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美国青年大学生的精神病体验、性少数群体地位与自杀行为。

Psychotic experiences, sexual minority status, and suicidal behavior among young adult college students in the United States.

机构信息

Suzanne Dworak Peck School of Social Work, University of Southern California, 1149 Hill St Suite 1422, Los Angeles, CA, 90015, USA.

Research and Development Unit, Parc Sanitari Sant Joan de Déu, CIBERSAM, 08830, Barcelona, Spain.

出版信息

Soc Psychiatry Psychiatr Epidemiol. 2022 Sep;57(9):1925-1929. doi: 10.1007/s00127-022-02285-z. Epub 2022 Apr 16.

DOI:10.1007/s00127-022-02285-z
PMID:35429284
Abstract

Psychotic experiences significantly predict suicidal behaviors; however, it is unknown whether these associations are conditional on sexual minority status. We analyzed cross-sectional data from the Healthy Minds Study (N = 109,975), which was collected between September 2020 and June 2021 from young adult (aged 18-34) students from across 140 colleges across the United States. Having psychotic experiences and sexual minority status were associated with significantly greater odds of reporting suicidal ideation, suicide plan, and suicide attempt, adjusting for sociodemographic characteristics. We found significant interactions between psychotic experiences and sexual minority status, such that the relations between psychotic experiences and suicidal behaviors were stronger among heterosexual students than among sexual minority students. However, the interactions disappeared for suicidal ideation and plans after adjusting for socio-behavioral risk factors. Future research can explore whether psychotic experiences predict suicide attempts among sexual minority status behavior socio-behavioral risk factors.

摘要

精神病性体验显著预测自杀行为;然而,目前尚不清楚这些关联是否取决于性少数群体身份。我们分析了 2020 年 9 月至 2021 年 6 月期间来自美国 140 多所大学的年轻成年人(年龄在 18-34 岁之间)学生的 Healthy Minds 研究的横断面数据。有精神病性体验和性少数群体身份与报告自杀意念、自杀计划和自杀企图的几率显著增加有关,这是在调整了社会人口统计学特征后得出的。我们发现精神病性体验和性少数群体身份之间存在显著的相互作用,例如,在异性恋学生中,精神病性体验与自杀行为之间的关系比在性少数群体学生中更强。然而,在调整了社会行为风险因素后,自杀意念和计划的相互作用消失了。未来的研究可以探讨精神病性体验是否可以预测性少数群体身份行为社会行为风险因素的自杀企图。

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本文引用的文献

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Biological Mechanisms Whereby Social Exclusion May Contribute to the Etiology of Psychosis: A Narrative Review.社会排斥可能导致精神病病因的生物学机制:一项叙述性综述。
Schizophr Bull. 2017 Mar;43(2):287-292. doi: 10.1093/schbul/sbw180. Epub 2017 Jan 3.
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