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LGBTQ+ 青年中公开程度和自杀倾向之间的关联在年龄上的差异。

Age Differences in the Associations Between Outness and Suicidality Among LGBTQ+ Youth.

出版信息

Arch Suicide Res. 2023 Apr-Jun;27(2):734-748. doi: 10.1080/13811118.2022.2066493. Epub 2022 May 4.

DOI:10.1080/13811118.2022.2066493
PMID:35506502
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9719400/
Abstract

OBJECTIVE

Lesbian, gay, bisexual, transgender, and queer (LGBTQ+) youth are at increased risk for suicidality compared to their heterosexual and cisgender peers, and outness (the extent to which an individual is open about their LGBTQ+ identity to others) is an important correlate of suicidality. However, previous research has led to mixed findings regarding whether outness functions as a risk or protective factor for suicidality, and the available evidence suggests that age may play an important role. As such, the goal of the current study was to examine whether the associations between outness and suicidality differed between LGBTQ+ adolescents (ages 12-17) and emerging adults (ages 18-24).

METHOD

The analytic sample included 475 LGBTQ+ youth who completed an online survey after contacting a national, LGBTQ+ crisis service provider.

RESULTS

Results indicated that age significantly moderated the association between outness and suicidal ideation, such that greater outness was significantly associated with greater suicidal ideation for adolescents, but not for emerging adults. In contrast, age did not significantly moderate the associations between outness and likelihood of a past suicide attempt or perceived likelihood of a future suicide attempt. However, the main effect of outness was significant in both models, such that greater outness was significantly associated with a greater likelihood of a past suicide attempt and a greater perceived likelihood of a future suicide attempt.

CONCLUSIONS

These findings suggest that the associations between outness and suicidality among LGBTQ+ youth may depend on age as well as the dimension of suicidality (ideation versus attempt). HighlightsBeing more open about one's LGBTQ+ identity may confer risk for suicidality.The influence of outness on suicidal ideation may be strongest during adolescence.There is a need for LGBTQ+ affirming policies and laws to reduce suicidality.

摘要

目的

与异性恋和顺性别同龄人相比,女同性恋、男同性恋、双性恋、跨性别和酷儿(LGBTQ+)青年的自杀风险更高,公开(个体向他人公开其 LGBTQ+ 身份的程度)是自杀风险的一个重要相关因素。然而,先前的研究对于公开是否是自杀风险的因素存在不一致的结果,并且现有证据表明年龄可能起着重要作用。因此,本研究的目的是检验公开与自杀意念之间的关联在 LGBTQ+ 青少年(12-17 岁)和成年早期(18-24 岁)之间是否存在差异。

方法

分析样本包括 475 名完成与全国性 LGBTQ+ 危机服务提供商联系后在线调查的 LGBTQ+ 青年。

结果

结果表明,年龄显著调节了公开与自杀意念之间的关联,对于青少年而言,更大的公开程度与更高的自杀意念显著相关,但对于成年早期则不然。相比之下,年龄并未显著调节公开与过去自杀企图的可能性或未来自杀企图的可能性之间的关联。然而,公开的主要效应在两个模型中均具有统计学意义,即更大的公开程度与过去自杀企图的可能性以及未来自杀企图的可能性的感知显著相关。

结论

这些发现表明,LGBTQ+ 青年中公开与自杀意念之间的关联可能取决于年龄以及自杀意念的维度(意念与企图)。强调了更公开地表达自己的 LGBTQ+ 身份可能会带来自杀风险。公开对自杀意念的影响在青少年时期可能最强。需要制定 LGBTQ+ 认可的政策和法律,以降低自杀率。