Minority stressors and suicidal ideation in sexual and gender minority youth assigned female at birth: Prospective associations and racial differences.

Minority stressors and suicidal ideation in sexual and gender minority youth assigned female at birth: Prospective associations and racial differences.
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DOI:
10.1111/sltb.12912
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发表时间:
2022-12
影响因子:
3.2
通讯作者:
Whitton, Sarah W.
Whitton, Sarah W.
中科院分区:
医学2区
文献类型:
--
作者:
Lawlace, Margaret;Newcomb, Michael E.;Whitton, Sarah W.

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自杀意念(SI)对性少数群体和性别少数群体(SGM)与顺性/异性恋青年的影响不成比例,可能是由于他们面临的少数群体应激源(MS)。研究表明,SGM多发性硬化症与自杀性之间的横截面关联;然而,很少有研究使用纵向数据或检查多发性硬化症对自杀性的影响的种族差异。目前的研究测试了多发性硬化症是否预测下一年的SI,以及种族是否缓和了这些预期的关联。369名黑人、拉丁裔和白人SGM青年在6个月和12个月后完成了MS、SI和人口统计学的基线测量,以及SI。内在化的耻辱、微侵略性和来自家庭和重要他人的低支持与下一年的SI相关。然而,当控制基线SI时,只有低显著的其他支持预测明年的SI。适度分析表明,内化污名预测白人个体的SI,而不是黑人或拉丁裔个体的SI,而较低的朋友支持与拉丁裔个体的SI有关,但与白人或黑人个体的SI无关。尽管少数应激源似乎增加了SGM中SI的风险,但影响可能因种族而异。内化的污名可能对白人SGM中的SI特别有影响,而缺乏朋友的支持可能对拉丁裔SGM青年中的SI影响最大。
Suicidal ideation (SI) disproportionately affects sexual and gender minority (SGM) versus cisgender/heterosexual youth, likely due to the minority stressors (MS) they face. Research has shown cross‐sectional associations between SGM MS and suicidality; however, few studies have used longitudinal data or examined racial differences in the effects of MS on SI. The current study tested whether MS prospectively predict next‐year SI and whether race moderates these prospective associations. Three hundred and sixty‐nine Black, Latinx, and White SGM youth completed baseline measures of MS, SI, and demographics, and SI 6 and 12 months later. Internalized stigma, microaggressions, and low support from family and from significant others demonstrated associations with next‐year SI. When controlling for baseline SI, however, only low significant other support predicted next‐year SI. Moderation analyses indicated that internalized stigma predicted SI for White, but not Black or Latinx, individuals and that lower friend support was associated with SI for Latinx, but not White or Black, individuals. Though minority stressors appear to raise risk for SI among SGM, effects may differ by race. Internalized stigma may be particularly influential for SI among White SGM whereas lack of support from friends may be most influential for SI among Latinx SGM youth.
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