Impact of Victimization on Risk of Suicide Among Lesbian, Gay, and Bisexual High School Students in San Francisco
Impact of Victimization on Risk of Suicide Among Lesbian, Gay, and Bisexual High School Students in San Francisco
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DOI：
10.1016/j.jadohealth.2011.07.009
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发表时间：
2012-04-01
影响因子：
7.6
通讯作者：
Howard, Kelli
中科院分区：
文献类型：
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作者：
Shields, John P.;Whitaker, Kelly;Howard, Kelli
目的：本研究调查了旧金山公立高中青少年的性取向、受害和自杀风险相关结果之间的关联。方法：使用双变量和逻辑回归方法对复杂样本进行了 2009 年青少年风险行为调查的数据分析，以检验性取向、受害和三种自杀风险相关结果（悲伤/抑郁、自杀计划和自杀未遂）之间的关系，同时控制人口统计和药物使用。结果：女同性恋、男同性恋或双性恋 (LGB) 青少年据报告，与异性恋青少年相比，药物使用、受害和自杀风险相关结果的发生率明显更高。然而，在受控回归模型中，无论性取向如何，受害都是悲伤/抑郁和自杀企图的重要预测因素。性取向和受害之间对自杀计划存在显着的交互作用，异性恋青少年比 LGB 青少年受到的影响更大。结论：结果强调了受害对自杀风险相关结果的有害影响，无论性取向如何。由于 LGB 青少年的受害率持续上升，有效的暴力预防方法必须侧重于减少青少年，特别是 LGB 青少年中的暴力行为。额外的研究应侧重于确定可能有助于进一步解释 L、GB 青少年自杀风险升高的其他因素。 (C) 2012 年青少年健康与医学协会。版权所有。
Purpose: This study investigated the association between sexual orientation, victimization, and suicide risk-related outcomes among youth attending public high schools in San Francisco.Methods: Data from the 2009 Youth Risk Behavior Survey were analyzed using bivariate and logistic regression methods for complex samples to examine the relationship between sexual orientation, victimization, and three suicide risk-related outcomes (sadness/depression, suicide planning, and attempting suicide) while controlling for demographics and substance use.Results: Lesbian, gay, or bisexual (LGB) youth reported significantly higher rates of substance use, victimization, and suicide risk-related outcomes than heterosexual youth. However, in the controlled regression models, victimization was a significant predictor of sadness/depression and suicide attempts, regardless of sexual orientation. There was a significant interaction effect between sexual orientation and victimization on suicide planning, with heterosexual youth more affected than LGB youth.Conclusions: Results underscore the deleterious effect of victimization on suicide risk-related outcomes, regardless of sexual orientation. As LGB youth continue to report higher rates of victimization, effective violence prevention approaches must focus on reducing violence among youth, specifically LGB youth. Additional research should focus on identification of other factors that may help further explain elevated suicide risk among L,GB youth. (C) 2012 Society for Adolescent Health and Medicine. All rights reserved.