Longitudinal associations between peer factors and suicidal thoughts and behaviors among sexual minority women.

Longitudinal associations between peer factors and suicidal thoughts and behaviors among sexual minority women.
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DOI:
10.1016/j.jpsychires.2021.06.014
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发表时间:
2021-09
影响因子:
4.8
通讯作者:
Keenan K
Keenan K
中科院分区:
医学2区
文献类型:
--
作者:
Dorrell K;Berona J;Hipwell AE;Keenan K

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性少数年轻女性比异性恋女性更容易产生自杀想法和行为,但造成这种差异的原因尚不清楚。一种假设是,这两组妇女有着相同的同龄人相关的风险因素,但对性少数妇女的影响程度更大。我们利用从社区妇女样本(N = 2,078; 26%的性少数)中提取的6年数据来检查成年早期的自杀率,青少年同伴对后来自杀意念和行为的影响,以及性少数地位是否会调节同伴影响对自杀的影响。在整个研究期间,性少数女性的自杀率高于异性恋女性。在前瞻性分析中,同伴受害增加了未来自杀的风险,而同伴联系减弱了整个样本的风险。此外,性少数地位缓和这些关系的自杀意念和行为的大小。具体而言,异性恋女性的同伴联系对自杀意念的影响比性少数女性更强,而同性恋女性的同伴联系对自杀企图的影响比异性恋女性更强。此外,同伴伤害增加了性少数群体妇女自杀企图的风险。这项研究强调了青少年后期的同伴经历对向青年过渡期间自杀的重要性,以及这种关系如何因性少数地位而异。
Sexual minority young women endorse higher rates of suicidal thoughts and behaviors than heterosexual women, but the reasons for these disparities remain unclear. One hypothesis is that the two groups of women share peer-related risk factors, but the magnitude of effect is stronger for sexual minority women. We utilized 6 years of data drawn from a community sample of women (N = 2,078; 26% sexual minority) to examine rates of suicidality in early adulthood, adolescent peer influences on later suicidal ideation and behavior, and whether sexual minority status moderated the impact of peer influences on suicidality. Across the study period, rates of suicidality were higher among sexual minority women compared to heterosexual women. In prospective analyses, peer victimization increased risk for future suicidality whereas peer connectedness attenuated risk for the entire sample. Additionally, sexual minority status moderated the magnitude of these relationships for suicidal ideation and behavior. Specifically, the effect of peer connectedness on suicidal ideation was stronger for heterosexual women than sexual minority women, whereas the effect of peer connectedness on suicidal attempts was stronger for sexual minority than for heterosexual women. In addition, peer victimization increased risk for suicide attempts among sexual minority women. This study highlights the importance of peer experiences in late adolescence for suicidality during the transition to young adulthood, and how such relations vary by sexual minority status.
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