Nonsuicidal Self-Injury, Suicide Ideation, and Suicide Attempts Among Sexual Minority Children
Nonsuicidal Self-Injury, Suicide Ideation, and Suicide Attempts Among Sexual Minority Children
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DOI：
10.1037/ccp0000624
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发表时间：
2021-02-01
影响因子：
5.9
通讯作者：
Calzo, Jerel P.
中科院分区：
文献类型：
--
作者：
Blashill, Aaron J.;Fox, Kathryn;Calzo, Jerel P.
目标：此前发现，与异性恋青少年相比，性少数青少年在自伤思想和行为（SITB）方面存在差异。然而，关于儿童 SITB 的数据很少。因此，本研究的目的是评估大量美国儿童样本中 SITB 的患病率，并测试比率是否因性取向而异。方法：数据取自青少年大脑认知发展 (ABCD) 研究 2.0 基线版本。完整样本包括 11,777 名（原始）9-10 岁儿童（性少数群体 n = 150（原始））。儿童完成了青少年情感障碍和精神分裂症儿童评估表 (KSADS-5) 的计算机化版本，其中包括评估自杀意念、自杀企图和非自杀性自残 (NSSI) 的项目。未经调整和调整的模型比较了不同性取向结果的发生率。模型还根据性取向比较了 NSSI 和自杀意念的共现情况。结果：在所有结果中，与异性恋儿童相比，性少数儿童的患病率较高，优势比范围为 4.4 至 6.5。在报告 NSSI 的儿童中，与异性恋儿童相比，性少数儿童报告同时出现自杀意念的比例更高（OR = 3.8）。结论：在 9-10 岁美国儿童的大样本中，NSSI、自杀意念和自杀企图方面出现了性取向差异。结果表明，性少数儿童是 SITB 的弱势群体。鼓励将儿童纳入预防计划。
Objectives: Sexual minority adolescents have previously been found to experience disparities in selfinjurious thoughts and behaviors (SITB s) compared to heterosexual adolescents. However, there is a paucity of data on SITBs amongst children. Thus, the aim of the current study is to assess the prevalence of SITBs in a large sample of U.S. children and to test whether rates vary by sexual orientation. Methods: Data were drawn from the 2.0 baseline release of the Adolescent Brain Cognitive Development (ABCD) study. The full sample included 11,777(raw) 9-10-year-old children (sexual minority n = 150(raw)). Children completed a computerized version of the youth Kiddie Schedule for Affective Disorders and Schizophrenia (KSADS-5), including items assessing suicide ideation, suicide attempts, and nonsuicidal self-injury (NSSI). Unadjusted and adjusted models compared the prevalence of outcomes by sexual orientation. Models also compared the co-occurrence of NSSI and suicide ideation by sexual orientation. Results: Across all outcomes, sexual minority children reported elevated prevalence rates compared to heterosexual children, with odds ratios ranging from 4.4 to 6.5. Among children who reported NSSI, a greater proportion of sexual minority versus heterosexual children reported co-occurring suicide ideation (OR = 3.8). Conclusions: In a large sample of 9-10-year-old U.S. children, sexual orientation disparities emerged across NSSI, suicide ideation, and suicide attempts. Results indicate that sexual minority children are a vulnerable population for SITBs. Inclusion of children in prevention programs is encouraged.