Department of Sociology, Washington State University, Pullman, Washington, USA.
Department of Sociology, Rice University, Houston, Texas, USA.
LGBT Health. 2024 Jan;11(1):38-46. doi: 10.1089/lgbt.2021.0428. Epub 2023 Jul 24.
We aimed to explore whether and how suicidal ideation differs according to specific sexual orientations (i.e., heterosexual, gay/lesbian, bisexual orientation) and age groups in gender-stratified analyses. We identified state health departments from nine U.S. states that collected Behavioral Risk Factor Surveillance System data on both sexual orientation and suicidal ideation from 2011 to 2018 for adults aged 18 and older ( = 113,337). Logistic regression and average marginal effects (AME) were used to examine the likelihood of suicidal ideation by sexual orientation, gender, and age. We found that after important sociodemographic and socioeconomic controls, sexual minority adult men and women experienced significantly higher odds of suicidal ideation than their same-gender heterosexual counterparts. After all adjustments, lesbian women had more than three times higher odds and bisexual women had almost four times higher odds than heterosexual women. Compared with heterosexual men, gay men reported twice higher odds and bisexual men exhibited 3.67 times higher odds of suicidal ideation. Analysis of the AME revealed age-specific disparities. The likelihood of suicidal ideation for bisexual men aged 18-24 years was significantly higher than that for gay and heterosexual men of the same age. Among women, bisexual women closer to middle age (35-44 years) experienced a higher likelihood of suicidal ideation than heterosexual or lesbian women of the same age. The elevated risk of suicidal ideation among sexual minority people throughout different stages of adulthood has important implications for policies and support services.
我们旨在探讨在性别分层分析中，自杀意念是否以及如何因特定的性取向（即异性恋、同性恋/女同性恋、双性恋取向）和年龄组而有所不同。我们从美国九个州确定了州卫生部门，这些州在 2011 年至 2018 年期间收集了性行为风险因素监测系统关于性取向和自杀意念的数据，对象为 18 岁及以上的成年人（ = 113,337）。我们使用逻辑回归和平均边缘效应（AME）来检查性取向、性别和年龄对自杀意念的可能性的影响。我们发现，在重要的社会人口统计学和社会经济控制之后，性少数成年男性和女性经历自杀意念的可能性明显高于其同性异性恋对应者。在所有调整后，女同性恋者的自杀意念可能性高出三倍以上，双性恋女性的自杀意念可能性几乎高出四倍。与异性恋男性相比，男同性恋者报告的自杀意念可能性高出两倍，双性恋男性的自杀意念可能性高出 3.67 倍。AME 分析揭示了年龄特定的差异。18-24 岁的双性恋男性自杀意念的可能性明显高于同年龄的男同性恋和异性恋男性。在女性中，接近中年（35-44 岁）的双性恋女性自杀意念的可能性高于同年龄的异性恋或女同性恋女性。在不同成年阶段，性少数群体自杀意念风险的增加对政策和支持服务具有重要意义。
