Program for the Study of LGBT Health, 15760Columbia University School of Nursing, New York, NY, USA.
15760Columbia University School of Nursing, New York, NY, USA.
J Sch Nurs. 2021 Apr;37(2):75-86. doi: 10.1177/1059840520970847. Epub 2020 Dec 8.
Lesbian, gay, bisexual, transgender, and queer/questioning (LGBTQ) adolescents are more likely to report suicidality and worse mental health than their heterosexual peers. We conducted a systematic review to examine the relationship between positive school climate and suicidality and mental health among LGBTQ adolescents. We searched the literature using PubMed, PsycINFO, and CINAHL. Six studies met inclusion criteria, and all had low to moderate risks of bias. Results indicate that LGBTQ students in schools with more positive school climates were at lower risk of suicidality and reported fewer depressive symptoms compared to students in less positive school climates. Being at the forefront of health in schools, school nurses have the opportunity to advocate for changes in school environments that promote positive mental health for all youth, including LGBTQ adolescents.
女同性恋、男同性恋、双性恋、跨性别和无性恋/疑惑(LGBTQ)青少年比他们的异性恋同龄人更有可能报告自杀意念和更差的心理健康状况。我们进行了一项系统综述,以研究积极的学校氛围与 LGBTQ 青少年自杀意念和心理健康之间的关系。我们使用 PubMed、PsycINFO 和 CINAHL 搜索文献。有六项研究符合纳入标准,且所有研究的偏倚风险均为低至中度。结果表明,与在学校氛围较差的 LGBTQ 学生相比,在学校氛围较为积极的学校就读的 LGBTQ 学生自杀意念的风险较低,抑郁症状也较少。学校护士在学校的健康领域处于前沿,他们有机会倡导改变学校环境,促进所有青少年的积极心理健康,包括 LGBTQ 青少年。