Green Amy E, Price Myeshia N, Dorison Sam H
The Trevor Project, West Hollywood, California, USA.
Am J Community Psychol. 2022 Mar;69(1-2):157-168. doi: 10.1002/ajcp.12553. Epub 2021 Sep 17.
Exposure to minority stress is the primary mechanism through which lesbian, gay, bisexual, transgender, queer, and questioning (LGBTQ) youth experience a greater risk for suicide. The current study examines the association of LGBTQ-based cumulative minority stress with suicide risk using online survey data collected from 39,126 LGBTQ youth ages 13-24 in the United States. Youth who reported four types of minority stress had nearly 12 times greater odds of attempting suicide compared to those who reported none. Transgender and nonbinary youth and American Indian/Alaskan Native youth had higher odds of reporting three or more minority stress experiences. The strong association of cumulative risk with attempted suicide and disproportionate exposure among marginalized members of the LGBTQ community highlight the need for suicide prevention to prioritize those at greatest risk and for research examining LGBTQ suicide risk to employ cumulative risk models.
遭受少数群体压力是女同性恋、男同性恋、双性恋、跨性别、酷儿及性取向存疑（LGBTQ）青年自杀风险更高的主要机制。本研究利用从美国39126名年龄在13至24岁的LGBTQ青年中收集的在线调查数据，考察基于LGBTQ的累积少数群体压力与自杀风险之间的关联。报告经历过四种少数群体压力的青年尝试自杀的几率比未报告的青年高出近12倍。跨性别和非二元性别青年以及美国印第安/阿拉斯加原住民青年报告三种或更多少数群体压力经历的几率更高。累积风险与自杀未遂之间的紧密关联以及LGBTQ社区边缘化成员中不成比例的暴露情况，凸显了自杀预防需要优先关注风险最大的人群，以及研究LGBTQ自杀风险时采用累积风险模型的必要性。
