Department of Psychiatry, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan.
Department of Psychiatry, School of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan.
Epidemiol Psychiatr Sci. 2024 Nov 4;33:e57. doi: 10.1017/S2045796024000635.
The aim of this 4-year follow-up study was to examine the predictive effects of demographics, three types of sexual stigma, three types of self-identity confusion, anxiety, depression, family support and problematic Internet use before the coronavirus disease 2019 (COVID-19) pandemic on new-onset suicide risk and persistent suicide risk in young adult lesbian, gay and bisexual individuals who experienced the COVID-19 pandemic in Taiwan.
Baseline data were collected from 1,000 lesbian, gay and bisexual individuals in 2018 and 2019. Outcome data on suicide risk were collected again in 2023. The suicide module of the Mini International Neuropsychiatric Interview was used to assess suicide risk in terms of thoughts of death, desire to self-harm, thoughts of suicide, plans for suicide and suicide attempts in the preceding month at the initial and follow-up assessments. Baseline three types of sexual stigma, self-identity disturbance, depression, anxiety and problematic Internet use were used to examine their prediction of new-onset suicide risk and persistent suicide risk at follow-up.
In total, 673 individuals participated in the follow-up survey. Notably, 16.5% of the participants who had no suicide risk at baseline had new-onset suicide risk at follow-up; 46.4% of the participants who had suicide risk at baseline also had suicide risk at follow-up. Participants who were transgender ( = .003), who perceived greater levels of microaggression ( < .001), and who had greater levels of problematic Internet use at baseline ( = .024) were more likely to have new-onset suicide risk at follow-up. Participants who had greater levels of self-identity confusion were more likely to have persistent suicide risk at follow-up ( = .023).
Intervention strategies for reducing suicide risk in lesbian, gay and bisexual individuals should be developed with consideration of the predictors identified in this study.
本为期 4 年的随访研究旨在探讨在新冠疫情期间，人口统计学因素、三种性污名、三种自我认同困惑、焦虑、抑郁、家庭支持和网络问题使用情况对经历过新冠疫情的台湾地区年轻同性恋、双性恋和跨性别（LGBT）个体中新发自杀风险和持续自杀风险的预测作用。
于 2018 年和 2019 年收集了 1000 名 LGBT 个体的基线数据，并于 2023 年再次收集了自杀风险的结果数据。采用 Mini 国际神经精神访谈自杀模块，在基线和随访评估时，评估参与者在过去一个月内的死亡念头、自残欲望、自杀念头、自杀计划和自杀企图等自杀风险。同时采用基线时的三种性污名、自我认同困扰、抑郁、焦虑和网络问题使用情况，来检验其对随访时新发自杀风险和持续自杀风险的预测作用。
共有 673 名参与者参加了随访调查。值得注意的是，基线时无自杀风险的参与者中有 16.5%在随访时出现新发自杀风险，基线时有自杀风险的参与者中有 46.4%在随访时仍有自杀风险。与基线时无自杀风险的参与者相比，被认定为跨性别者（P=.003）、感知到更多微侵犯（P<.001）和基线时网络问题使用程度更高（P=.024）的参与者更有可能在随访时出现新发自杀风险。自我认同困扰程度较高的参与者更有可能在随访时出现持续自杀风险（P=.023）。
在制定针对 LGBT 个体的自杀风险干预策略时，应考虑本研究确定的预测因素。
