The roles of school in supporting LGBTQ+ youth: A systematic review and ecological framework for understanding risk for suicide-related thoughts and behaviors.

The roles of school in supporting LGBTQ+ youth: A systematic review and ecological framework for understanding risk for suicide-related thoughts and behaviors.
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DOI:
10.1016/j.jsp.2021.11.006
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发表时间:
2022-04
影响因子:
5
通讯作者:
Griffin D
Griffin D
中科院分区:
心理学1区
文献类型:
--
作者:
Marraccini ME;Ingram KM;Naser SC;Grapin SL;Toole EN;O'Neill JC;Chin AJ;Martinez RR Jr;Griffin D

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现有的关于自杀相关思想和行为(STB)的文献强调了特定小型化人群中风险模式的增加,包括女同性恋者、男同性恋者、双性恋者、变性人、质疑者、双性恋者、双性恋和酷儿(LGBTQ+)青年。与他们的异性恋和顺性别同龄人相比,LGBTQ+青少年患STB的风险更高。同负性和反同性恋等身份特异性应激源被认为是导致这种风险的独特因素之一,并抑制了防止自杀的因素。学校环境一直是自杀预防和干预的焦点,也可能在将学生与护理联系起来方面发挥关键作用;然而,学校也有可能为LGBTQ+学生提供可能缓冲STB风险因素的支持和经验。这篇系统的文献综述介绍了44项研究的结果,这些研究考察了LGBTQ+学生中与学校有关的STB的相关性,为学校环境下预防自杀提供了一种生态学方法。研究结果强调了学校环境对于在LGBTQ+青少年中预防STB的重要性。优先考虑安全和接受LGBTQ+青少年的方法应该跨越学生生态的多个层面,包括区和州一级的政策以及学校计划和干预,如性别和性行为联盟以及普遍的欺凌预防计划。除了作为行为健康服务的主要接入点的角色外,学校还提供了一个独特的机会,通过促进积极的社会关系和LGBTQ+学生的安全社区来对抗少数族裔压力,从而支持自杀预防。
The extant literature on suicide-related thoughts and behaviors (STB) has highlighted increased patterns of risk among specific minoritized populations, including lesbian, gay, bisexual, transgender, questioning, intersex, two spirit, and queer (LGBTQ+) youth. Compared to their heterosexual and cisgender peers, LGBTQ+ youth are at increased risk for having STB. Identity-specific stressors such as homonegativity and anti-queerness are among the unique factors posited to contribute to this risk and inhibit factors that protect against suicide. The school setting has been a focal point for suicide prevention and intervention and may also play a key role in linking students to care; however, schools also hold the potential to provide supports and experiences that may buffer against risk factors for STB in LGBTQ+ students. This systematic literature review presents findings from 44 studies examining school-related correlates of STB in LGBTQ+ students, informing an ecological approach to suicide prevention for school settings. Findings underscore the importance of school context for preventing STB in LGBTQ+ youth. Approaches that prioritize safety and acceptance of LGBTQ+ youth should span multiple layers of a student’s ecology, including district and state level policies and school programs and interventions, such as Gender and Sexuality Alliances and universal bullying prevention programs. Beyond their role as a primary access point for behavioral health services, schools offer a unique opportunity to support suicide prevention by combating minority stressors through promoting positive social relationships and a safe community for LGBTQ+ students.
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