Relation between sexual and gender minority status and suicide attempts among veterans seeking treatment for military sexual trauma.
Relation between sexual and gender minority status and suicide attempts among veterans seeking treatment for military sexual trauma.
复制标题
寻求军事性创伤治疗的退伍军人中性少数和性别少数地位与自杀企图之间的关系。
DOI：
10.1037/ser0000207
复制
发表时间：
2018
影响因子：
2.3
通讯作者：
Porter,KatherineE
中科院分区：
文献类型：
--
作者：
Sexton,MindenB;Davis,MargaretT;Anderson,RaeAnnE;Bennett,DianaC;Sparapani,Erin;Porter,KatherineE
尽管先前的研究表明，在平民SGM人群中，自杀未遂率很高，但对性和性别少数群体（SGM）退伍军人自杀行为的研究有限。此外，一些研究包括军事服务成员表明，那些被确定为SGM的人不成比例地暴露于军事性创伤（MST），这是负面精神后遗症的另一个风险因素。为了解决少数民族退伍军人（即，妇女，那些赞同MST，SGMs）的医疗保健研究的差距，我们检查了退伍军人（N= 277）谁参加了MST相关治疗的初步咨询预约，并完成了半结构化的临床访谈，包括人口统计学特征，自杀企图（HSA）的历史，和诊断评估的介绍。28名（10.1%）退伍军人被确定为SGM。SGM/非SGM组在自杀和精神病发病率结局方面进行了对比。总体而言，对HSA的支持率很高（30.7%）。尽管临床特征相似，但53.6%的SGM退伍军人支持HSA，而28.1%的异性恋和非变性人则支持HSA，这是小到中等大小的显著影响。研究结果表明，评估和自杀的临床管理是至关重要的临床医生提供服务的退伍军人寻求恢复MST，一般来说，可能是特别是当提供护理SGM。此外，研究结果强调，需要在文化上有能力提供以创伤为重点的干预措施。（PsycINFO数据库记录（c）2018阿帕，保留所有权利）
There is limited study of suicidal behaviors among veterans identifying as sexual and gender minorities (SGMs), despite previous research indicating rates of suicide attempts are high within civilian SGM populations. Further, some research incorporating military service members suggests those identifying as SGMs are disproportionately exposed to military sexual trauma (MST), an additional risk factor for negative psychiatric sequelae. To address health care research disparities among minority veterans (ie, women, those endorsing MST, SGMs), we examined presentations of veterans (N= 277) who attended initial consultation appointments for MST-related treatment and completed a semistructured clinical interview including demographic characteristics, history of suicide attempts (HSA), and a diagnostic evaluation. Twenty-eight (10.1%) veterans identified as SGMs. SGM/non-SGM groups were contrasted on suicidal and psychiatric morbidity outcomes. Overall, endorsement of HSA was high (30.7%). Despite similar clinical profiles, 53.6% of veterans who identified as SGM endorsed HSA in contrast with 28.1% of peers identifying as heterosexual and nontransgender, a significant effect of small-to-moderate size. Findings suggest assessment and clinical management of suicidality is of critical importance for clinicians providing services to veterans pursuing recovery from MST, generally, and may be especially so when delivering care to SGM. Further, results underscore the need for culturally competent delivery of trauma-focused interventions.(PsycINFO Database Record (c) 2018 APA, all rights reserved)