报告有过自杀未遂经历的女同性恋、男同性恋和双性恋成年人的心理健康服务使用情况。
Mental Health Service Use Among Lesbian, Gay, and Bisexual Adults Who Report Having Attempted Suicide.
作者信息
Ramchand Rajeev, Schuler Megan S, Ayer Lynsay, Colpe Lisa, Schoenbaum Michael
机构信息
National Institute of Mental Health, Bethesda, Maryland (Ramchand, Ayer, Colpe, Schoenbaum); RAND Corporation, Arlington, Virginia (Ramchand, Ayer), and Pittsburgh (Schuler).
出版信息
Psychiatr Serv. 2023 Feb 1;74(2):188-191. doi: 10.1176/appi.ps.20220132. Epub 2022 Jul 27.
OBJECTIVE
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.
METHODS
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.
RESULTS
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.
CONCLUSIONS
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.
目的
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。
方法
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。
结果
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%）。
结论
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。
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