Suicide ideation, planning, and attempts: the case of the Latinx LGB youth
Suicide ideation, planning, and attempts: the case of the Latinx LGB youth
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DOI：
10.15171/hpp.2019.28
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发表时间：
2019-01-01
影响因子：
4.4
通讯作者：
Fatehi, Mariam
中科院分区：
文献类型：
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作者：
Boyas, Javier F.;Villarreal-Otalora, Tatiana;Fatehi, Mariam
背景资料：本研究以生态系统理论为框架，探讨了拉丁裔LGB群体自杀意念到自杀未遂的微观、中观和宏观因素对自杀行为的影响（女同性恋，男同性恋，双性恋）青年生活在美国。方法：这项横断面研究的数据包括451名参与者，他们在2017年全国青年风险行为调查中自认为是拉丁裔LGB。该分析探讨了微观，中观和宏观层面的因素与三个自杀结局（构思，计划和企图）在双变量和多变量水平的关联。由于结果变量是二分的，单变量Logistic回归和向后消除logistic regressions.Results：最常报告的自杀行为是意念（n = 173; 40%），其次是计划（n = 150; 34%），然后尝试（n = 64; 21%）。对自杀意念的后向消除逻辑回归的结果表明，最好的自变量是在学校被欺负（比值比[OR] = 2.81; CI：1.61-4.89），经历过性侵犯（OR = 2.32; CI：1.32-4.07），有抑郁症状（OR = 1.99; CI：1.07-3.69），大麻使用者（OR = 1.76; CI：1.08-2.89），女性（OR = 1.72; CI：1.01-2.93）。对于自杀计划，模型建议，经历抑郁症状（OR = 3.21; CI：1.74-5.91），大麻使用（OR = 2.46; CI：1.49-4.07），在学校被欺负（OR = 2.04; CI：1.17-3.58）和遭受性侵犯（OR = 1.88; CI：1.07-3.31）表现出最强的关系。自杀企图与大麻使用显著相关（OR = 3.12; CI：1.60-6.08），有抑郁症（OR= 2.89; CI：1.30-6.43），曾遭受性侵犯（OR = 2.77，CI：1.34-5.71），在学校被欺负（OR = 2.34，CI：1.12-4.91）。根据这项研究的结果，必须建立有针对性的自杀预防措施，以独特地解决种族/种族和性取向以及这种交叉如何影响与拉丁裔LGB青少年自杀意念，计划和企图相关的微观，中观和宏观因素。
Background: Guided by an ecological systems theory (EST) framework, the purpose of the present study was to investigate how multiple micro, mezzo, and macro factors influence the suicidality continuum from suicidal ideation to suicide attempt among Latinx LGB (lesbian, gay, and bisexual) youth living in the United States.Methods: Data for this cross sectional-study included 451 participants who self-identified as Latinx LGB on the 2017-National Youth Risk Behavioral Survey. The analysis explored micro, mezzo, and macro-level factors' association with three suicidality outcomes (ideation, planning, and attempt) at the bivariate and multivariate level. Since the outcome variables were dichotomized, univariate logistic regressions and backward elimination logistic regressions were used.Results: The most commonly reported suicidal behavior was ideation (n = 173; 40%), followed by planning (n = 150; 34%), and then attempt (n = 64; 21%). Findings from the backward elimination logistic regression on suicidal ideation suggest the best set of independent variables are being bullied at school (odds ratio [OR] = 2.81; CI: 1.61-4.89), experiencing sexual assault (OR = 2.32; CI: 1.32-4.07), experiencing depressive symptoms (OR = 1.99; CI: 1.07-3.69), being cannabis use (OR = 1.76; CI: 1.08-2.89), and being female (OR = 1.72; CI: 1.01-2.93). For suicide planning the model suggested, experiencing depressive symptoms (OR = 3.21; CI: 1.74-5.91), cannabis use (OR = 2.46; CI: 1.49-4.07), being bullied at school (OR = 2.04; CI: 1.17-3.58), and experiencing sexual assault (OR = 1.88; CI: 1.07-3.31) exhibited the strongest relationships. Suicide attempt was significantly associated with cannabis use (OR = 3.12; CI: 1.60-6.08), experiencing depression (OR= 2.89; CI: 1.30-6.43), experiencing sexual assault (OR = 2.77; CI: 1.34-5.71), and being bullied at school (OR = 2.34; CI: 1.12-4.91).Conclusion: Given the findings of this study, it is essential that tailored suicide prevention efforts be established that uniquely address the intersections of race/ethnicity and sexual orientation and how this intersection influences micro, mezzo, and macro factors associated with suicide ideation, planning, and attempt among Latinx LGB adolescents.