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本文引用的文献

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A Comparison of Affective-Cognitive States in Daily Life Between Emerging Adults With and Without Past-Year Nonsuicidal Self-Injury.成年早期有和无既往非自杀性自伤者日常生活中情感认知状态的比较。
Behav Ther. 2024 May;55(3):469-484. doi: 10.1016/j.beth.2023.08.004. Epub 2023 Sep 4.
2
A daily diary study of minority stressors, suicidal ideation, nonsuicidal self-injury ideation, and affective mechanisms among sexual and gender minority youth.性少数和性别少数青年的日常日记研究:少数群体压力源、自杀意念、非自杀性自伤意念和情感机制。
J Psychopathol Clin Sci. 2023 May;132(4):372-384. doi: 10.1037/abn0000813. Epub 2023 Mar 30.
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Effects of sexual orientation and NSSI severity on suicide risk.性取向和非自杀性自伤严重程度对自杀风险的影响。
J Psychiatr Res. 2023 Jan;157:174-179. doi: 10.1016/j.jpsychires.2022.11.021. Epub 2022 Nov 23.
4
Mindfulness for Reducing Minority Stress and Promoting Health Among Sexual Minority Men: Uncovering Intervention Principles and Techniques.正念对减轻性少数男性的少数群体压力及促进其健康的作用:揭示干预原则与技巧
Mindfulness (N Y). 2022;13(10):2473-2487. doi: 10.1007/s12671-022-01973-w. Epub 2022 Sep 8.
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Prevalence and Correlates of Suicide and Nonsuicidal Self-injury in Children: A Systematic Review and Meta-analysis.儿童自杀和非自杀性自伤的流行率及相关因素:系统评价和荟萃分析。
JAMA Psychiatry. 2022 Jul 1;79(7):718-726. doi: 10.1001/jamapsychiatry.2022.1256.
6
Minority Stress and Suicidal Ideation and Suicide Attempts Among LGBT Adolescents and Young Adults: A Meta-Analysis.少数群体压力与 LGBT 青少年和年轻人的自杀意念和自杀企图:一项荟萃分析。
LGBT Health. 2022 May-Jun;9(4):222-237. doi: 10.1089/lgbt.2021.0106. Epub 2022 Mar 18.
7
Suicidality Among Sexual Minority Adults: Gender, Age, and Race/Ethnicity Differences.性少数群体成年人的自杀倾向:性别、年龄和种族/民族差异。
Am J Prev Med. 2022 Feb;62(2):193-202. doi: 10.1016/j.amepre.2021.07.012. Epub 2021 Nov 9.
8
The relationship between minority stress factors and suicidal ideation and behaviours amongst transgender and gender non-conforming adults: A systematic review.跨性别和性别不一致成年人中少数群体压力因素与自杀意念及行为之间的关系:一项系统综述。
J Affect Disord. 2022 Apr 15;303:31-51. doi: 10.1016/j.jad.2021.12.091. Epub 2021 Dec 25.
9
Reducing behavioral health symptoms by addressing minority stressors in LGBTQ adolescents: a randomized controlled trial of Proud & Empowered.通过解决 LGBTQ 青少年的少数群体压力来减少行为健康症状:一项自豪与赋权随机对照试验。
BMC Public Health. 2021 Dec 23;21(1):2315. doi: 10.1186/s12889-021-12357-5.
10
Nonsuicidal self-injury, suicide ideation, and suicide attempts among sexual minority children.性少数群体儿童中的非自杀性自伤、自杀意念和自杀企图。
J Consult Clin Psychol. 2021 Feb;89(2):73-80. doi: 10.1037/ccp0000624.

赋权可降低 LGBTQ+ 青年成年人的自杀风险。

Empowerment moderates risk for suicide among LGBTQ+ young adults.

作者信息

Muehlenkamp Jennifer J, Nagy Laura M

机构信息

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.

出版信息

J Psychiatr Res. 2025 Jul;187:62-68. doi: 10.1016/j.jpsychires.2025.05.014. Epub 2025 May 6.

DOI:10.1016/j.jpsychires.2025.05.014
PMID:40347626
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12136978/
Abstract

INTRODUCTION

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.

METHODS

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.

RESULTS

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.

CONCLUSION

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.

摘要

引言

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。

方法

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。

结果

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。

结论

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。