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性少数和跨性别青年自感自杀念头与性取向或性别认同之间的联系。

Sexual and Gender Minority Emerging Adults' Self-Perceived Links Between Their Suicidal Thoughts and Sexual Orientation or Gender Identity.

机构信息

Department of Pedagogics and Education, University of Groningen, Groningen, the Netherlands.

Unit for Suicide Research, Flemish Centre of Expertise in Suicide Prevention, Ghent University, Ghent, Flanders, Belgium.

出版信息

Can J Psychiatry. 2023 Jun;68(6):461-469. doi: 10.1177/07067437221147420. Epub 2023 Jan 11.

Abstract

OBJECTIVES

To examine whether sexual and gender minority (SGM) emerging adults perceived their SGM status was linked to suicidal ideation, and to explore if their responses fell within tenets of the minority stress framework.

METHOD

Open text (survey) responses of Dutch and Flemish SGM emerging adults (  =  187) were thematically analysed using the constant comparative comparison method for qualitative analysis.

RESULTS

We identified 8 themes in our qualitative analysis. Two themes fell within the scope of the minority stress framework that has received little attention: (1) concerns about relationships and family planning and (2) feeling different (internal stressor). Two additional themes emerged largely beyond the scope of existing minority stress framework studies on suicidality: (3) SGM-related questioning; (4) negativity in LGBT communities. Four established minority stress framework themes emerged: (5) gender identity stress; (6) victimization; (7) coming-out stress; (8) psychological difficulties linked to SGM status.

CONCLUSION

Suicide prevention needs to focus on supporting SGM emerging adults who worry about feeling "different", or who have concerns over their romantic and family life, on reducing gender minority stress, as well as on caring for those who are victimized due to their sexual or gender identity.

摘要

目的

探讨性少数群体和跨性别群体(SGM)青年是否认为他们的 SGM 身份与自杀意念有关,并探讨他们的反应是否符合少数群体应激框架的原则。

方法

对荷兰和佛兰德斯 SGM 青年(n=187)的开放式文本(调查)回复使用定性分析的恒定比较比较法进行主题分析。

结果

我们在定性分析中确定了 8 个主题。其中两个主题属于少数群体应激框架的范畴,但很少受到关注:(1)对人际关系和家庭计划的担忧,以及(2)感到与众不同(内部应激源)。另外两个主题主要超出了现有关于自杀的少数群体应激框架研究的范围:(3)与性少数群体相关的质疑,(4)LGBT 群体中的消极情绪。四个已确立的少数群体应激框架主题包括:(5)性别认同压力,(6)受害,(7)出柜压力,以及(8)与 SGM 身份相关的心理困难。

结论

自杀预防需要关注那些担心自己感到“与众不同”或对自己的恋爱和家庭生活感到担忧的 SGM 青年,减少性别少数群体的压力,以及关心那些因性取向或性别认同而受害的人。

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