Muehlenkamp Jennifer J, Nagy Laura M
Department of Psychology, University of Wisconsin-Eau Claire, 105 Garfield Ave, Eau Claire WI, 54701, USA.
Department of Psychology, High Point University, 1 N University Pkwy, High Point NC, 27262, USA.
J Psychiatr Res. 2025 Jul;187:62-68. doi: 10.1016/j.jpsychires.2025.05.014. Epub 2025 May 6.
There is a great need to examine resilience-based, modifiable protective factors of the established risk-relationship between experiences of discrimination, suicidal thoughts and behaviors, and nonsuicidal self-injury (NSSI) among sexual and gender diverse (SGD) youth. Preliminary studies suggest that psychological empowerment shows promise as a potential protective factor. The current study evaluated whether empowerment moderated the relationship between experiences of sexual and gender discrimination, NSSI, suicide ideation, and past-year suicide attempts.
Three hundred five LGBTQ + -identifying young adults completed an anonymous online survey assessing discriminatory experiences, psychological empowerment, NSSI history, past-year worst-point suicide ideation and suicide attempts. Five moderated regression models were conducted using the PROCESS macro for SPSS.
Empowerment significantly moderated the relationship between sexual/gender-discrimination and suicide attempt as well as the relationships between suicide ideation and NSSI on past-year attempts. When empowerment was high, sexual/gender discrimination, suicide ideation, and NSSI were no longer significantly associated with past-year suicide attempts, suggesting a protective effect. Empowerment had a significant, negative relationship with both suicide ideation and NSSI frequency but did not moderate the effect of discrimination experiences on these variables.
Empowerment appears to be a viable protective factor for suicide risk among sexual and gender diverse young adults. Interventions that promote the development of a sense of empowerment may help to reduce risk and prevent suicide within this high-risk population.
迫切需要研究基于复原力的、可改变的保护因素,这些因素存在于性取向和性别认同多元(SGD)的青少年中,即歧视经历、自杀念头和行为以及非自杀性自伤(NSSI)之间已确立的风险关系中。初步研究表明,心理赋权有望成为一种潜在的保护因素。本研究评估了赋权是否调节了性取向和性别歧视经历、NSSI、自杀意念以及过去一年自杀未遂之间的关系。
305名认同LGBTQ +的年轻人完成了一项匿名在线调查,评估歧视经历、心理赋权、NSSI史、过去一年最严重的自杀意念和自杀未遂情况。使用SPSS的PROCESS宏进行了五个调节回归模型分析。
赋权显著调节了性取向/性别歧视与自杀未遂之间的关系,以及自杀意念与过去一年自杀未遂中的NSSI之间的关系。当赋权程度较高时,性取向/性别歧视、自杀意念和NSSI与过去一年的自杀未遂不再显著相关,表明具有保护作用。赋权与自杀意念和NSSI频率均呈显著负相关,但未调节歧视经历对这些变量的影响。
赋权似乎是性取向和性别认同多元的年轻成年人自杀风险的一个可行保护因素。促进赋权感发展的干预措施可能有助于降低这一高风险人群的风险并预防自杀。