Arch Suicide Res. 2022 Apr-Jun;26(2):626-640. doi: 10.1080/13811118.2020.1818656. Epub 2020 Sep 24.
The current study examined suicide-related disclosure intentions in LGBTQ + youth, and the associations between reporting of lifetime experiences of minority stress and intentions to disclose suicidal thoughts.
A sample of 592 LGBTQ + youth ages 12-24 (22.3% cisgender men, 33.1% cisgender women, 44.6% gender diverse, 75.3% white) who contacted an LGBTQ-specific crisis service, completed a survey.
Youth reported highest intentions to disclose future suicidal ideation to LGBTQ-specific crisis services, a mental health professional, and someone they know who also identifies as LGBTQ. They reported lowest suicide-related disclosure intentions to family, spiritual counselors, and emergency room personnel. Greater lifetime minority stress was significantly associated with lower suicide-related disclosure intentions. When specific domains of minority stress were examined separately, five domains were significantly associated with lower suicide-related disclosure intentions: identity management, family rejection, homonegative communication, negative expectancies, and internalized homonegativity. However, only internalized homonegativity remained significant when they were examined simultaneously. In addition, greater lifetime minority stress was significantly associated with lower suicide-related disclosure intentions to some groups (e.g., family, friends), but not others (e.g., others who have thought about or attempted suicide, others who identify as LGBT).
Minority stress may play an important role in LGBTQ + youth's suicide-related disclosure intentions. As such, reducing minority stress and its effects may be an important target to promote disclosure of suicidal thoughts and access to treatment among LGBTQ + youth.HIGHLIGHTSMinority stress was associated with lower suicide-related disclosure intentions.Internalized homonegativity was uniquely associated with disclosure intentions.Reducing minority stress may promote disclosure of suicidal thoughts.
本研究考察了 LGBTQ＋青年的自杀相关透露意向，以及报告终身经历少数群体压力与透露自杀想法意向之间的关联。
本研究对 592 名年龄在 12 至 24 岁的 LGBTQ＋青年（22.3%顺性别男性，33.1%顺性别女性，44.6%性别多样化，75.3%白人）进行了调查，他们联系了一个特定于 LGBTQ 的危机服务机构，并完成了一项调查。
青年报告称，他们最有可能向特定于 LGBTQ 的危机服务机构、心理健康专业人员以及他们认识的同样认同 LGBTQ 的人透露未来的自杀意念。他们报告称，向家人、精神顾问和急诊室人员透露与自杀相关的意图最低。终身少数群体压力越大，与自杀相关的透露意图越低。当分别检查少数群体压力的具体领域时，有五个领域与自杀相关的透露意图较低显著相关：身份管理、家庭排斥、同性恋负面交流、负面预期和内化同性恋憎恶。然而，当同时检查时，只有内化同性恋憎恶仍然具有统计学意义。此外，终身少数群体压力越大，与向某些群体（如家人、朋友）透露自杀相关的意图越低，但与向其他群体（如考虑过或尝试过自杀的其他人、认同 LGBT 的其他人）透露自杀相关的意图则没有关联。
少数群体压力可能在 LGBTQ＋青年的自杀相关透露意图中发挥重要作用。因此，减少少数群体压力及其影响可能是促进 LGBTQ＋青年透露自杀想法和获得治疗的一个重要目标。
少数群体压力与自杀相关透露意向呈负相关。内化同性恋憎恶与透露意向呈独特关联。减少少数群体压力可能会促进自杀想法的透露。
