Silver School of Social Work, New York University, New York, NY, USA.
McSilver Institute for Poverty Policy and Research, New York, NY, USA.
Suicide Life Threat Behav. 2020 Aug;50(4):921-933. doi: 10.1111/sltb.12634. Epub 2020 Mar 19.
Adolescents' sexual behaviors can be incongruent with those assumed to align with their sexual identity. Identity-behavior profiles permit the characterization of youth who might remain undetected using a single-dimensional assessment of sexual orientation. This study examined suicide risks among four distinct sexual identity-behavior profiles of youth: heterosexual with other-sex partners only, heterosexual with any same-sex partners, lesbian or gay (LG) with same-sex partners only, and LG with any other-sex partners.
Data were analyzed from the 2017 National Youth Risk Behavior Survey. Participants' reported sex, sexual identity, and the sex of their sexual contacts were used to construct the identity-behavior profiles. Multivariate logistic regression was used to examine the relationship between identity-behavior profiles and suicide outcomes.
Compared to heterosexual respondents with other-sex partners only, heterosexual respondents with any same-sex partners and LG respondents with same-sex partners only had greater odds of having a suicide plan; LG respondents with any other-sex partners were over seven times more likely to have suicidal thoughts and attempt suicide and 14 times more likely to have a suicide plan.
Health and mental health providers can expand the identification of youth at risk for suicide by assessing both sexual identity and behavior.
青少年的性行为可能与其被认为与其性身份相符的行为不一致。身份-行为特征可以描述那些仅使用单一的性取向评估可能未被发现的青年。本研究检查了四种不同的青年性身份-行为特征的自杀风险：只有异性性伴侣的异性恋者、有任何同性性伴侣的异性恋者、只有同性性伴侣的女同性恋者或男同性恋者，以及有任何异性性伴侣的女同性恋者或男同性恋者。
对 2017 年全国青年风险行为调查的数据进行了分析。参与者报告的性别、性身份以及他们性接触者的性别用于构建身份-行为特征。多变量逻辑回归用于检查身份-行为特征与自杀结果之间的关系。
与只有异性性伴侣的异性恋者相比，有任何同性性伴侣的异性恋者和只有同性性伴侣的女同性恋者或男同性恋者更有可能有自杀计划；有任何异性性伴侣的女同性恋者或男同性恋者自杀的想法和尝试自杀的可能性高出七倍以上，有自杀计划的可能性高出 14 倍。
健康和心理健康提供者可以通过评估性身份和行为来扩大对自杀风险青年的识别。
