Understanding the processes underlying self-harm ideation and behaviors within LGBTQ+ young people: A qualitative study
Understanding the processes underlying self-harm ideation and behaviors within LGBTQ+ young people: A qualitative study
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了解 LGBTQ 年轻人自我伤害观念和行为的过程：一项定性研究
DOI：
10.1080/13811118.2021.2003273
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发表时间：
2021
影响因子：
2.8
通讯作者：
Williams A
中科院分区：
文献类型：
--
作者：
Williams A
目的本研究旨在了解LGBTQ+青少年在有或没有自杀意图的情况下的自我伤害思想和行为的形成过程。方法在2019年10月至2020年5月期间进行了19次半结构化访谈。参与者年龄在16到25岁之间，有过自残的想法和行为，并且是LGBTQ+保护伞的一部分。一系列的性取向和性别认同被代表：11名参与者是顺性，6名是变性人，2名是非二元性。采访是逐字逐句的匿名记录。专题分析和反思性成员检查用于制定专题框架。结果从访谈中发展出三个主题，并由四位参与反思性成员检查的参与者评估。研究结果表明，LGBTQ+的内部过程和外部反应导致了自我伤害的想法和行为。除此之外，与年轻人有关的额外压力因素也会导致自残的困难。这项研究的结果表明，年轻人经常因为一些原因而难以接受他们的LGBTQ+身份，这可能是由于资源的获取，也可能是他们对自己身份的感受。这些消极的自我认知会因他人的不良反应和额外的生活压力而增强，这些压力会影响他们的自尊或自我认知。理解和接受一个人是LGBTQ+并不总是一个简单的过程，与这些想法作斗争可能会导致自残。LGBTQ+术语的缺乏阻碍了自我接受，并导致年轻人参与自残。同龄人和家庭成员对年轻人LGBTQ+身份的反应非常重要，并可能直接导致自我伤害的想法和经历。
ObjectiveThis study aims to understand the processes underlying self-harmful thoughts and behaviors, with and without suicidal intent, among LGBTQ+ young people.MethodNineteen semi-structured interviews took place between October 2019 and May 2020. Participants were aged between 16 and 25 years, had experiences of self-harm ideation and behaviors, and were part of the LGBTQ+ umbrella. A range of sexualities and gender identities were represented: eleven participants were cisgender, six were transgender and two were non-binary. Interviews were transcribed verbatim and anonymised. Thematic analysis and reflective member-checking were used to develop a thematic framework.ResultsThree themes were developed from the interviews and evaluated by four participants who engaged with reflective member-checking. Findings indicated that internal processes and external responses to being LGBTQ+ resulted in self-harmful thoughts and behaviors. Alongside these, additional stressors related to being a young person were led to difficulties with self-harm.ConclusionsFindings from this study indicate that young people often struggle with accepting their LGBTQ+ identity for a number of reasons, whether this is due to access to a resource or their own feelings about their identity. These negative self-perceptions can be enhanced by poor responses from others and additional life stressors which impact their self-esteem or self-perception.HIGHLIGHTSUnderstanding and accepting that one is LGBTQ+ is not always a simple process, struggling with these thoughts can influence self-harm.Lack of LGBTQ+ terminology hinders self-acceptance and caused young people to engage with self-harm.Peers and family members responses to a young people’s LGBTQ+ identity is highly significant and can directly led to self-harmful thoughts and experiences.