Sexual orientation and risk of suicide attempts among a representative sample of youth.
Sexual orientation and risk of suicide attempts among a representative sample of youth.
复制标题
青少年代表性样本中的性取向和自杀未遂风险。
DOI：
10.1001/archpedi.153.5.487
复制
发表时间：
1999
影响因子：
--
通讯作者：
E. Goodman
中科院分区：
文献类型：
--
作者：
R. Garofalo;R. Wolf;L. Wissow;E. Woods;E. Goodman
客观化
以检验性取向是否是自杀企图的独立危险因素。
设计
数据来自马萨诸塞州1995年疾病控制和预防中心青年危险行为调查，其中包括一个关于性取向的问题。预先选择的10个吸毒、5个性行为和5个暴力/受害变量被评估为可能的中介变量。分层Logistic回归模型确定了自杀企图的独立预测因素。
设置
马萨诸塞州的公立高中。
参与者
以人口为基础的具有代表性的高中生样本。4167人中有3,365人(81%)同时回答了自杀未遂和性取向问题。
主要结果衡量标准
在过去的一年中自我报告的自杀未遂。
结果
129名学生(3.8%)自认为是男同性恋、女同性恋、双性恋或不确定自己的性取向。性别、年龄、种族/民族、性取向和所有20种危害健康的行为都与自杀企图有关(P<；.001)。男同性恋者、女同性恋者、双性恋者或不确定的年轻人报告自杀企图的可能性是3.41倍。基于分层Logistic回归，女性(优势比[OR]，4.43；95%可信区间[CI]，3.30-5.93)，GLBN取向(OR，2.28；95%CI，1.39-3.37)，西班牙裔(OR，2.21；95%CI，1.44-3.99)，更高的暴力/受害水平(OR，2.06；95%CI，1.80-2.36)，以及更多吸毒(OR，1.31；95%可信区间1.22-1.41)是自杀未遂的独立预测因子(P<；.001)。预测自杀企图的性别分析显示，在男性中，GLBN取向的OR增加(OR，3.74；95%CI，1.92-7.28)，而在女性中，GLBN取向不是自杀的显著预测因素。
结论
男同性恋者、女同性恋者、双性恋者或不确定的年轻人报告自杀企图的频率显著增加。性取向与男性的自杀企图有独立的联系，而对女性来说，性取向与自杀的联系可能是通过吸毒和暴力/受害行为来调节的。
OBJECTIVE
To examine whether sexual orientation is an independent risk factor for reported suicide attempts.
DESIGN
Data were from the Massachusetts 1995 Centers for Disease Control and Prevention Youth Risk Behavior Survey, which included a question on sexual orientation. Ten drug use, 5 sexual behavior, and 5 violence/ victimization variables chosen a priori were assessed as possible mediating variables. Hierarchical logistic regression models determined independent predictors of suicide attempts.
SETTING
Public high schools in Massachusetts.
PARTICIPANTS
Representative, population-based sample of high school students. Three thousand three hundred sixty-five (81%) of 4167 responded to both the suicide attempt and sexual orientation questions.
MAIN OUTCOME MEASURE
Self-reported suicide attempt in the past year.
RESULTS
One hundred twenty-nine students (3.8%) self-identified as gay, lesbian, bisexual, or not sure of their sexual orientation (GLBN). Gender, age, race/ethnicity, sexual orientation, and all 20 health-risk behaviors were associated with suicide attempt (P<.001). Gay, lesbian, bisexual, or not sure youth were 3.41 times more likely to report a suicide attempt. Based on hierarchical logistic regression, female gender (odds ratio [OR], 4.43; 95% confidence interval [CI], 3.30-5.93), GLBN orientation (OR, 2.28; 95% CI, 1.39-3.37), Hispanic ethnicity (OR, 2.21; 95% CI, 1.44-3.99), higher levels of violence/ victimization (OR, 2.06; 95% CI, 1.80-2.36), and more drug use (OR, 1.31; 95% CI, 1.22-1.41) were independent predictors of suicide attempt (P<.001). Gender-specific analyses for predicting suicide attempts revealed that among males the OR for GLBN orientation increased (OR, 3.74; 95% CI, 1.92-7.28), while among females GLBN orientation was not a significant predictor of suicide.
CONCLUSIONS
Gay, lesbian, bisexual, or not sure youth report a significantly increased frequency of suicide attempts. Sexual orientation has an independent association with suicide attempts for males, while for females the association of sexual orientation with suicidality may be mediated by drug use and violence/victimization behaviors.
同性恋青少年经历的性取向和发展挑战。
影响因子：
3.2
作者：
Rotheram-Borus,MJ;Fernandez,MI
通讯作者：
Fernandez,MI
影响因子：
3.2
作者：
Shaffer,D;Fisher,P;Hicks,RH;Parides,M;Gould,M
通讯作者：
Gould,M