Mental Health Disorders, Psychological Distress, and Suicidality in a Diverse Sample of Lesbian, Gay, Bisexual, and Transgender Youths
Mental Health Disorders, Psychological Distress, and Suicidality in a Diverse Sample of Lesbian, Gay, Bisexual, and Transgender Youths
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DOI：
10.2105/ajph.2009.178319
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发表时间：
2010-12-01
影响因子：
12.7
通讯作者：
Emerson, Erin M.
中科院分区：
文献类型：
--
作者：
Mustanski, Brian S.;Garofalo, Robert;Emerson, Erin M.
目的：研究女同性恋、男同性恋、双性恋和跨性别（LGBT）青少年中种族、性别和性取向与精神障碍的关系。方法：通过对246名16 - 20岁的LGBT青少年进行结构化诊断访谈，对精神障碍进行评估。结果三分之一的参与者符合任何精神障碍的标准，17%的行为障碍，15%的严重抑郁症和9%的创伤后应激障碍厌食症和贪食症是罕见的，一生中自杀企图频繁（31%），但在过去的12个月（7%）较少种族/民族和性别差异几乎没有统计学意义。双性恋青年的每种诊断的患病率都较低。BSI 18对重度抑郁症有高的阴性预测能力（90%）和低的阳性预测能力（25%）。结论LGBT青年的精神障碍诊断患病率高于全国样本中的青年，但与城市种族/民族的代表性样本相似。少数民族青年自杀行为与同一地理区域的代表性青年样本相似，测量心理困扰的方法可能高估了该人群的抑郁患病率（Am J Public Health 2010 100 2426-2432 doi 10.2105/AJPH.2009.178319）
Objectives We examined associations of race/ethnicity gender and sexual orientation with mental disorders among lesbian gay bisexual and transgender (LGBT) youthsMethods We assessed mental disorders by administering a structured diagnostic interview to a community sample of 246 LGBT youths aged 16 to 20 years Participants also completed the Brief Symptom Inventory 18 (BSI 18)Results One third of participants met criteria for any mental disorder 17% for conduct disorder 15% for major depression and 9% for posttraumatic stress disorder Anorexia and bulimia were rare Lifetime suicide attempts were frequent (31%) but less so in the prior 12 months (7%) Few racial/ethnic and gender differences were statistically significant Bisexually identified youths had lower prevalences of every diagnosis The BSI 18 had high negative predictive power (90%) and low positive predictive power (25%) for major depressionConclusions LGBT youths had higher prevalences of mental disorder diagnoses than youths in national samples but were similar to representative samples of urban racial/ethnic minority youths Suicide behaviors were similar to those among representative youth samples in the same geographic area Questionnaires measuring psychological distress may overestimate depression prevalence among this population (Am J Public Health 2010 100 2426-2432 doi 10.2105/AJPH.2009.178319)