The Trevor Project.
J Sex Res. 2021 May-Jun;58(5):581-588. doi: 10.1080/00224499.2020.1832184. Epub 2020 Oct 28.
Many studies have found that lesbian, gay, bisexual, transgender, queer, and questioning (LGBTQ) youth are disproportionately impacted by poor mental health outcomes. However, there remains a gap in understanding factors associated with the mental health of youth who are questioning, unsure of, or exploring (QUE) their sexual identity. Using data from The Trevor Project's 2019 National Survey on LGBTQ Youth Mental Health, a quantitative cross-sectional survey of LGBTQ youth between 13 and 24, we explored suicidality among 801 QUE youth. Significantly more QUE youth were younger, nonwhite, and transgender and nonbinary compared to other LGBTQ youth. QUE youth reported higher rates of suicidality compared to other LGBTQ youth; however, this increased risk was related to the overrepresentation of younger and transgender and nonbinary youth among QUE youth. In adjusted models, being transgender and nonbinary, hearing parents use religion to say negative things about being LGBTQ, and experiencing physical threat or harm based on sexual orientation or gender identity were significantly related to seriously considering suicide and attempting suicide among QUE youth. Given the intricate relationship between the two, researchers should assess both gender identity and sexual identity when determining the risk of suicidality among LGBTQ youth.
许多研究发现,女同性恋、男同性恋、双性恋、跨性别、酷儿和疑问(LGBTQ)青年受到心理健康不良后果的影响不成比例。然而,对于正在质疑、不确定或探索(QUE)其性身份的青年的心理健康相关因素,仍然存在理解上的差距。本研究使用 The Trevor Project 2019 年全国 LGBTQ 青年心理健康调查的数据,这是一项对 13 至 24 岁 LGBTQ 青年进行的定量横断面调查,我们研究了 801 名 QUE 青年的自杀倾向。与其他 LGBTQ 青年相比,QUE 青年中明显有更多的年轻人、非裔美国人和跨性别者和非二元性别者。与其他 LGBTQ 青年相比,QUE 青年报告的自杀倾向率更高;然而,这种风险增加与 QUE 青年中年轻的跨性别者和非二元性别者的代表性过高有关。在调整后的模型中,跨性别和非二元性别、听到父母用宗教来贬低 LGBTQ、以及因性取向或性别认同而遭受身体威胁或伤害,与 QUE 青年中认真考虑自杀和试图自杀有显著关系。鉴于两者之间的复杂关系,研究人员在确定 LGBTQ 青年自杀风险时,应该评估性别认同和性认同。