Adolescent sexual orientation and suicide risk: Evidence from a national study

Adolescent sexual orientation and suicide risk: Evidence from a national study
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DOI:
10.2105/ajph.91.8.1276
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发表时间:
2001-08-01
影响因子:
12.7
通讯作者:
Joyner, K
Joyner, K
中科院分区:
医学2区
文献类型:
--
作者:
Russell, ST;Joyner, K

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目标。在过去的20年里,性取向一直是青少年自杀的一个有争议的风险因素。这项研究调查了性取向和自杀之间的联系,使用了具有全国代表性的数据,包括其他重要的青少年自杀风险因素。研究人员检查了全国青少年健康纵向研究的数据。采用调查逻辑回归控制样本设计效果。青少年的性取向和自杀的想法和行为之间有着密切的联系。性取向对自杀念头的强烈影响是由关键的青少年自杀风险因素介导的,包括抑郁、绝望、酗酒、同伴或家庭成员最近的自杀企图以及受害经历。研究结果提供了强有力的证据,证明性少数青少年比他们的同龄人更有可能考虑和尝试自杀。
Objectives. Sexual orientation has been a debated risk factor for adolescent suicidality over the past 20 years. This study examined the link between sexual orientation and suicidality, using data that are nationally representative and that include other critical youth suicide risk factors.Methods. Data from the National Longitudinal Study of Adolescent Health were examined. Survey logistic regression was used to control for sample design effects.Results. There is a strong link between adolescent sexual orientation and suicidal thoughts and behaviors. The strong effect of sexual orientation on suicidal thoughts is mediated by critical youth suicide risk factors, including depression, hopelessness, alcohol abuse, recent suicide attempts by a peer or a family member, and experiences of victimization.Conclusions. The findings provide strong evidence that sexual minority youths are more likely than their peers to think about and attempt suicide.