Suicide Risk for Sexual Minorities in Middle and Older Age: Evidence From the National Survey on Drug Use and Health
Suicide Risk for Sexual Minorities in Middle and Older Age: Evidence From the National Survey on Drug Use and Health
复制标题
DOI：
10.1016/j.jagp.2018.12.023
复制
发表时间：
2019-05-01
影响因子：
7.2
通讯作者：
Nakash, Ora
中科院分区：
文献类型：
--
作者：
Capistrant, Benjamin D.;Nakash, Ora
目的：尚无研究使用全国代表性数据来估计 50 岁以上女同性恋、男同性恋或双性恋 (LGB) 成年人与异性恋者在自杀意念、计划和尝试方面的差异。方法：我们使用 2015-2017 年全国药物使用和健康调查数据来估计 50 岁以上 LGB 成年人与异性恋者相比，在过去 12 个月内自我报告的自杀意念、计划和企图的患病率。结果：据估计，美国有超过 185,000 名 50 岁以上的 LGB 成年人在前一年有过自杀意念。调整性别和种族/民族后，50岁以上的LGB个体的自杀意念患病率比异性恋者高4.5个百分点（患病率差异[PD]：0.045；95%置信区间[CI]：0.022，0.067）。在有自杀意念的人中，50岁以上的LGB个体的自杀计划发生率比异性恋者高17.2个百分点（PD：0.172；95％CI：0.011，0.332）。结论：中老年 LGB 成年人比异性恋同龄人有更高的自杀意念和计划。
Objective: No studies have estimated the difference in suicidal ideation, plans, and attempts for lesbian, gay, or bisexual (LGB) adults aged 50+ compared with heterosexuals using nationally representative data. Methods: We used 2015-2017 National Survey on Drug Use and Health data to estimate the prevalence of self-reported suicidal ideation, plans, and attempts for LGB adults 50+ compared with heterosexuals in the preceding 12 months. Results: Over 185,000 LGB adults aged 50+ in the United States were estimated to have had suicidal ideation in the preceding year. After adjusting for sex and race/ethnicity, LGB individuals aged 50+ had a 4.5 percentage point higher prevalence of suicidal ideation compared with heterosexuals (prevalence difference [PD]: 0.045; 95% confidence interval [CI]: 0.022, 0.067). Of those with suicidal ideation, LGB individuals aged 50+ had a 17.2 percentage point higher prevalence of suicide plans compared with heterosexuals (PD: 0.172; 95% CI: 0.011, 0.332). Conclusion: LGB adults in middle and older age have higher suicidal ideation and plans than heterosexual peers.