Associations of outside- and within-school adult support on suicidality: Moderating effects of sexual orientation.
Associations of outside- and within-school adult support on suicidality: Moderating effects of sexual orientation.
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DOI：
10.1037/ort0000209
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发表时间：
2017
期刊：
影响因子：
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通讯作者：
O'Donnell L
中科院分区：
文献类型：
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作者：
Coulter RWS;Kessel Schneider S;Beadnell B;O'Donnell L
这项研究检查了校外和校内成人支持报告中的性取向差异，以及性取向是否会调节成人支持和自杀之间的关联（即，想法、计划和尝试）。在波士顿大都会西部的26所高中，22，834名学生完成了评估性取向（异性恋，同性恋，双性恋或质疑）的调查;校外和校内成人支持的存在;以及过去一年的自杀倾向。多变量回归分析与一般估计方程（调整性别，年级和种族/民族）研究成人支持的性取向亚组差异，以及性取向和成人支持如何与自杀倾向相关。互动条款测试成人的支持和自杀之间的关系是否受到性取向的调节。男同性恋、双性恋和有疑问的青少年比异性恋者报告有校外成人支持的可能性小（风险比范围：0.85-0.89）。每组的自杀想法（比值比[OR]范围：1.86-5.33），计划（OR范围：2.15-5.22）和尝试（OR范围：1.98-7.90）的几率也高于异性恋者。在性取向亚组中，校外支持比校内支持（OR范围：0.78-0.82）更能预防自杀（OR范围：0.34-0.35）。然而，性取向缓和校外成人支持的保护作用，支持双性恋和质疑青年比异性恋者的保护。成人的支持，特别是校外的成人支持，与较低的自杀倾向有关。然而，很少有男同性恋/女同性恋，双性恋和质疑青年可以依靠校外支持，即使存在，它可能对自杀的保护作用较小。需要采取干预措施，帮助成年人支持男同性恋/女同性恋，双性恋和质疑青年，并减少自杀差异。
This study examined sexual-orientation differences in reports of outside- and within-school adult support, and whether sexual orientation moderates the associations between adult support and suicidality (i.e., thoughts, plans, and attempts). At 26 high schools across MetroWest Boston, 22,834 students completed surveys assessing: sexual orientation (heterosexual, gay/lesbian, bisexual, or questioning); presence of outside- and within-school adult support; and past-year suicidality. Multivariable regression analyses with General Estimating Equations (adjusting for gender, grade, and race/ethnicity) examined sexual-orientation subgroup differences in adult support, and how sexual orientation and adult support were associated with suicidality. Interaction terms tested whether relationships between adult support and suicidality were moderated by sexual orientation. Gay/lesbian, bisexual, and questioning youth were each less likely than heterosexuals to report having outside-school adult support (risk ratios range: 0.85–0.89). Each group also had greater odds than heterosexuals for suicidal thoughts (odds ratios [ORs] range: 1.86–5.33), plans (ORs range: 2.15–5.22), and attempts (ORs range: 1.98–7.90). Averaged across sexual-orientation subgroups, outside-school support was more protective against suicidality (ORs range: 0.34–0.35) than within-school support (ORs range: 0.78–0.82). However, sexual orientation moderated the protective effects of outside-school adult support, with support being less protective for bisexual and questioning youth than for heterosexuals. Adult support, and particularly outside-school adult support, is associated with lower suicidality. However, fewer gay/lesbian, bisexual, and questioning youth can rely on outside-school support and, even if present, it may be less protective against suicidality. Interventions are needed to help adults support gay/lesbian, bisexual, and questioning youth and reduce suicidality disparities.