Division of Psychology, Faculty of Health and Life Sciences, De Montfort University, Leicester, UK; Key Laboratory of Brain, Cognition and Education Sciences, Ministry of Education, China; School of Psychology, Center for Studies of Psychological Application, and Guangdong Key Laboratory of Mental Health and Cognitive Science, South China Normal University, China.
Vanke School of Public Health, Tsinghua University, Beijing, China.
Prev Med. 2022 Apr;157:107007. doi: 10.1016/j.ypmed.2022.107007. Epub 2022 Mar 3.
This study aimed to identify latent class profiles of sexual minority adolescents (Men Sexually attracted to Men, Women Sexually attracted to Women, and Bisexual) with elevated suicidal ideation.
Data were collected from 18 secondary schools in China. Sub-group classifications were identified using variables associated with suicidal ideation in sexual minority adolescents, including parental relationship quality, electronic equipment time, school bullying, and sleep quality using the Chinese version of the Pittsburgh Sleep Quality Index to measure sleep. Anxiety was measured using the Generalized Anxiety Disorder 7 (GAD-7), depression was measured using the Patient Health Questionnaire 9 (PHQ-9), hypomania using the Hypomanic Checklist-32 (HCL-32), positive coping style was identified using the Trait Coping Style Questionnaire, and self-efficacy was measured by the General Self-Efficacy Scale.
Four distinctive profiles were derived from the data. Compared to "low-risk" group (Class 3), the "adolescent with mood problems" group (Class 2) had a 9.81 times higher risk of suicidal ideation; the those who classified as "severe bullied adolescent" (Class 4) had a 9.26 times higher risk of suicidal ideation. and the "adolescents with low self-efficacy" group (Class 1) had a 4.48 times higher risk of suicidal ideation.
Sexual minority adolescents with mood problems have the highest risk of suicidal ideation, followed by adolescents frequently being bullied at school. Interventions aimed at reducing suicide risk among sexual minority adolescents may benefit from attending to such profile factors identified in this study to develop targeted clinical care.
本研究旨在确定有自杀意念的性少数青少年（男性同性恋者、女性同性恋者和双性恋者）的潜在类别特征。
数据来自中国的 18 所中学。使用与性少数青少年自杀意念相关的变量，包括父母关系质量、电子设备使用时间、校园欺凌和睡眠质量（使用中文版匹兹堡睡眠质量指数来测量睡眠），对性少数青少年进行亚组分类。使用广泛性焦虑障碍 7 项量表（GAD-7）测量焦虑，使用患者健康问卷 9 项量表（PHQ-9）测量抑郁，使用 32 项轻躁狂清单（HCL-32）测量轻躁狂，使用特质应对方式问卷识别积极应对方式，使用一般自我效能感量表测量自我效能感。
从数据中得出了四个不同的特征。与“低风险”组（第 3 类）相比，“有情绪问题的青少年”组（第 2 类）自杀意念的风险高 9.81 倍；被归类为“严重受欺凌的青少年”（第 4 类）自杀意念的风险高 9.26 倍；而“自我效能感低的青少年”组（第 1 类）自杀意念的风险高 4.48 倍。
有情绪问题的性少数青少年自杀意念的风险最高，其次是经常在学校受到欺凌的青少年。针对性少数青少年的自杀风险干预可能受益于关注本研究中确定的这些特征因素，以制定有针对性的临床护理。
