Williams A Jess, Arcelus Jon, Townsend Ellen, Michail Maria
Arch Suicide Res. 2023 Apr-Jun;27(2):380-396. doi: 10.1080/13811118.2021.2003273. Epub 2021 Nov 22.
This study aims to understand the processes underlying self-harmful thoughts and behaviors, with and without suicidal intent, among LGBTQ+ young people.
Nineteen semi-structured interviews took place between October 2019 and May 2020. Participants were aged between 16 and 25 years, had experiences of self-harm ideation and behaviors, and were part of the LGBTQ+ umbrella. A range of sexualities and gender identities were represented: eleven participants were cisgender, six were transgender and two were non-binary. Interviews were transcribed verbatim and anonymised. Thematic analysis and reflective member-checking were used to develop a thematic framework.
Three themes were developed from the interviews and evaluated by four participants who engaged with reflective member-checking. Findings indicated that internal processes and external responses to being LGBTQ+ resulted in self-harmful thoughts and behaviors. Alongside these, additional stressors related to being a young person were led to difficulties with self-harm.
Findings from this study indicate that young people often struggle with accepting their LGBTQ+ identity for a number of reasons, whether this is due to access to a resource or their own feelings about their identity. These negative self-perceptions can be enhanced by poor responses from others and additional life stressors which impact their self-esteem or self-perception.HIGHLIGHTSUnderstanding and accepting that one is LGBTQ+ is not always a simple process, struggling with these thoughts can influence self-harm.Lack of LGBTQ+ terminology hinders self-acceptance and caused young people to engage with self-harm.Peers and family members responses to a young people's LGBTQ+ identity is highly significant and can directly led to self-harmful thoughts and experiences.
本研究旨在了解 LGBTQ+ 青少年中存在或不存在自杀意图的自我伤害性想法和行为背后的过程。
2019 年 10 月至 2020 年 5 月期间进行了 19 次半结构化访谈。参与者年龄在 16 至 25 岁之间，有过自我伤害观念和行为的经历，并且属于 LGBTQ+ 群体。代表了一系列性取向和性别认同：11 名参与者为顺性别者，6 名是跨性别者，2 名是非二元性别者。访谈逐字记录并匿名化。采用主题分析和反思性成员核对来构建主题框架。
从访谈中提炼出三个主题，并由四名参与反思性成员核对的参与者进行评估。研究结果表明，作为 LGBTQ+ 的内在过程和外部反应导致了自我伤害性想法和行为。除此之外，与作为年轻人相关的额外压力源导致了自我伤害方面的困难。
本研究结果表明，年轻人常常由于多种原因在接受自己的 LGBTQ+ 身份方面存在困难，这可能是由于获取资源的机会或他们对自身身份的感受。他人的不良反应以及影响其自尊或自我认知的额外生活压力源会加剧这些负面的自我认知。
重点
理解并接受自己是 LGBTQ+ 并不总是一个简单的过程，与这些想法作斗争会影响自我伤害。
缺乏 LGBTQ+ 术语阻碍了自我接纳，并导致年轻人进行自我伤害。
同龄人及家庭成员对年轻人 LGBTQ+ 身份的反应非常重要，可直接导致自我伤害性想法和经历。
