School of Nursing, University of British Columbia, Vancouver, Canada.
Centre for Gender and Sexual Health Equity, Vancouver, Canada.
LGBT Health. 2023 Jul;10(5):339-343. doi: 10.1089/lgbt.2022.0359. Epub 2023 Mar 10.
Sexual orientation and gender identity and expression change efforts (SOGIECE) aim to deny or suppress nonheterosexual and transgender identities. SOGIECE, including "conversion practices," are controversial and remain prevalent despite contemporary legislative bans and denouncement of these harmful practices from numerous health profession organizations. Recent work has questioned the validity of epidemiological studies associating SOGIECE with suicidal thoughts and suicide attempts. This perspective article addresses such critiques, arguing that the balance of available evidence indicates SOGIECE contribute to suicidality, while proposing methods to better account for structural context and the multitude of factors that may explain both SOGIECE attendance and suicidality.
性取向、性别认同和表达改变努力（SOGIECE）旨在否认或抑制非异性恋和跨性别身份。SOGIECE，包括“转换实践”，尽管当代立法禁止并谴责这些有害做法，但仍有争议，并普遍存在。最近的工作质疑了将 SOGIECE 与自杀念头和自杀企图联系起来的流行病学研究的有效性。本文从这一角度出发，对这些批评进行了探讨，认为现有证据表明，SOGIECE 与自杀意念和自杀企图有关，同时提出了更好地考虑结构性背景和可能解释 SOGIECE 参与和自杀的众多因素的方法。
