Department of Clinical Psychology, Seattle Pacific University, Seattle, WA, USA.
Department of Clinical Psychology, Seattle Pacific University, Seattle, WA, USA.
J Psychiatr Res. 2023 Jan;157:174-179. doi: 10.1016/j.jpsychires.2022.11.021. Epub 2022 Nov 23.
People who identify as sexual minorities are at increased risk for suicide. Non-suicidal self-injury (NSSI) is also a risk factor for suicide and NSSI severity may contribute to development of capability for lethal self-injury. Further research is needed to understand how NSSI severity increases suicide risk, specifically in high-risk populations like sexual minorities. The current study seeks to examine whether sexual minority adults exhibit greater NSSI severity and suicide risk than heterosexuals, and if NSSI severity moderates the relationship between sexual orientation and suicide risk.
Undergraduate students (N = 1,994) who reported five or more acts of NSSI in their lifetime completed online self-report questionnaires including sexual orientation, NSSI severity, and suicide risk.
A factorial ANOVA demonstrated main effects of sexual orientation and NSSI severity on suicide risk.
The lack of significant interaction effect indicates NSSI severity does not amplify the effect of on sexual orientation on suicide risk; rather, it predicts the same level of increased risk across orientations. Therefore, suicidality related to both sexual orientation and NSSI severity are equally important treatment targets.
认同自己为性少数群体的人自杀风险增加。非自杀性自伤(NSSI)也是自杀的一个风险因素,NSSI 的严重程度可能会导致致命性自我伤害能力的发展。需要进一步的研究来了解 NSSI 的严重程度如何增加自杀风险,特别是在性少数群体等高风险人群中。本研究旨在探讨性少数成年群体是否比异性恋者表现出更高的 NSSI 严重程度和自杀风险,以及 NSSI 的严重程度是否会调节性取向和自杀风险之间的关系。
报告一生中发生过五次或更多次 NSSI 行为的本科生(N=1994)完成了在线自我报告问卷,包括性取向、NSSI 严重程度和自杀风险。
方差分析显示性取向和 NSSI 严重程度对自杀风险有主要影响。
没有显著的交互作用表明 NSSI 的严重程度不会放大性取向对自杀风险的影响;相反,它在不同的取向中预测了相同程度的风险增加。因此,与性取向和 NSSI 严重程度相关的自杀意念都是同等重要的治疗目标。