A systematic review and meta-analysis of victimisation and mental health prevalence among LGBTQ+ young people with experiences of self-harm and suicide.
A systematic review and meta-analysis of victimisation and mental health prevalence among LGBTQ+ young people with experiences of self-harm and suicide.
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DOI：
10.1371/journal.pone.0245268
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发表时间：
2021
期刊：
影响因子：
3.7
通讯作者：
Michail M
中科院分区：
文献类型：
--
作者：
Williams AJ;Jones C;Arcelus J;Townsend E;Lazaridou A;Michail M
LGBTQ+青年的自我伤害和自杀率高于顺性别，异性恋同龄人。对这些人群中风险的普遍程度知之甚少。第一个系统性综述和荟萃分析，以调查整个LGBTQ+伞中年轻人的风险患病率，并在自我伤害，自杀意念和自杀行为方面有经验;以及LGBTQ+伞组之间的差异。运行MEDLINE、Scopus、EMBASE、PsycINFO和Web of Science检索，以识别定量研究论文（数据库开始日期至2020年1月31日）。纳入的文章是实证定量研究，研究了LGBTQ+年轻人（12-25岁）与自我伤害，自杀意念或自杀行为相关的风险。筛选了2457篇文章，由两名独立评审员完成。104项研究符合纳入标准，其中40项研究的数据可以进行有意义的荟萃分析。这项分析表明，在有自残和自杀经历的LGBTQ+青年中，自杀和心理健康困难是风险。随机效应模型用于主要分析和计划的亚组分析。受害和心理健康是通过所有分析确定的自我伤害和自杀维度的关键风险因素。在有自残或自杀经历的LGBTQ+年轻人中，自杀和精神健康困难的合并患病率分别为0.36和0.39。计算的比值比表明，特别是高水平的mammisation（3.74）和心理健康的困难（2.67）相比，顺性别，异性恋的同行谁也有这些经验。受害和心理健康问题在有自残和自杀经历的LGBTQ+青年中非常普遍。由于报告的不一致性，进一步的风险综合很有限。考虑到研究的全球包容性，这些结果可以在各国得到考虑，并为政策和自杀预防措施提供信息。CRD 42019130037。
LGBTQ+ youth have higher rates of self-harm and suicide than cisgender, heterosexual peers. Less is known about prevalence of risks within these populations. The first systematic review and meta-analysis to investigate the prevalence of risks among young people throughout the LGBTQ+ umbrella with experiences across the dimension of self-harm, suicidal ideation and suicide behaviour; and how they may differ between LGBTQ+ umbrella groups. MEDLINE, Scopus, EMBASE, PsycINFO, and Web of Science searches were run to identify quantitative research papers (database inception to 31st January, 2020). Articles included were empirical quantitative studies, which examined risks associated with self-harm, suicidal ideation or suicidal behaviour in LGBTQ+ young people (12–25 years). 2457 articles were identified for screening which was completed by two independent reviewers. 104 studies met inclusion criteria of which 40 had data which could be meta-analysed in a meaningful way. This analysis represents victimisation and mental health difficulties as risks among LGBTQ+ youth with self-harm and suicide experiences. Random-effects modelling was used for the main analyses with planned subgroup analyses. Victimisation and mental health were key risk factors across the dimension self-harm and suicide identified through all analyses. A pooled prevalence of 0.36 was indicated for victimisation and 0.39 for mental health difficulties within LGBTQ+ young people with experiences of self-harm or suicide. Odds ratios were calculated which demonstrated particularly high levels of victimisation (3.74) and mental health difficulties (2.67) when compared to cisgender, heterosexual counterparts who also had these experiences. Victimisation and mental health difficulties are highly prevalent among LGBTQ+ youth with experiences of self-harm and suicide. Due to inconsistency of reporting, further risk synthesis is limited. Given the global inclusion of studies, these results can be considered across countries and inform policy and suicide prevention initiatives. CRD42019130037.
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