Mediterráneo Hospital, Almería, Andalusía, Spain.
Research Group CTS-1114 Advances and Innovation in Health, University of Almería, Almería, Andalusía, Spain.
J Clin Nurs. 2024 Dec;33(12):4726-4734. doi: 10.1111/jocn.17147. Epub 2024 Mar 27.
To understand the factors that contribute to the risk of suicide among lesbian, gay, bisexual, transgender, queer, intersex and asexual (sexual minorities) youth.
The increase in the likelihood of suicide has made it an urgent issue in public health, particularly among young people, where it now ranks as the fourth leading cause of death. This issue becomes even more significant when focusing on sexual minorities.
A cross-sectional study was performed in targeted young individuals (15-29 years). Several variables were assessed, including suicide risk, self-esteem, presence and severity of depressive symptoms, perceived social support and self-reported levels of anxiety and depression.
Statistically significant disparities were observed in suicide risk, presence of depressive symptoms and self-reported levels of anxiety and depression, all of which were more pronounced in sexual minority youth compared to heterosexual cisgender individuals. Likewise, statistically significant differences were noted concerning self-esteem and family support, both of which were lower in sexual minority youth.
This study has identified risk factors, such as anxiety, depression and limited social support, as well as protective factors, like higher self-esteem and self-concept. Understanding and addressing all these factors are essential in reducing the elevated rates of suicide among sexual minority youth. Consequently, evidence-based interventions such as Gender and Sexuality Alliances, which empower and create safe spaces for sexual minority youth, possess substantial potential for effectively addressing this issue.
Given sexual minorities vulnerability, healthcare pros, especially nurses, must grasp suicide risk factors. They can help by educating, offering care, assessing risk and fighting stigma. This guarantees safety and access to mental health services for at-risk individuals from sexual minorities.
The reporting follows the STROBE checklist.
People who were invited to participate voluntarily completed a range of questionnaires.
了解导致女同性恋、男同性恋、双性恋、跨性别、酷儿、间性人和无性恋(性少数群体)青年自杀风险的因素。
自杀可能性的增加使其成为公共卫生领域的一个紧迫问题,尤其是在年轻人中,自杀现在是第四大主要死因。当关注性少数群体时,这个问题变得更加严重。
对目标青年(15-29 岁)进行了横断面研究。评估了包括自杀风险、自尊、抑郁症状的存在和严重程度、感知社会支持以及焦虑和抑郁的自我报告水平在内的多个变量。
在自杀风险、抑郁症状的存在以及焦虑和抑郁的自我报告水平方面观察到统计学显著差异,所有这些在性少数青年中比异性恋顺性别个体更为明显。同样,在自尊和家庭支持方面也存在统计学显著差异,性少数青年的自尊心和家庭支持均较低。
本研究确定了一些风险因素,如焦虑、抑郁和有限的社会支持,以及保护因素,如较高的自尊和自我概念。了解和解决所有这些因素对于降低性少数青年自杀率至关重要。因此,基于证据的干预措施,如性别和性认同联盟,为性少数青年赋权并创造安全空间,具有有效解决这一问题的巨大潜力。
鉴于性少数群体的脆弱性,医疗保健专业人员,尤其是护士,必须了解自杀风险因素。他们可以通过教育、提供护理、评估风险和消除污名来提供帮助。这可以确保性少数群体中处于危险中的个体的安全和获得心理健康服务。
本报告遵循 STROBE 清单。
受邀参与的人自愿完成了一系列问卷。