Department of Medicine, Health, and Society, Program in Public Policy Studies.
LGBTQ+ Policy Lab, Vanderbilt University, Nashville, Tennessee.
Pediatrics. 2022 Dec 1;150(6). doi: 10.1542/peds.2022-058158.
This study examined differences by sexual and gender minority (SGM) and incarceration statuses in mental health indicators among youth.
Population-based, cross-sectional data are from the 2019 Minnesota Student Survey (N = 72 324) and includes public school students (Mage = 15.49) and youth incarcerated in juvenile correctional facilities (Mage = 15.48). We categorized youth into 4 groups: (1) non-SGM youth in public schools, (2) non-SGM youth in correctional facilities, (3) SGM youth in public schools, and (4) SGM youth in correctional facilities. Multivariable regression models assessed associations among SGM and incarceration statuses and mental health indicators after controlling for sociodemographic characteristics and exposure to adverse childhood experiences.
More youth in juvenile correctional facilities identified as SGM (28.8%) compared with youth in public schools (20.4%, P = .002). SGM youth in correctional facilities reported a higher prevalence of suicidal ideation (42.2%), suicide attempt (37.5%), and self-harm (57.8%) compared with all other groups. Depressive symptom severity was similarly elevated among SGM youth in correctional facilities and SGM youth in public schools. SGM youth in correctional facilities, compared with non-SGM youth in public schools, demonstrated elevated odds of suicide ideation (adjusted odds ratio [aOR] = 2.2, 95% confidence interval [95% CI] = 1.3-3.9), suicide attempt (aOR = 6.3, 95% CI = 3.6-10.9), and self-harm (aOR = 3.6, 95% CI = 2.1-6.3).
Incarcerated SGM youth disproportionately experience negative mental health indicators. Findings suggest that tailored, intersectional, and responsive mental health interventions are needed to support incarcerated SGM youth.
本研究考察了性少数群体和性别少数群体（SGM）以及监禁状况在青年心理健康指标方面的差异。
基于人群的横断面数据来自 2019 年明尼苏达州学生调查（N=72324），包括公立学校学生（平均年龄=15.49 岁）和青少年教养所中的青年（平均年龄=15.48 岁）。我们将青年分为 4 组：（1）公立学校中的非 SGM 青年，（2）教养所中的非 SGM 青年，（3）公立学校中的 SGM 青年，和（4）教养所中的 SGM 青年。多变量回归模型在控制社会人口特征和暴露于不良童年经历后，评估了 SGM 和监禁状况与心理健康指标之间的关联。
教养所中的青年中自我认同为 SGM 的比例（28.8%）高于公立学校中的青年（20.4%，P=0.002）。教养所中的 SGM 青年报告自杀意念（42.2%）、自杀企图（37.5%）和自我伤害（57.8%）的发生率较高，与其他所有群体相比。教养所中的 SGM 青年和公立学校中的 SGM 青年的抑郁症状严重程度也类似升高。与公立学校中的非 SGM 青年相比，教养所中的 SGM 青年自杀意念（调整后的优势比[aOR]=2.2，95%置信区间[95%CI]=1.3-3.9）、自杀企图（aOR=6.3，95%CI=3.6-10.9）和自我伤害（aOR=3.6，95%CI=2.1-6.3）的可能性更高。
监禁中的 SGM 青年不成比例地经历负面心理健康指标。研究结果表明，需要有针对性、交叉性和响应性的心理健康干预措施来支持监禁中的 SGM 青年。
