Department of Public Health Sciences, UNC Charlotte, Charlotte, North Carolina, USA.
Department of Psychology, Center for Family and Community Engagement, NC State University, Raleigh, North Carolina, USA.
Aggress Behav. 2021 May;47(3):343-353. doi: 10.1002/ab.21955. Epub 2021 Feb 15.
Sexual violence victimization is a prevalent public health concern. However, little research has investigated the factors linking sexual violence victimization to suicidal thoughts and behaviors (STBs). The current study tested the applicability of the psychological mediation framework, a coping-mental health model, for the prevention of STBs among victims of sexual youviolence. Furthermore, the current study explored whether sexual orientation moderated the progression from sexual violence victimization to STBs. Data were drawn from an online survey of victimization experiences and health (N = 2175). Bootstrap mediation tested whether the association of sexual violence victimization and STBs was mediated by emotion regulation strategies (cognitive reappraisal and expressive suppression) and psychopathology (anxiety, depression, and posttraumatic stress disorder). Multiple-groups analysis tested whether links within the mediation effects varied by sexual orientation. Bivariate findings showed that: (1) sexual minority persons were more likely to report sexual violence victimization and (2) cognitive reappraisal was more meaningfully associated with mental health among sexual minority persons. Sexual violence victimization was associated with STBs via a serial mediation through emotion regulation and psychopathology. The association between psychopathology and STBs was stronger among sexual minority compared with heterosexual respondents. Physical violence victimization was associated with STBs for heterosexual but not sexual minority persons in a follow-up model. Findings support an emotion regulation-mental health framework for the prevention of suicide among victims of sexual violence. Research and training implications are discussed.
性暴力受害是一个普遍存在的公共卫生问题。然而，很少有研究调查将性暴力受害与自杀意念和行为（STBs）联系起来的因素。本研究检验了心理中介框架、应对心理健康模型在预防性暴力受害者 STBs 中的适用性。此外，本研究还探讨了性取向是否会调节性暴力受害向 STBs 的发展。数据来自于一项关于受害经历和健康的在线调查（N=2175）。自展中介检验了性暴力受害与 STBs 之间的关联是否通过情绪调节策略（认知重评和表达抑制）和精神病理学（焦虑、抑郁和创伤后应激障碍）来中介。多组分析检验了中介效应中的联系是否因性取向而异。双变量发现：（1）性少数群体更有可能报告性暴力受害，（2）认知重评与性少数群体的心理健康更有意义相关。性暴力受害通过情绪调节和精神病理学的系列中介与 STBs 相关。与异性恋受访者相比，性少数群体的精神病理学与 STBs 之间的关联更强。在后续模型中，躯体暴力受害与 STBs 相关，但仅与异性恋者相关，而与性少数群体无关。研究结果支持了一个情绪调节-心理健康框架，用于预防性暴力受害者的自杀。讨论了研究和培训的意义。
