Kapatais Alexandros, Williams A Jess, Townsend Ellen
Arch Suicide Res. 2023 Apr-Jun;27(2):165-178. doi: 10.1080/13811118.2022.2064254. Epub 2022 Apr 21.
The present study was conducted to (1) investigate the role of emotion regulation difficulties among self-harming Lesbian, Gay, Bisexual, Transgender, Queer, or Questioning (LGBTQ+) individuals and (2) to test for a mediating role of emotion regulation difficulties in self-harm among LGBTQ + individuals.
This study investigated the relationship between LGBTQ + status, self-reported levels of emotion regulation difficulties, and self-harm in a community sample ( = 484, aged 16-63), using an online cross-sectional survey.
LGBTQ + individuals reported more emotion regulation difficulties and were almost seven times more likely to self-harm than non-LGBTQ + participants. Being an LGBTQ + participant was associated with greater self-harm frequency when controlling for age, income, and difficulties in emotion regulation. Emotion regulation difficulties mediated the association between LGBTQ + status and both self-harm status and frequency.
The present findings suggest that treating emotion regulation difficulties might reduce both the prevalence and lifetime frequency of self-harm episodes among gender identity and sexual orientation minority individuals. Targeting emotion regulation might be used as an early prevention strategy among LGBTQ + individuals who are at risk for self-harm. Further, enhancing emotion regulation skills among self-harming LGBTQ + individuals might replace maladaptive emotion regulation strategies with healthy alternatives, and can, therefore, foster resilience. LGBTQ + individuals are at high risk for self-harm.ER-mediated the association between LGBTQ + status and self-harm.Targeting emotion regulation in LGBTQ + people may help reduce self-harm.
本研究旨在（1）调查情绪调节困难在有自我伤害行为的女同性恋、男同性恋、双性恋、跨性别者、酷儿或疑问者（LGBTQ+）个体中的作用，以及（2）测试情绪调节困难在LGBTQ+个体自我伤害行为中的中介作用。
本研究通过在线横断面调查，在一个社区样本（n = 484，年龄16 - 63岁）中调查LGBTQ+身份、自我报告的情绪调节困难水平与自我伤害行为之间的关系。
LGBTQ+个体报告有更多的情绪调节困难，且自我伤害的可能性几乎是非LGBTQ+参与者的七倍。在控制年龄、收入和情绪调节困难后，作为LGBTQ+参与者与更高的自我伤害频率相关。情绪调节困难介导了LGBTQ+身份与自我伤害状态及频率之间的关联。
目前的研究结果表明，治疗情绪调节困难可能会降低性别认同和性取向少数群体中自我伤害事件的发生率和终生频率。针对情绪调节进行干预可作为有自我伤害风险的LGBTQ+个体的早期预防策略。此外，提高有自我伤害行为的LGBTQ+个体的情绪调节技能，可用健康的替代策略取代适应不良的情绪调节策略，从而增强心理韧性。LGBTQ+个体自我伤害风险高。情绪调节困难介导了LGBTQ+身份与自我伤害之间的关联。针对LGBTQ+人群的情绪调节进行干预可能有助于减少自我伤害行为。
