Australian Research Centre in Sex, Health and Society, La Trobe University, Melbourne, Australia.
Australian Research Centre in Sex, Health and Society, La Trobe University, Melbourne, Australia.
J Affect Disord. 2022 Jan 1;296:522-531. doi: 10.1016/j.jad.2021.09.105. Epub 2021 Oct 1.
To examine demographic and psychosocial correlates of suicidal ideation and suicide attempts among a large cross-section of sexual orientation populations in Australia, including lesbian, gay, bisexual, pansexual, queer, and asexual (LGBQ) people.
A national survey was conducted involving 5,174 cisgender LGBQ participants aged 18+ years. Multivariable regressions identified factors associated with recent suicidal ideation and suicide attempts.
In all, 37.2% reported suicidal ideation and 3.9% a suicide attempt in the past 12 months. The likelihood of suicidal ideation was greater for those who identified as queer or felt treated unfairly or socially excluded due to their sexual orientation, and lower for those in a committed relationship, who felt part of LGBTIQ communities, or felt accepted in family, work, and health services. The likelihood of suicide attempts was greater for those aged younger or had recently experienced verbal abuse or social exclusion, and lower for those in a committed relationship or who felt part of LGBTIQ communities.
Participants were recruited largely through paid Facebook advertising and the sample may therefore not be representative of all LGBQ adults in Australia. However, a representative population-level study would require the collection of population demographic data to provide the necessary and sexual identity is not included in the Australian Census.
These findings highlight an urgent need for supporting LGBQ people and may help inform tailored support services, including culturally-safe suicide prevention programs. These could involve peer support, trauma-informed counselling, supporting committed relationships, and addressing marginalization in the wider community.
本研究旨在调查澳大利亚性取向多样化人群(包括女同性恋、男同性恋、双性恋、泛性恋、酷儿和无性恋者)中自杀意念和自杀企图的人口统计学和心理社会相关因素。
本研究进行了一项全国性调查,共纳入 5174 名跨性别 LGBQ 参与者,年龄在 18 岁及以上。多变量回归分析确定了与近期自杀意念和自杀企图相关的因素。
在所有参与者中,37.2%报告在过去 12 个月内有自杀意念,3.9%有自杀企图。那些认同酷儿身份或因性取向而感到受到不公正待遇或社会排斥的人,自杀意念的可能性更大;而那些处于稳定关系中、感到自己是 LGBTIQ 社区的一部分或在家庭、工作和卫生服务中感到被接受的人,自杀意念的可能性更小。那些年龄较小或最近经历过言语虐待或社会排斥的人,自杀企图的可能性更大;而那些处于稳定关系中或感到自己是 LGBTIQ 社区的一部分的人,自杀企图的可能性更小。
本研究主要通过付费的 Facebook 广告招募参与者,因此样本可能无法代表澳大利亚所有的 LGBQ 成年人。然而,代表性的人群水平研究需要收集人口统计学数据,以提供必要的信息,但澳大利亚人口普查并不包括性身份信息。
这些发现突显了迫切需要为 LGBQ 人群提供支持,这可能有助于为有针对性的支持服务提供信息,包括文化安全的预防自杀项目。这些项目可以包括同伴支持、创伤知情咨询、支持稳定的关系、以及解决更广泛社区中的边缘化问题。