Longitudinal associations between childhood sexual abuse-related PTSD symptoms and passive and active suicidal ideation among sexual minority men.
Longitudinal associations between childhood sexual abuse-related PTSD symptoms and passive and active suicidal ideation among sexual minority men.
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DOI：
10.1016/j.chiabu.2021.105353
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发表时间：
2021-12
影响因子：
4.8
通讯作者：
Rendina HJ
中科院分区：
文献类型：
--
作者：
Scheer JR;Clark KA;Talan A;Cabral C;Pachankis JE;Rendina HJ
性少数男性报告儿童期性虐待（CSA）和成年期自杀率高。然而，机制（例如，创伤后应激障碍症状），通过CSA可能驱动自杀仍然未知。在性少数男性的前瞻性队列中，我们研究了：（1）CSA与自杀想法和行为之间的关联;（2）CSA相关的PTSD症状与自杀意念之间的前瞻性关联;以及（3）这些关联的人际调节因素。参与者包括6,305名性少数男性（法师= 33.2，SD = 11.5; 82.0%为同性恋; 53.5%为白色），他们完成了基线和一年的随访家庭在线调查。双变量分析用于评估CSA暴露参与者和非CSA暴露参与者之间的基线人口统计学和自杀倾向差异。在CSA暴露的参与者中，多变量logistic回归分析用于在基线时CSA相关PTSD症状的一年随访中回归被动和主动自杀意念。CSA相关的PTSD症状和人际关系困难之间的相互作用进行了研究。与非CSA暴露男性相比，CSA暴露的性少数男性报告的自杀企图史几率是非CSA暴露男性的2.5倍（95%CI = 2.15-2.88; p < 0.001）。在CSA暴露的性少数男性中，CSA相关的PTSD症状与被动自杀意念前瞻性相关（校正比值比[aOR] = 1.38; 95%CI = 1.19; 1.61）。无论CSA相关的PTSD症状严重程度如何，那些社会支持较低和孤独感较高的人在一年随访时主动自杀意念的风险较高。CSA相关的PTSD症状严重程度代表了导致CSA暴露的性少数男性自杀风险升高的心理机制，特别是在那些缺乏社会支持和报告孤独的人中。
Sexual minority men report high rates of childhood sexual abuse (CSA) and adulthood suicidality. However, mechanisms (e.g., PTSD symptoms) through which CSA might drive suicidality remain unknown. In a prospective cohort of sexual minority men, we examined: (1) associations between CSA and suicidal thoughts and behaviors; (2) prospective associations between CSA-related PTSD symptoms and suicidal ideation; and (3) interpersonal moderators of these associations. Participants included 6,305 sexual minority men (Mage = 33.2, SD = 11.5; 82.0% gay; 53.5% White) who completed baseline and one-year follow-up at-home online surveys. Bivariate analyses were used to assess baseline demographic and suicidality differences between CSA-exposed participants and non-CSA-exposed participants. Among CSA-exposed participants, multivariable logistic regression analyses were used to regress passive and active suicidal ideation at one-year follow-up on CSA-related PTSD symptoms at baseline. Interactions were examined between CSA-related PTSD symptoms and interpersonal difficulties. CSA-exposed sexual minority men reported two-and-a-half times the odds of suicide attempt history compared to non-CSA-exposed men (95% CI = 2.15–2.88; p < 0.001). Among CSA-exposed sexual minority men, CSA-related PTSD symptoms were prospectively associated with passive suicidal ideation (adjusted odds ratio [aOR] = 1.38; 95% CI = 1.19; 1.61). Regardless of CSA-related PTSD symptom severity, those with lower social support and greater loneliness were at elevated risk of active suicidal ideation at one-year follow-up. CSA-related PTSD symptom severity represents a psychological mechanism contributing to CSA-exposed sexual minority men’s elevated suicide risk, particularly among those who lack social support and report loneliness.
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影响因子：
3.6
作者：
Xavier Hall CD;Moran K;Newcomb ME;Mustanski B
通讯作者：
Mustanski B
影响因子：
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作者：
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影响因子：
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Stall R
影响因子：
3.3
作者：
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通讯作者：
BOWLBY, J
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作者：
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