Suicidality and depression disparities between sexual minority and heterosexual youth: a meta-analytic review.
Suicidality and depression disparities between sexual minority and heterosexual youth: a meta-analytic review.
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DOI：
10.1016/j.jadohealth.2011.02.005
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发表时间：
2011-08
影响因子：
7.6
通讯作者：
Brent, David A.
中科院分区：
文献类型：
--
作者：
Marshal, Michael P.;Dietz, Laura J.;Friedman, Mark S.;Stall, Ron;Smith, Helen A.;McGinley, James;Thoma, Brian C.;Murray, Pamela J.;D'Augelli, Anthony R.;Brent, David A.
关键词：
研究性少数青年（SMY）和异性恋青年之间的自杀率和抑郁症状的差异。METHODS单独的荟萃分析进行了研究自杀和抑郁的差异。如果参与者的平均年龄<18岁，并且比较了SMY和异性恋青年的自杀或抑郁症状，则纳入研究。与异性恋青年相比，SMTSSMY报告的自杀率（比值比[OR] = 2.92）和抑郁症状（标准化平均差异，d = 0.33）显著较高。差异随着自杀倾向严重程度的增加而增加（意念[OR = 1.96]、意图/计划[OR = 2.20]、自杀企图[OR = 3.18]、需要医疗的自杀企图[OR = 4.17]）。影响并没有不同的性别，招聘来源，和性取向definition.CONCLUSIONSDISparities在自杀和抑郁症可能会受到负面的经验，包括歧视和受害。临床医生应评估性取向，分析心理社会史，以确定相关的风险因素，并促进SMY及其家庭的预防和干预机会。
PURPOSETo examine disparities between sexual minority youth (SMY) and heterosexual youth in rates of suicidality and depression symptoms.METHODSSeparate meta-analyses were conducted to examine suicidality and depression disparities. Studies were included if the average age of the participants was <18 years, and if suicidality or depression symptoms were compared across SMY and heterosexual youth.RESULTSSMY reported significantly higher rates of suicidality (odds ratio [OR] = 2.92) and depression symptoms (standardized mean difference, d = .33) as compared with the heterosexual youth. Disparities increased with the increase in the severity of suicidality (ideation [OR = 1.96], intent/plans [OR = 2.20], suicide attempts [OR = 3.18], suicide attempts requiring medical attention [OR = 4.17]). Effects did not vary across gender, recruitment source, and sexual orientation definition.CONCLUSIONSDisparities in suicidality and depression may be influenced by negative experiences including discrimination and victimization. Clinicians should assess sexual orientation, analyze psychosocial histories to identify associated risk factors, and promote prevention and intervention opportunities for SMY and their families.
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