Suicidality and sexual orientation: Characteristics of symptom severity, disclosure, and timing across the life course.
Suicidality and sexual orientation: Characteristics of symptom severity, disclosure, and timing across the life course.
复制标题
DOI：
10.1037/ort0000112
复制
发表时间：
2016-01
期刊：
影响因子：
--
通讯作者：
Cochran SD
中科院分区：
文献类型：
--
作者：
Blosnich JR;Nasuti LJ;Mays VM;Cochran SD
本研究探讨性倾向对自杀相关特征及求助行为的影响。基于人口的数据来自加州生活质量调查，其中包括1478名性少数群体（女同性恋、男同性恋、双性恋和同性恋经历者）和3465名异性恋者。双性恋女性一生中企图自杀的风险是异性恋女性的近6倍（RR=5.88, 95%CI: 3.89-8.90），有过同性恋经历的男性一生中企图自杀的风险是异性恋男性的近7倍（RR=6.93, 95%CI: 3.65-13.15）。性少数群体的男性和女性比异性恋男性和女性更有可能向医疗专业人员透露自杀企图（RR=1.48和RR=1.44）。在曾经尝试过自杀的人中，性少数女性比异性恋女性的尝试年龄更小（分别为15.9岁和19.6岁）。卫生保健专业人员应了解性少数群体个体的自杀风险异质性，包括易受伤害的风险点和循证治疗。
This investigation explored suicide-related characteristics and help-seeking behavior by sexual orientation. Population-based data are from the California Quality of Life Surveys, which included 1,478 sexual minority (lesbian, gay, bisexual, and homosexually experienced individuals) and 3,465 heterosexual individuals. Bisexual women had nearly 6-fold increased risk of lifetime suicide attempts than heterosexual women (RR=5.88, 95%CI: 3.89–8.90), and homosexually experienced men had almost 7 times higher risk of lifetime suicide attempts than heterosexual men (RR=6.93, 95%CI: 3.65–13.15). Sexual minority men and women were more likely than heterosexual men and women to have disclosed suicide attempts to a medical professional (RR=1.48 and RR=1.44, respectively). Among persons who ever attempted suicide, sexual minority women had a younger age of index attempt than heterosexual women (15.9 versus 19.6 years of age, respectively). Health care professionals should be aware of suicidal risk heterogeneity among sexual minority individuals, including vulnerable points of risk and evidenced-based treatments.