Association of Sexual Orientation with Exposure to Suicide and Related Emotional Distress among US Adults.
Association of Sexual Orientation with Exposure to Suicide and Related Emotional Distress among US Adults.
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美国成年人的性取向与自杀及相关情绪困扰的关系。
DOI：
10.1080/13811118.2022.2127386
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发表时间：
2023
期刊：
影响因子：
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通讯作者：
McKay,Tara
中科院分区：
文献类型：
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作者：
Clark,KirstyA;Sexton,JosephF;McKay,Tara
目的自杀丧亲之痛是一个重大的公共卫生问题。使用具有全国代表性的调查数据，我们量化了美国成年人自杀暴露频率和与自杀暴露相关的情绪困扰的性取向差异。方法我们使用了 2016 年综合社会调查 (GSS) 的横截面数据，包括性少数群体（即女同性恋、男同性恋、双性恋；(n=74, 5.3%) 和异性恋者 (n=1,207, 94.7%) 成人。 GSS 询问了与自杀暴露相关的几个问题，包括一生中自杀暴露的次数、与自杀暴露相关的情绪困扰、自自杀暴露以来经过的时间以及与死者的关系和感知的亲密程度。我们使用描述性统计数据来描述不同性取向的自杀暴露特征的差异。在那些至少经历过一次自杀的人中（n= 698， 51.1%），加权多变量逻辑回归模型检查了性取向与自杀暴露相关的情绪困扰之间的关联，并调整了混杂因素。结果性少数群体报告了相似的终生自杀暴露次数，并且在其他自杀暴露特征上与异性恋者没有显着差异。然而，与异性恋相比，性少数群体遭受严重情绪困扰的几率要高出 3.14 倍。 与自杀暴露相关的痛苦（95% CI = 1.42–6.94，p= .005）。 结论 也许由于污名化的哀悼经历，性少数成年人特别容易受到与自杀暴露相关的严重情绪困扰。未来的研究旨在了解针对性少数群体的丧亲支持服务和公共政策（例如丧假）的范围以及支持性少数群体的干预措施的发展 少数族裔成年人在自杀暴露后的应对措施是有必要的。 要点 大约一半的性少数美国成年人报告一生有过自杀暴露 性少数成年人经历更严重的与自杀暴露相关的情绪困扰 预防护理应量身定制，以满足性少数成年人的需求
ObjectiveSuicide bereavement is a significant public health concern. Using nationally representative survey data, we quantify sexual orientation differences in frequency of suicide exposure and suicide exposure-related emotional distress among US adults.MethodsWe used cross-sectional data from the 2016 General Social Survey (GSS) and included sexual minority (i.e., lesbian, gay, bisexual; (n= 74, 5.3%) and heterosexual (n= 1,207, 94.7%) adults. The GSS asked several questions related to suicide exposure including number of lifetime suicide exposures, emotional distress related to suicide exposure, time elapsed since suicide exposure, and relationship(s) and perceived closeness to the person(s) who died. We use descriptive statistics to describe differences in suicide exposure characteristics across sexual orientation. Among those who were exposed to at least one suicide (n= 698, 51.1%), a weighted multivariable logistic regression model examined the association between sexual orientation and suicide exposure-related emotional distress adjusting for confounders.ResultsSexual minorities reported a similar number of lifetime suicide exposures and were not significantly different from heterosexuals on other suicide exposure characteristics. However, sexual minority, compared to heterosexual, respondents experienced 3.14 greater odds of severe emotional distress related to suicide exposure (95% CI = 1.42–6.94,p= .005).ConclusionPerhaps due to stigmatizing mourning experiences, sexual minority adults are particularly vulnerable to severe suicide exposure-related emotional distress. Future research to understand the scope of sexual minority-specific bereavement support services and public policies (e.g., bereavement leave) as well as intervention development to support sexual minority adults’ coping in the wake of suicide exposure is warranted.HIGHLIGHTSApproximately half of sexual minority US adults report a lifetime suicide exposureSexual minority adults experience more severe suicide exposure-related emotional distressPostvention care should be tailored to meet the needs of sexual minority adults