A daily diary study of minority stressors, suicidal ideation, nonsuicidal self-injury ideation, and affective mechanisms among sexual and gender minority youth.
A daily diary study of minority stressors, suicidal ideation, nonsuicidal self-injury ideation, and affective mechanisms among sexual and gender minority youth.
复制标题
对性少数和性别少数青少年的少数压力源、自杀意念、非自杀自残意念以及情感机制进行每日日记研究。
DOI：
10.1037/abn0000813
复制
发表时间：
2023
期刊：
影响因子：
--
通讯作者：
Yen,Shirley
中科院分区：
文献类型：
--
作者：
Mereish,EthanH;Peters,JessicaR;Brick,LeslieAD;Killam,MatthewA;Yen,Shirley
性和性别少数青年（SGMY）比他们的异性恋和顺性别青年更容易产生自杀想法和行为（STB）和非自杀性自伤（NSSI）。独特的压力源（即少数民族压力源）具体SGMY的污名化身份，如歧视或隐瞒自己的身份被假定来解释这些差异。然而，有有限的研究探讨少数民族的压力，情感中介过程，STB和NSSI在SGMY的日常生活之间的关联。我们进行了一项为期28天的日常日记研究，以测试日常消极和积极的影响和情绪失调之间的少数压力源和STB和NSSI之间的SGMY谁是从临床和社区环境招募的中介作用。参与者为92名SGMY，年龄12-19岁（M= 16.45; SD= 1.81; 64%为顺性别; 69%为白色）。结果表明，天SGMY经历了外部和内在的少数压力，他们报告了更大的自杀和非自杀自伤的想法和情感困扰的强度（即，更大的负面影响，更低的积极影响，更多的情绪失调）。在同一天，更大的情感反应过程与更大的自杀和非自杀自伤意念强度相关。大多数的内部人之间的关联外部和内化少数民族的压力和意念强度介导的负面影响和情绪失调，但不降低积极影响。我们的研究结果提供了SGMY之间这些关联的第一个证据，推进了少数压力模型，并对临床干预措施产生影响，因为我们确定了可改变的情感机制。（PsycInfo数据库记录（c）2024阿帕，保留所有权利）
Sexual and gender minority youth (SGMY) are at greater risk than their heterosexual and cisgender counterparts for suicidal thoughts and behaviors (STB) and nonsuicidal self-injury (NSSI). Unique stressors (ie, minority stressors) specific to SGMY's stigmatized identities such as discrimination or concealment of one's identity are posited to explain these disparities. However, there is limited research examining the associations among minority stressors, affective mediating processes, and STB and NSSI in SGMY's daily lives. We conducted a 28-day daily diary study to test the mediating effects of daily negative and positive affect and emotion dysregulation between minority stressors and STB and NSSI among SGMY who were recruited from clinical and community settings. Participants were 92 SGMY, aged 12–19 years old (M= 16.45; SD= 1.81; 64% cisgender; 69% White). Results indicated that on days SGMY experienced external and internalized minority stressors, they reported greater intensity of suicidal and nonsuicidal self-injurious ideation and affective distress (ie, greater negative affect, lower positive affect, and more emotion dysregulation). Greater affective reactivity processes were associated with greater suicidal and nonsuicidal self-injurious ideation intensity on the same day. Most of the within-person associations between external and internalized minority stressors and ideation intensity were mediated by heightened negative affect and emotion dysregulation but not lower positive affect. Our results provide the first evidence of these associations among SGMY, advance the minority stress model, and have implications for clinical interventions as we identified modifiable affective mechanisms.(PsycInfo Database Record (c) 2024 APA, all rights reserved)