Examining the intersection of race/ethnicity and sexual orientation on suicidal ideation and suicide attempt among adolescents: Findings from the 2017 Youth Risk Behavior Survey
Examining the intersection of race/ethnicity and sexual orientation on suicidal ideation and suicide attempt among adolescents: Findings from the 2017 Youth Risk Behavior Survey
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DOI：
10.1016/j.jpsychires.2020.02.029
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发表时间：
2020-06-01
影响因子：
4.8
通讯作者：
Muehlenkamp, Jennifer J.
中科院分区：
文献类型：
--
作者：
Baiden, Philip;LaBrenz, Catherine A.;Muehlenkamp, Jennifer J.
虽然一些研究已经研究了与自杀行为相关的因素，但很少有研究探讨性取向和种族/民族对青少年自杀行为的交叉影响。本研究的目的是探讨性取向和种族/民族对自杀意念和自杀企图的交叉影响。我们假设，控制已知的自杀行为的危险因素的影响，将有一个自杀行为的性取向和种族/民族之间的相互作用。这项研究的数据来自2017年青年危险行为监测系统。使用二元logistic回归分析了13，697名14 - 18岁青少年（51.8%为女性）的样本。在13，697名青少年中，17.7%报告了自杀意念，7.7%在过去12个月内至少有一次自杀企图。在多因素Logistic回归模型中，非白少数性取向青少年报告自杀意念的可能性较小。然而，西班牙裔女同性恋/男同性恋青少年自杀企图的几率高出1.71倍。黑人或非裔美国人双性恋青少年自杀企图的几率高出1.2倍，美国印第安人/夏威夷土著人/太平洋岛民双性恋青少年自杀企图的几率高出2.44倍。自杀行为的其他重要预测因素包括性侵犯史，欺凌的受害者，抑郁症，吸烟，滥用处方止痛药和非法药物使用。本研究的结果扩展了过去关于性取向和种族/民族对青少年心理健康问题（包括自杀行为）的交叉研究。
Although some studies have examined factors associated with suicidal behaviors, few studies have examined the intersection of sexual orientation and race/ethnicity on suicidal behaviors among adolescents. The objective of this study is to examine the intersection of sexual orientation and race/ethnicity on suicidal ideation and suicide attempt. We hypothesized that controlling for the effects of known risk factors for suicidal behaviors, there will be an interaction effect between sexual orientation and race/ethnicity on suicidal behaviors. Data for this study came from the 2017 Youth Risk Behavior Surveillance System. A sample of 13,697 adolescents aged 14-18 years (51.8% female) was analyzed using binary logistic regression. Of the 13,697 adolescents, 17.7% reported suicidal ideation and 7.7% made at least one suicide attempt during the past 12 months. In the multivariate logistic regression models, non-While sexual minority adolescents are less likely to report suicidal ideation. However, Hispanic lesbian/gay adolescents had 1.71 times higher odds of making a suicide attempt. Odds of suicide attempt are 1.2 times higher for Black or African American bisexual adolescents and American Indian/Native Hawaiian/Pacific Islander bisexual adolescents had 2.44 times higher odds of making a suicide attempt. Other significant predictors of suicidal behaviors include a history of sexual assault, a victim of bullying, depression, cigarette smoking, misuse of prescription pain medication, and illicit drug use. The findings of the present study extend past research on the intersection of sexual orientation and race/ethnicity on mental health problems among adolescents including suicidal behaviors.