The Social Environment and Suicide Attempts in Lesbian, Gay, and Bisexual Youth
The Social Environment and Suicide Attempts in Lesbian, Gay, and Bisexual Youth
复制标题
DOI：
10.1542/peds.2010-3020
复制
发表时间：
2011-05-01
期刊：
影响因子：
8
通讯作者：
Hatzenbuehler, Mark L.
中科院分区：
文献类型：
--
作者：
Hatzenbuehler, Mark L.
目的：在控制个人层面风险因素的情况下，确定女同性恋、男同性恋和双性恋青年周围的社会环境是否可能导致他们更高的自杀未遂率。方法：2006-2008年俄勒冈州共31 852名11年级学生（1413名[4.4%]女同性恋、男同性恋和双性恋者）完成俄勒冈州健康青少年调查。我们为34个县的社会环境创建了一个综合指数，包括(1)同性伴侣的比例，(2)注册民主党人的比例，(3)学校中同性恋-异性恋联盟的存在，以及(4)学校政策（非歧视和反欺凌）特别保护女同性恋，男同性恋和双性恋学生。结果：与异性恋者相比，女同性恋、男同性恋和双性恋青年在过去12个月内企图自杀的可能性明显更高（21.5% vs 4.2%）。在女同性恋、男同性恋和双性恋青年中，在不支持的环境中企图自杀的风险比在支持的环境中高出20%。在控制了社会人口学变量和自杀企图的多种危险因素（包括抑郁症状、酗酒、同伴受害和成年人的身体虐待）后，支持性更强的社会环境与更少的自杀企图显著相关（优势比：0.97[95%置信区间：0.96-0.99]）。结论：本研究记录了社会环境的客观测量与女同性恋、男同性恋和双性恋青年自杀企图之间的联系。社会环境似乎比个人层面的风险因素更能增加自杀企图的风险。这些结果对于制定政策和干预措施以减少与性取向有关的自杀企图差异具有重要意义。儿科2011;127:896 - 903
OBJECTIVE: To determine whether the social environment surrounding lesbian, gay, and bisexual youth may contribute to their higher rates of suicide attempts, controlling for individual-level risk factors.METHODS: A total of 31 852 11th grade students (1413 [4.4%] lesbian, gay, and bisexual individuals) in Oregon completed the Oregon Healthy Teens survey in 2006-2008. We created a composite index of the social environment in 34 counties, including (1) the proportion of same-sex couples, (2) the proportion of registered Democrats, (3) the presence of gay-straight alliances in schools, and (4) school policies (nondiscrimination and antibullying) that specifically protected lesbian, gay, and bisexual students.RESULTS: Lesbian, gay, and bisexual youth were significantly more likely to attempt suicide in the previous 12 months, compared with heterosexuals (21.5% vs 4.2%). Among lesbian, gay, and bisexual youth, the risk of attempting suicide was 20% greater in unsupportive environments compared to supportive environments. A more supportive social environment was significantly associated with fewer suicide attempts, controlling for sociodemographic variables and multiple risk factors for suicide attempts, including depressive symptoms, binge drinking, peer victimization, and physical abuse by an adult (odds ratio: 0.97 [95% confidence interval: 0.96-0.99]).CONCLUSIONS: This study documents an association between an objective measure of the social environment and suicide attempts among lesbian, gay, and bisexual youth. The social environment appears to confer risk for suicide attempts over and above individual-level risk factors. These results have important implications for the development of policies and interventions to reduce sexual orientation-related disparities in suicide attempts. Pediatrics 2011;127:896-903