Protective and Risk Factors for Suicidal Ideation and Behavior Among Sexual Minority Women in the United States: A Cross-Sectional Study.

IF 3.9 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH LGBT health Pub Date : 2024-07-01 Epub Date: 2024-02-06 DOI:10.1089/lgbt.2023.0003
Emylia Terry, Jennifer R Pharr, Ravi Batra, Kavita Batra
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Abstract

Purpose: The purpose of this study was to understand the factors associated with suicidal ideation and behavior and serious suicidal ideation and behavior among sexual minority women (SMW), including resilience, discrimination, mental health, and sociodemographic characteristics. Methods: Web-based surveys were conducted with SMW from across the United States during January-February, 2022 using psychometric valid tools. Bivariate, hierarchical regression, and logistic regression analyses were used to analyze the data. Results: Of 497 participants, 70% were identified as bisexual and 30% as lesbian. The mean scores for anxiety, depression, and stress were significantly higher among bisexual women compared to their lesbian counterparts (p < 0.05). The proportion of serious suicidal ideation and behavior was higher among bisexual women compared to lesbian women (53.9% vs. 41.2%, p = 0.012). Conversely, the mean scores of resilience were lower among bisexual women compared to lesbian women (139.7 ± 33.4 vs. 147.5 ± 33.6, p = 0.024). Lesbian women had nearly 57.4% lower odds of having serious suicidal ideation and behavior as compared to bisexual women (adjusted odds ratio = 0.426; p = 0.023). Experiencing anxiety, depression, victimization distress, and family discrimination distress were positively associated with serious suicidal ideation and behavior, whereas personal resilience and family cohesion were negatively associated with serious suicidal ideation and behavior. Conclusions: Tackling structural inequities such as racism and homophobia remains vital to improving the mental health of SMW. Interventions to strengthen social and familial supports may be particularly impactful, especially at the family level.

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美国性少数群体妇女自杀意念和行为的保护因素和风险因素:一项横断面研究。
目的:本研究旨在了解与性少数群体女性(SMW)自杀意念和行为以及严重自杀意念和行为相关的因素,包括复原力、歧视、心理健康和社会人口特征。调查方法在 2022 年 1 月至 2 月期间,使用有效的心理测量工具对全美的性少数群体女性进行了网络调查。数据分析采用了二元分析、层次回归分析和逻辑回归分析。结果:在 497 名参与者中,70% 被认定为双性恋,30% 被认定为女同性恋。与女同性恋相比,双性恋女性的焦虑、抑郁和压力平均得分明显更高(P = 0.012)。相反,与女同性恋相比,双性恋女性的复原力平均得分较低(139.7 ± 33.4 vs. 147.5 ± 33.6,p = 0.024)。与双性恋女性相比,女同性恋有严重自杀意念和行为的几率要低近 57.4%(调整后的几率比 = 0.426;p = 0.023)。焦虑、抑郁、受害困扰和家庭歧视困扰与严重自杀意念和行为呈正相关,而个人复原力和家庭凝聚力与严重自杀意念和行为呈负相关。结论解决种族主义和仇视同性恋等结构性不平等问题对于改善法定最低年龄人群的心理健康仍然至关重要。加强社会和家庭支持的干预措施可能会产生特别大的影响,尤其是在家庭层面。
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来源期刊
LGBT health
LGBT health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH -
CiteScore
6.60
自引率
6.20%
发文量
80
期刊介绍: LGBT Health is the premier peer-reviewed journal dedicated to promoting optimal healthcare for millions of sexual and gender minority persons worldwide by focusing specifically on health while maintaining sufficient breadth to encompass the full range of relevant biopsychosocial and health policy issues. This Journal aims to promote greater awareness of the health concerns particular to each sexual minority population, and to improve availability and delivery of culturally appropriate healthcare services. LGBT Health also encourages further research and increased funding in this critical but currently underserved domain. The Journal provides a much-needed authoritative source and international forum in all areas pertinent to LGBT health and healthcare services. Contributions from all continents are solicited including Asia and Africa which are currently underrepresented in sex research.
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