Department of Psychological and Brain Sciences, The George Washington University, Washington, District of Columbia, USA.
Ser Feliz Is Free International Foundation, Barranquilla, Colombia.
LGBT Health. 2021 Oct;8(7):463-472. doi: 10.1089/lgbt.2020.0490. Epub 2021 Jul 8.
We assessed the association between sexual orientation and gender identity change efforts (SOGICE) experiences and lifetime suicide morbidity among sexual and gender minority (SGM) groups in Colombia. A sample of 4160 SGM Colombian adults responded to an online cross-sectional survey. We used binary logistic regression to assess the relationship between SOGICE and suicide morbidity for the overall sample and stratified by SGM group. We found a high prevalence of suicidal ideation (56%), suicide planning (54%), suicide attempt (25%), and SOGICE experiences (22%). There were significant differences in the prevalence of suicide morbidity and SOGICE experiences across SGM groups, with transgender men and gender nonbinary participants being generally most at risk. SOGICE experiences were associated with 69% increased odds of suicidal ideation, 55% increased odds of suicide planning, and 76% increased odds of suicide attempt. Stratified analyses by SGM group showed that the association of SOGICE experiences with suicide morbidity varied by SGM group, and it was particularly detrimental for cisgender sexual minority men. Suicide morbidity among SGM adults in Colombia is high, with rates that are 8-22 times higher than in the general population. SOGICE experiences further exacerbate suicide risk. The study findings highlight the need to design and implement policies affirming diverse sexual orientation and gender identities in Colombia and to ban SOGICE practices. These findings also highlight the importance of recognizing the variability within SGM groups and the need to examine these groups separately rather than treating them as a monolithic group.
我们评估了性取向和性别认同改变努力（SOGICE）经历与哥伦比亚性少数群体（SGM）人群终生自杀发病率之间的关联。 一个由 4160 名哥伦比亚性少数群体成年人组成的样本对在线横断面调查做出了回应。我们使用二元逻辑回归来评估 SOGICE 与整体样本和按 SGM 群体分层的自杀发病率之间的关系。 我们发现，自杀意念（56%）、自杀计划（54%）、自杀尝试（25%）和 SOGICE 经历（22%）的发生率很高。不同 SGM 群体的自杀发病率和 SOGICE 经历的发生率存在显著差异，跨性别男性和非二元性别参与者的风险通常最高。SOGICE 经历与自杀意念的可能性增加 69%、自杀计划的可能性增加 55%和自杀尝试的可能性增加 76%相关。按 SGM 群体分层的分析表明，SOGICE 经历与自杀发病率的关联因 SGM 群体而异，对顺性别性少数男性的影响尤其不利。 哥伦比亚 SGM 成年人的自杀发病率很高，发生率是普通人群的 8-22 倍。SOGICE 经历进一步加剧了自杀风险。研究结果强调了在哥伦比亚设计和实施肯定多样化性取向和性别认同的政策并禁止 SOGICE 实践的必要性。这些发现还强调了认识到 SGM 群体内部差异的重要性，并需要分别研究这些群体，而不是将它们视为一个整体群体。
