Ramchand Rajeev, Schuler Megan S, Ayer Lynsay, Colpe Lisa, Schoenbaum Michael
National Institute of Mental Health, Bethesda, Maryland (Ramchand, Ayer, Colpe, Schoenbaum); RAND Corporation, Arlington, Virginia (Ramchand, Ayer), and Pittsburgh (Schuler).
Psychiatr Serv. 2023 Feb 1;74(2):188-191. doi: 10.1176/appi.ps.20220132. Epub 2022 Jul 27.
This study estimated mental health service use among lesbian, gay, and bisexual (LGB) adults in the United States who reported having made a suicide attempt.
Data came from the pooled 2015-2019 National Surveys on Drug Use and Health. Of the 191,954 adult respondents, 1,946 reported a past-year suicide attempt. Survey-weighted descriptive and regression analyses were conducted to compare mental health service use among LGB and heterosexual adults.
Three percent of LGB adults (N=598) reported having attempted suicide in the past year, compared with 0.5% of heterosexual adults (N=1,348). Mental health treatment use was significantly higher among LGB adults than among heterosexual adults (64% versus 56%) before analyses were adjusted for sociodemographic characteristics.
Because suicide attempts and mental health use are elevated among LGB adults, clinicians must provide evidence-based approaches for identifying and managing suicide risk to LGB adults in an affirming manner.
本研究估计了美国有过自杀未遂经历的女同性恋、男同性恋和双性恋（LGB）成年人中使用心理健康服务的情况。
数据来自2015 - 2019年合并的全国药物使用和健康调查。在191,954名成年受访者中，1,946人报告在过去一年有过自杀未遂经历。进行了调查加权描述性和回归分析，以比较LGB成年人与异性恋成年人使用心理健康服务的情况。
3%的LGB成年人（N = 598）报告在过去一年有过自杀未遂经历，相比之下，异性恋成年人的这一比例为0.5%（N = 1,348）。在对社会人口学特征进行分析调整之前，LGB成年人使用心理健康治疗的比例显著高于异性恋成年人（64%对56%）。
由于LGB成年人中自杀未遂和使用心理健康服务的情况有所增加，临床医生必须以肯定的方式为LGB成年人提供基于证据的方法，以识别和管理自杀风险。
