以性身份和性行为为指标），将自杀意念、计划和尝试的流行率的年度百分比变化（APC）进行分层。

结果

在性少数青年中，自杀意念（APC = -1.25；APC = -1.83）、计划（APC = -1.88；APC = -1.95）和尝试（APC = -2.64；APC = -2.47）的流行率在整个研究期间均呈下降趋势。在异性恋青年中，自杀意念（APC = -6.67；APC = -6.77）和计划（APC = -5.73；APC = -6.25）的流行率从 1995 年下降到 2007 年。这些自杀意念和计划的下降速度快于性少数青年。在整个研究期间，异性恋青年自杀尝试的流行率呈下降趋势（APC = -3.66；APC = -4.01）。在整个 23 年的研究期间，性少数青年这 3 种结果的流行率仍然明显较高。