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少数群体压力与 LGBT 青少年和年轻人的自杀意念和自杀企图:一项荟萃分析。

Minority Stress and Suicidal Ideation and Suicide Attempts Among LGBT Adolescents and Young Adults: A Meta-Analysis.

机构信息

Department of Pedagogy and Educational Sciences, University of Groningen, Groningen, The Netherlands.

Department of Child Development and Education, University of Amsterdam, Amsterdam, The Netherlands.

出版信息

LGBT Health. 2022 May-Jun;9(4):222-237. doi: 10.1089/lgbt.2021.0106. Epub 2022 Mar 18.

Abstract

This meta-analytic study examined associations between minority stressors and suicidal ideation and suicide attempts among LGBT adolescents and young adults (aged 12-25 years). Identified studies were screened using the inclusion and exclusion criteria. Studies had to include an association between a minority stressor and a suicidality outcome and were categorized into 10 meta-analyses. Overall effect sizes were calculated using three-level meta-analyses. In addition, moderation by sampling strategy was examined. A total of 44 studies were included. Overall, LGBT bias-based victimization, general victimization, bullying, and negative family treatment were significantly associated with suicidal ideation and/or suicide attempts. Associations of discrimination and internalized homophobia and transphobia with suicidal ideation and/or suicide attempts were not significant. No moderation effects were found for sampling strategy. Although overall effect sizes were small, our meta-analytic study shows a clear link between various types of minority stressors and suicidal ideation and suicide attempts among LGBT adolescents and young adults.

摘要

这项荟萃分析研究考察了 LGBT 青少年和年轻人(12-25 岁)的少数群体压力源与自杀意念和自杀企图之间的关联。使用纳入和排除标准对确定的研究进行了筛选。研究必须包括少数群体压力源与自杀结果之间的关联,并分为 10 项荟萃分析。使用三级荟萃分析计算总体效应大小。此外,还检查了抽样策略的调节作用。共有 44 项研究被纳入。总体而言,基于性取向的歧视、一般性受虐、欺凌和负面的家庭对待与自杀意念和/或自杀企图显著相关。歧视以及内化的同性恋恐惧症和跨性别恐惧症与自杀意念和/或自杀企图的关联不显著。未发现抽样策略的调节作用。尽管总体效应大小较小,但我们的荟萃分析研究表明,各种类型的少数群体压力源与 LGBT 青少年和年轻人的自杀意念和自杀企图之间存在明显联系。

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