Division of General Pediatrics and Adolescent Health.
Division of Infectious Diseases and Global Public Health.
Am J Orthopsychiatry. 2021;91(6):800-811. doi: 10.1037/ort0000574. Epub 2021 Sep 13.
Supportive school and community resources are associated with reduced risk of suicidality among lesbian, gay, bisexual, transgender, and queer/questioning (LGBTQ +) adolescents as well as their cisgender, heterosexual peers. This study examined whether adolescents attending schools and living in communities with more versus fewer LGBTQ +-supportive resources were at lower risk of a past-year suicide attempt. Data on sexual orientation and past-year suicide attempt were obtained from student surveys administered in 30 Massachusetts public high schools between 2014 and 2017 ( = 20,790). Data on school resources were obtained from a questionnaire administered to school officials, and community resources were assessed through internet searching. Modified Poisson generalized estimating equations tested associations between school and community LGBTQ +-supports and suicide attempt separately by sex/gender, adjusting for student, school, and community covariates. Several school resources and the availability of community-wide LGBTQ +-supportive resources were associated with lower risk of a suicide attempt among several subgroups of students, even after controlling for the presence of multiple school and community resources and covariates. For example, the risk of a suicide attempt among gay, bisexual and questioning boys in schools with a gender-neutral restroom was approximately half compared to gay, bisexual and questioning boys in schools without this resource. Past year suicide attempts were also significantly lower among questioning, RR = 0.56, CI [0.37-0.86], and heterosexual, RR = 0.59, CI [0.50-0.68], girls living in communities with more supportive resources compared to those in communities with fewer resources. LGBTQ +-supportive resources in schools and communities may be beneficial for all adolescents regardless of sexual orientation. (PsycInfo Database Record (c) 2021 APA, all rights reserved).
支持性的学校和社区资源与降低女同性恋、男同性恋、双性恋、跨性别和酷儿/疑问（LGBTQ +）青少年以及他们的顺性别、异性恋同龄人自杀风险有关。这项研究调查了在拥有更多还是更少 LGBTQ + 支持资源的学校和社区就读的青少年是否面临较低的过去一年自杀未遂风险。学生调查中获得了关于性取向和过去一年自杀未遂的数据，该调查于 2014 年至 2017 年在马萨诸塞州的 30 所公立高中进行（n = 20790）。学校资源数据来自向学校官员发放的问卷，社区资源则通过互联网搜索进行评估。修正泊松广义估计方程分别按性别/性别检验了学校和社区 LGBTQ + 支持与自杀未遂之间的关联，同时调整了学生、学校和社区协变量。几项学校资源和社区范围内 LGBTQ + 支持资源的存在与几个学生群体自杀未遂风险降低有关，即使在控制了多种学校和社区资源以及协变量的情况下也是如此。例如，在有性别中立洗手间的学校中，男同性恋、双性恋和有疑问的男孩自杀未遂的风险比没有这种资源的学校中的男孩低约一半。在有更多支持资源的社区中，过去一年有自杀念头的疑问、RR = 0.56，CI [0.37-0.86]，以及异性恋、RR = 0.59，CI [0.50-0.68]的女孩，其自杀未遂的风险明显低于在资源较少的社区中的女孩。学校和社区中的 LGBTQ + 支持资源可能对所有青少年都有益，无论其性取向如何。（PsycInfo 数据库记录（c）2021 APA，保留所有权利）。
