Hatchel Tyler, Ingram Katherine M, Mintz Sasha, Hartley Chelsey, Valido Alberto, Espelage Dorothy L, Wyman Peter
Department of Psychology, University of Florida, 945 Center Drive, P.O. Box 112250, Gainesville, FL, USA.
Violence and Injury Prevention-Mental Health Promotion Branch, Colorado Department of Public Health and Environment, Denver, CO, USA.
J Child Fam Stud. 2019 Sep;28(9):2443-2455. doi: 10.1007/s10826-019-01339-2. Epub 2019 Jan 22.
Suicide is a leading causes of death for adolescents, and is a developmental period with the highest rates of suicide attempts. Lesbian, gay, bisexual, transgender, and questioning (LGBTQ) youth are a high-risk population for suicidal ideations and behaviors when compared with their non-LGBTQ counterparts. However, a dearth of research exists on the protective factors for suicidal ideation and attempts specifically within the LGBTQ population. The current study proposes a model in which peer victimization, drug use, depressive symptoms, and help-seeking beliefs predict suicidal ideation and attempts among a statewide sample of LGBTQ adolescents.
Among 4867 high school students in 20 schools, 713 self-identified as LGBTQ and had higher rates of attempts and ideation than their non-LBGTQ peers. Two logistic regression analyses were used to predict suicidal ideation and attempts among the 713 LGBTQ students ( = age 15 years).
Results indicated that intentions to use drugs, peer victimization, and elevated depressive symptoms predicted both suicidal ideation and attempts. Additionally, help-seeking beliefs predicted suicidal attempts but not ideation, while the interaction of help-seeking beliefs and depressive symptoms significantly predicted suicidal ideation.
These findings underscore the importance of increasing access to effective treatment services for depression and promoting safe and accepting school and community cultures for LGBTQ youth in particular.
自杀是青少年死亡的主要原因之一，而青少年时期是自杀未遂率最高的发育阶段。与非LGBTQ青少年相比，女同性恋、男同性恋、双性恋、跨性别及性取向存疑（LGBTQ）的青少年是自杀意念和行为的高危人群。然而，针对LGBTQ人群中自杀意念和未遂的保护因素的研究却很匮乏。本研究提出了一个模型，在该模型中，同伴受害、药物使用、抑郁症状和求助信念可预测全州范围内LGBTQ青少年样本中的自杀意念和未遂情况。
在20所学校的4867名高中生中，有713人自我认定为LGBTQ，他们的自杀未遂率和自杀意念发生率高于非LGBTQ同伴。使用两个逻辑回归分析来预测713名LGBTQ学生（年龄 = 15岁）中的自杀意念和未遂情况。
结果表明，药物使用意图、同伴受害和抑郁症状加重可预测自杀意念和未遂情况。此外，求助信念可预测自杀未遂，但不能预测自杀意念，而求助信念与抑郁症状的相互作用可显著预测自杀意念。
这些发现强调了增加获得有效抑郁症治疗服务的机会，以及尤其为LGBTQ青少年促进安全且包容的学校和社区文化的重要性。
