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父母和朋友支持在预防法国性少数青少年自杀企图中的作用。

The role of parents' and friends' support in preventing suicide attempts among French sexual minority adolescents.

机构信息

CESP, U1018, Moods Team, Paris-Saclay University, Bicêtre University Hospital, Le Kremlin Bicêtre, France; Centre Hospitalier Fondation Vallée, Gentilly, France.

CESP, U1018, Moods Team, Paris-Saclay University, Bicêtre University Hospital, Le Kremlin Bicêtre, France; Centre Hospitalier Fondation Vallée, Gentilly, France.

出版信息

Rev Epidemiol Sante Publique. 2023 Jun;71(3):101594. doi: 10.1016/j.respe.2023.101594. Epub 2023 Mar 24.

Abstract

OBJECTIVES

French sexual minority adolescents are at higher risk for suicide attempts than their heterosexual peers. However, little is known about the role of parents' and friends' support among French lesbian, gay and bisexual (LGB) youth. This study aimed to research the role of their support in preventing suicide attempts among LGB adolescents in France.

MATERIALS AND METHODS

Data were drawn from a French cross-sectional study entitled "Portraits d'adolescents". Parental support was defined by satisfactory relations between participants and their parents. Friends' support was defined by satisfactory relations between participants and their friends. Chi-square and multiple logistic regression analyses were used to estimate and identify associated factors of suicide attempts in LGB as opposed to heterosexual youth.

RESULTS

Data from a sample of 14,265 French adolescents aged 13 to 20 were analyzed. Among them, 637 (4.47%) identified as LGB. Attempted suicide was independently associated with sexual orientation (30.7% vs 10.6%; OR = 2.59 [2.11-3.18]; p < 0.0001). Both parents' and friends' support appeared to be protective factors in suicide attempts among heterosexuals (adjusted ORs = 0.40 [0.35-0.46] and 0.61 [0.51-0.75], respectively), whereas in the LGB group, only parental support was significant (adjusted OR = 0.42 [0.27-0.65]), independently of other variables.

DISCUSSION

Prevention efforts might be carried out by identifying within-group differences among French adolescents with different sexual orientations. The supportive role of family members should be strengthened. Positive resources and salutary support systems may effectively prevent suicide attempts.

CONCLUSIONS

French LGB adolescents have a higher risk for suicide attempts than their heterosexual peers. Parental support was reconfirmed as a major protective factor against suicide attempts in sexual minority adolescents.

摘要

目的

法国性少数群体青少年自杀未遂的风险高于异性恋同龄人。然而,人们对法国女同性恋、男同性恋和双性恋(LGB)青年父母和朋友的支持作用知之甚少。本研究旨在研究他们的支持在预防法国 LGB 青少年自杀未遂中的作用。

材料和方法

数据来自一项名为“青少年画像”的法国横断面研究。父母支持的定义是参与者与父母之间的关系令人满意。朋友支持的定义是参与者与朋友之间的关系令人满意。卡方检验和多因素逻辑回归分析用于估计和识别 LGB 与异性恋青少年自杀未遂的相关因素。

结果

对 14265 名年龄在 13 至 20 岁的法国青少年的样本数据进行了分析。其中,637 人(4.47%)自我认同为 LGB。自杀未遂与性取向独立相关(30.7%比 10.6%;OR=2.59[2.11-3.18];p<0.0001)。父母和朋友的支持在异性恋者自杀未遂中似乎都是保护因素(调整后的 OR 分别为 0.40[0.35-0.46]和 0.61[0.51-0.75]),而在 LGB 组中,只有父母的支持具有统计学意义(调整后的 OR=0.42[0.27-0.65]),独立于其他变量。

讨论

预防工作可以通过识别具有不同性取向的法国青少年之间的群体内差异来进行。应该加强家庭成员的支持作用。积极的资源和有益的支持系统可能有效地预防自杀未遂。

结论

法国 LGB 青少年自杀未遂的风险高于异性恋同龄人。父母的支持再次被证实是性少数青少年自杀未遂的主要保护因素。

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