Meng Haoran, Real André Gonzales, Gower Amy L, Eadeh Hana-May, Koechell J J, Morris-Perez Pamela A, Eisenberg Marla E, Russell Stephen T
Department of Human Development and Family Sciences, The University of Texas at Austin, Austin, TX, USA.
Department of Human Development and Family Sciences, The University of Texas at Austin, Austin, TX, USA.
J Affect Disord. 2025 Jul 15;381:61-68. doi: 10.1016/j.jad.2025.03.178. Epub 2025 Apr 1.
Suicidal ideation is prevalent among minoritized youth. This study identified disparities in suicidal ideation across youth with intersecting social positions-including race and ethnicity, sex assigned at birth, gender, and sexual orientation-and examined the role of bias-based bullying (based on race and ethnicity, gender identity, or sexual orientation) related to these disparities.
Data for this study were drawn from the 2017-2019 California Healthy Kids Survey, with a sample of 458,963 students in grades 9 through 12. Around half of the participants identified as Latina/x/o (50.4 %), 49 % were assigned female at birth, 93.7 % identified as cisgender, and 81.9 % identified as straight. Exhaustive Chi-squared Automatic Interaction Detection was used to analyze how rates of suicidal ideation vary among youth with intersecting social positions and multiple forms of bias-based bullying experiences.
Youth with intersecting minoritized social positions, particularly those with both minoritized sexual and gender identities, reported the highest rates of suicidal ideation in the past year (43.9 % to 63.3 %), three to four times higher than the overall sample rate (16.5 %). Furthermore, all youth in the highest prevalence groups of suicidal ideation experienced at least one form of bias-based bullying. Suicidal ideation rates were 26.3 % to 59.0 % higher among youth who experienced bias-based bullying compared to those with the same social positions who did not experience bullying.
Suicidal ideation is especially prevalent among youth with intersecting minoritized social positions who have also experienced multiple forms of bias-based bullying.
自杀意念在少数族裔青年中很普遍。本研究确定了具有交叉社会身份的青年（包括种族和族裔、出生时被指定的性别、性别认同和性取向）在自杀意念方面的差异，并研究了基于偏见的欺凌（基于种族和族裔、性别认同或性取向）与这些差异的关系。
本研究的数据来自2017 - 2019年加利福尼亚健康儿童调查，样本为458,963名9至12年级的学生。约一半的参与者为拉丁裔/x/o（50.4%），49%出生时被指定为女性，93.7%为顺性别者，81.9%为异性恋者。采用穷尽式卡方自动交互检测法，分析具有交叉社会身份和多种形式基于偏见的欺凌经历的青年中自杀意念发生率的变化情况。
具有交叉少数族裔社会身份的青年，尤其是那些同时具有少数族裔性取向和性别认同的青年，报告过去一年的自杀意念发生率最高（43.9%至63.3%），比总体样本率（16.5%）高出三到四倍。此外，自杀意念发生率最高的所有青年群体都至少经历过一种基于偏见的欺凌形式。与未经历欺凌的相同社会身份青年相比，经历基于偏见的欺凌的青年自杀意念发生率高出26.3%至59.0%。
自杀意念在具有交叉少数族裔社会身份且经历过多种形式基于偏见的欺凌的青年中尤为普遍。
