Suicide Acceptability and Sexual Orientation: Results from the General Social Survey 2008-2014.
Suicide Acceptability and Sexual Orientation: Results from the General Social Survey 2008-2014.
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自杀可接受性和性取向：2008-2014 年综合社会调查结果。
DOI：
10.1080/13811118.2017.1377132
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发表时间：
2017
期刊：
影响因子：
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通讯作者：
Whitfield,DarrenL
中科院分区：
文献类型：
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作者：
Blosnich,JohnR;Lytle,MeganC;Coulter,RobertWS;Whitfield,DarrenL
女同性恋、男同性恋和双性恋（LGB）个体的终生自杀意念和企图的患病率高于他们的异性恋同龄人，但对自杀可接受性的差异知之甚少（即，相信自杀是解决问题的可行办法）。这项研究的目的是检查是否LGB成人有更大的自杀接受比异性恋成人。在2008年至2014年的综合社会调查中，共有4个项目评估了一个具有全国代表性的美国成年受访者样本（n = 5，037）是否认为个人自杀是可以接受的，如果一个人破产，羞辱他们的家庭，厌倦了生活，或者患有不治之症。在调整混杂因素后，使用多元逻辑回归分析来评估性取向与自杀可接受性项目的相关性。与异性恋者相比，女同性恋者在破产（OR = 1.92; 95%CI：1.06，3.46）、使家庭蒙羞（OR = 1.83; 95%CI：1.01，3.28）或厌倦生活（OR = 2.25; 95%CI：1.30，3.90）时报告自杀可接受性的几率更高。双性恋和异性恋群体在4个自杀可接受性项目上基本相似。没有观察到性取向差异报告接受自杀的情况下，一种不治之症。事后分析显示，性别和性取向之间存在显著的相互作用，自杀可接受性的差异似乎是由性少数女性而不是性少数男性驱动的。自杀的可接受性因性取向而异，围绕改变自杀规范的社区干预措施可能是性少数个体的预防策略。
Lesbian, gay, and bisexual (LGB) individuals have higher prevalence of lifetime suicide ideation and attempt than their heterosexual peers, but less is known about differences in suicide acceptability (i.e., believing suicide is a viable answer to a problem). The purpose of this study was to examine if LGB adults had greater suicide acceptability than heterosexual adults. A total of 4 items in the General Social Surveys from 2008 to 2014 assessed whether a nationally representative sample of U.S. adult respondents (n = 5,037) thought it acceptable for individuals to kill themselves if one: goes bankrupt, dishonors their family, is tired of living, or has an incurable disease. Multiple logistic regression analyses were used to assess the association of sexual orientation with suicide acceptability items after adjusting for confounding factors. Compared with heterosexuals, lesbians/gays had higher odds of reporting suicide acceptability if one goes bankrupt (OR = 1.92; 95% CI: 1.06, 3.46), dishonors family (OR = 1.83; 95% CI: 1.01, 3.28), or is tired of living (OR = 2.25; 95% CI: 1.30, 3.90). Bisexual and heterosexual groups were largely similar across the 4 suicide acceptability items. No sexual orientation differences were observed for reporting acceptability of suicide in the instance of an incurable disease. Post hoc analyses revealed significant interactions between sex and sexual orientation, such that differences in suicide acceptability seemed to be driven by sexual minority women rather than by sexual minority men. Suicide acceptability differs by sexual orientation, and community-level interventions around changing norms about suicide may be a prevention strategy for sexual minority individuals.