Suicide Attempt Rates and Associations with Discrimination Are Greatest in Early Adulthood for Sexual Minority Adults Across Diverse Racial and Ethnic Groups
Suicide Attempt Rates and Associations with Discrimination Are Greatest in Early Adulthood for Sexual Minority Adults Across Diverse Racial and Ethnic Groups
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DOI：
10.1089/lgbt.2020.0142
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发表时间：
2020-12-07
期刊：
影响因子：
4.8
通讯作者：
Fish, Jessica N.
中科院分区：
文献类型：
--
作者：
Layland, Eric K.;Exten, Cara;Fish, Jessica N.
目的：本研究的目的是调查不同种族/民族的性少数群体（SM）和异性恋成年人在过去5年中自杀未遂的差异，并研究SM成年人中歧视与过去5年自杀未遂的关系。方法：利用2012年至2013年收集的具有全国代表性的数据，我们评估了过去5年中黑人、西班牙裔、白色SM和异性恋成年人（年龄18-60岁）中不同年龄段自杀企图的患病率差异。我们测试了SM成年人中歧视与自杀未遂之间的关联是否因种族/民族而异。所有次要数据分析均由宾夕法尼亚州立大学和马里兰州大学的机构审查委员会批准。结果：与任何种族/民族的异性恋成年人相比，SM成年人的自杀未遂率升高，直到20年代后期，黑人和西班牙裔SM成年人的患病率下降。对于白色SM成年人，差异持续到40多岁。在所有种族/民族的SM成年人中，SM歧视与自杀企图之间的关系在18岁至25岁之间最强。对于报告SM歧视的SM成年人，自杀企图的几率是白色SM成年人的3.6倍，黑人和西班牙裔SM成年人的4.5倍，相对于没有报告SM歧视的同种族/民族SM成年人。SM歧视的影响是强大的黑人和西班牙裔SM年轻人，即使当占种族/ethnic discrimination.Conclusions：SM成年人的所有种族/族裔群体表现出的差异与异性恋成年人的任何种族/族裔相比，虽然年龄特征的自杀企图的患病率升高不同的种族/族裔。成年早期是干预的关键时期，旨在破坏SM歧视和自杀企图之间的关联。
Purpose: The study purpose was to investigate differences in past 5-year suicide attempts among racially/ethnically diverse sexual minority (SM) and heterosexual adults across the life course and examine the association of discrimination with past 5-year suicide attempts among SM adults.Methods: Using nationally representative data collected from 2012 to 2013, we assessed differences in age-varying prevalence of past 5-year suicide attempts among Black, Hispanic, and White SM and heterosexual adults (ages 18-60). We tested whether the association between discrimination and suicide attempts differed by race/ethnicity among SM adults. All secondary data analyses were approved by the Institutional Review Boards of The Pennsylvania State University and University of Maryland.Results: Compared with heterosexual adults of any race/ethnicity, SM adults exhibited elevated suicide attempt rates until the late twenties when prevalence for Black and Hispanic SM adults declined. Disparities persisted into the mid-40s for White SM adults. Among SM adults of all races/ethnicities, the relationship between SM discrimination and suicide attempts was strongest between ages 18 and 25. For SM adults reporting SM discrimination, odds of suicide attempts were 3.6 times higher for White SM adults and 4.5 times higher for Black and Hispanic SM adults, relative to same-race/ethnicity SM adults who did not report SM discrimination. The effect of SM discrimination was robust among Black and Hispanic SM young adults even when accounting for racial/ethnic discrimination.Conclusions: SM adults of all racial/ethnic groups demonstrated disparities when contrasted with heterosexual adults of any race/ethnicity, although ages characterized by heightened prevalence rates of suicide attempts differed by race/ethnicity. Early adulthood is a critical period for intervention seeking to disrupt the association between SM discrimination and suicide attempts.