Sexual Orientation Discordance and Nonfatal Suicidal Behaviors in U.S. High School Students.
Sexual Orientation Discordance and Nonfatal Suicidal Behaviors in U.S. High School Students.
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DOI：
10.1016/j.amepre.2018.01.013
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发表时间：
2018-04
影响因子：
5.5
通讯作者：
Kann LK
中科院分区：
文献类型：
--
作者：
Annor FB;Clayton HB;Gilbert LK;Ivey-Stephenson AZ;Irving SM;David-Ferdon C;Kann LK
对成年人的研究已经证明了性取向不一致和一些自杀风险因素之间的联系。然而，研究性取向不一致和非致命性自杀行为的青年是罕见的。本研究探讨了性取向不一致和自杀意念/自杀企图之间的关联，在美国高中生的全国代表性样本。使用来自2015年全国青年风险行为调查（n= 6，790）的性身份和性接触性别指标，构建了一个性取向不一致变量，描述了一致性和不一致性（分别为性身份和性接触性别之间的一致性和不一致性）。三个自杀相关的问题（认真考虑自杀未遂，制定自杀未遂的计划，自杀未遂）被合并为两个级别的非致命性自杀风险变量。分析仅限于确定为异性恋或男同性恋/女同性恋的学生，他们有性接触，并且没有性别或自杀变量的缺失数据。性取向不一致与非致命性自杀风险之间的关联采用逻辑回归进行评估。分析于2017年进行。大约4.0%的学生经历过性取向不一致。高自杀风险在不和谐的学生中比和谐的学生更常见（46.3%比22.4%，p<0.0001）。在调整后的模型中，不一致的学生有自杀意念/自杀企图的可能性比一致的学生高70%（调整后的患病率比=1.7，95% CI=1.4，2.0）。性取向不一致与非致命性自杀行为的可能性增加有关。不和谐的青少年可能会遇到独特的压力源，在制定和实施自杀预防计划时应予以考虑。
Studies among adults have documented association between sexual orientation discordance and some suicide risk factors. However, studies examining sexual orientation discordance and nonfatal suicidal behaviors in youth are rare. This study examines the association between sexual orientation discordance and suicidal ideation/suicide attempts among a nationally representative sample of U.S. high school students. Using sexual identity and sex of sexual contact measures from the 2015 national Youth Risk Behavior Survey (n=6,790), a sexual orientation discordance variable was constructed describing concordance and discordance (agreement and disagreement, respectively, between sexual identity and sex of sexual contacts). Three suicide-related questions (seriously considered attempting suicide, making a plan about how they would attempt suicide, and attempting suicide) were combined to create a two-level nonfatal suicide risk variable. Analyses were restricted to students who identified as heterosexual or gay/lesbian, who had sexual contact, and who had no missing data for sex or suicide variables. The association between sexual orientation discordance and nonfatal suicide risk was assessed using logistic regression. Analyses were performed in 2017. Approximately 4.0% of students experienced sexual orientation discordance. High suicide risk was significantly more common among discordant students compared with concordant students (46.3% vs 22.4%, p<0.0001). In adjusted models, discordant students were 70% more likely to have had suicidal ideation/suicide attempts compared with concordant students (adjusted prevalence ratio=1.7, 95% CI=1.4, 2.0). Sexual orientation discordance was associated with increased likelihood of nonfatal suicidal behaviors. Discordant adolescents may experience unique stressors that should be considered when developing and implementing suicide prevention programs.
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影响因子：
4.9
作者：
Burton, Chad M.;Marshal, Michael P.;Chisolm, Deena J.;Sucato, Gina S.;Friedman, Mark S.
通讯作者：
Friedman, Mark S.
影响因子：
4.4
作者：
King M;Semlyen J;Tai SS;Killaspy H;Osborn D;Popelyuk D;Nazareth I
通讯作者：
Nazareth I
影响因子：
4.9
作者：
Almeida, Joanna;Johnson, Renee M.;Corliss, Heather L.;Molnar, Beth E.;Azrael, Deborah
通讯作者：
Azrael, Deborah
影响因子：
3.2
作者：
D'Augelli, AR;Grossman, AH;Sinclair, KO
通讯作者：
Sinclair, KO
影响因子：
12.7
作者：
Lindley, Lisa L.;Walsemann, Katrina M.;Carter, Jarvis W., Jr.
通讯作者：
Carter, Jarvis W., Jr.