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青少年的性取向和性别认同的交叉点上的抑郁和自杀风险。

Depression and Suicide Risk at the Cross-Section of Sexual Orientation and Gender Identity for Youth.

机构信息

University of Chicago School of Social Service Administration, Chicago, Illinois.

University of Michigan School of Social Work, Ann Arbor, Michigan.

出版信息

J Adolesc Health. 2021 Feb;68(2):317-323. doi: 10.1016/j.jadohealth.2020.06.008. Epub 2020 Jul 14.

Abstract

PURPOSE

Adolescence is a developmental phase in which young people begin to explore their identity and seek to understand how their identity fits into the larger society. Although this is a developmental task for all adolescents, it is especially salient for sexual and gender minority youth. Owing to oppressive social structures and stigmatized identities, adolescents who identify as nonheterosexual or noncisgender are vulnerable to experiencing disproportionate adverse health outcomes.

METHODS

To further the literature on adolescent mental health among sexual and gender minority youth, this study analyzed a representative statewide sample of high school students (ages 14-18) to analyze how sexual orientation and gender identity are associated with depression and suicidality.

RESULTS

Results aligned with previous research demonstrating that sexual and gender minority youth were all at a heightened risk for depression. However, transgender youth and youth questioning their sexuality or gender were at especially heightened risk for experiencing depression and suicidality.

CONCLUSION

The findings of this study indicate a need to target or adapt direct services and programming for sexual and gender minority adolescents.

摘要

目的

青春期是年轻人开始探索自身身份认同并试图了解其身份如何融入更大社会的发展阶段。尽管这是所有青少年的发展任务,但对于性少数群体和跨性别青年来说尤为重要。由于压迫性的社会结构和被污名化的身份,那些认同非异性恋或非顺性别身份的青少年更容易经历不成比例的不良健康后果。

方法

为了进一步研究性少数群体和跨性别青年的青少年心理健康问题,本研究分析了一项具有代表性的全州高中生(14-18 岁)样本,以分析性取向和性别认同如何与抑郁和自杀意念相关。

结果

研究结果与先前的研究一致,表明性少数群体和跨性别青年都面临着更高的抑郁风险。然而,跨性别青年和对自身性取向或性别存疑的青年面临着更高的抑郁和自杀意念风险。

结论

本研究的结果表明,需要针对性少数群体和跨性别青少年的直接服务和项目进行定位或调整。

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