A longitudinal examination of the interpersonal theory of suicide for predicting suicidal ideation among LGBTQ+ youth who utilize crisis services: The moderating effect of gender.

A longitudinal examination of the interpersonal theory of suicide for predicting suicidal ideation among LGBTQ+ youth who utilize crisis services: The moderating effect of gender.
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DOI:
10.1111/sltb.12787
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发表时间:
2021-10
影响因子:
3.2
通讯作者:
Goldbach JT
Goldbach JT
中科院分区:
医学2区
文献类型:
--
作者:
Chang CJ;Feinstein BA;Fulginiti A;Dyar C;Selby EA;Goldbach JT

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尽管 LGBTQ+ 青少年的自杀率很高,但自杀人际理论 (IPTS) 却很少在这一人群中得到检验。目前的研究采用纵向设计来检验在使用危机服务的 LGBTQ+ 青少年样本中,随着时间的推移,感知到的负担和受挫的归属感是否会独立并同时预测更高水平的自杀意念。我们还调查了性别认同是否调节了这些关联。方法:共有 592 名曾联系全国 LGBTQ+ 青少年危机热线的青少年(12-24 岁)完成了两次评估,两次评估相隔 1 个月。结果:感知到的负担和归属感受挫独立地预测了 1 个月后更大的自杀意念;然而,当在同一模型中测试这两个因素时,只有感知到的负担仍然与自杀意念前瞻性相关。性别认同调节了 IPTS 因素与自杀意念之间的关联,因此对于性少数顺性别年轻女性和跨性别/性别酷儿个体来说,感知到的负担和受挫的归属感都与 1 个月后更大的自杀意念相关,但对于性少数顺性别年轻男性而言则不然。结论:IPTS 有助于解释 LGBTQ+ 青少年自杀意念随着时间的推移而增加的原因,因此可用于为该人群提供自杀预防和干预方法。
Despite high rates of suicide among LGBTQ+ youth, the interpersonal theory of suicide (IPTS) has rarely been examined in this population. The current study utilized a longitudinal design to examine whether perceived burdensomeness and thwarted belongingness independently and simultaneously predicted higher levels of suicidal ideation over time in a sample of LGBTQ+ youth who utilized crisis services. We also investigated whether gender identity moderated these associations. Methods: A total of 592 youth (12–24 years old) who had contacted a national crisis hotline for LGBTQ+ youth completed two assessments 1-month apart. Results: Perceived burdensomeness and thwarted belongingness independently predicted greater suicidal ideation 1 month later; however, only perceived burdensomeness remained prospectively associated with suicidal ideation when both factors were tested in the same model. Gender identity moderated the associations between IPTS factors and suicidal ideation, such that both perceived burdensomeness and thwarted belongingness were associated with greater suicidal ideation 1 month later for sexual minority cisgender young women and transgender/genderqueer individuals, but not for sexual minority cisgender young men. Conclusion: The IPTS helps explain increases in suicidal ideation over time among LGBTQ+ youth and therefore can be used to inform suicide prevention and intervention approaches for this population.
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