Minority Stressors, Social Provisions, and Past-Year Suicidal Ideation and Suicide Attempts in a Sample of Sexual Orientation and Gender Identity/Expression Minority People in Canada.

IF 3.9 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
LGBT health Pub Date : 2024-10-01 Epub Date: 2024-04-01 DOI:10.1089/lgbt.2022.0344
Todd A Coleman, Kenny Chee, Robert Chin-See, Ramez Salama, Maria Sajan, Macie Narbonne, Robb Travers, Simon Coulombe
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引用次数: 0

Abstract

Purpose: Mental health disparities in sexual orientation and/or gender identity and/or expression (SOGIE) minority groups are well-documented, with research consistently showing higher levels of suicidality, even in Canada, considered one of the world's most accepting countries of SOGIE minority groups. Adverse outcomes in these groups are often framed using minority stress theory, with social support frequently studied as an integral buffer to these outcomes. This analysis explores facets of minority stress and social support associated with past-year suicidal ideation and suicide attempts. Methods: A cross-sectional internet survey of SOGIE diverse people in Canada (n = 1542) was conducted. Binary logistic regression calculated bivariate and multivariate factors associated with past-year suicidal ideation and suicide attempts. Backward elimination (retaining sociodemographic factors and self-rated mental health) identified salient minority stress and social support (provisions) factors. Results: Over half (56.72%) of participants had ever thought of dying by suicide, with 24.84% having attempted suicide. During the past year, 26.80% had thought of dying by suicide, with 5.32% having attempted suicide. Victimization events, and guidance (e.g., someone to talk to about important decisions) and attachment (e.g., close relationships providing emotional security) social provision subscales remained salient after backward elimination procedures. Conclusion: Our findings emphasize that a fulsome, multilevel approach considering structural, community, and individual strategies to address overt discrimination, integrating social connections and guidance, is necessary to prevent dying by suicide.

加拿大性取向和性别认同/表达少数群体样本中的少数群体压力源、社会规定以及过去一年的自杀意念和自杀企图。
目的:性取向和/或性别认同和/或表达(SOGIE)少数群体在心理健康方面的差异有据可查,即使是在被认为是世界上最能接受性取向和/或性别认同和/或表达(SOGIE)少数群体的国家之一的加拿大,研究也一直表明自杀率较高。这些群体的不良后果通常以少数群体压力理论为框架,而社会支持经常被研究为这些后果不可或缺的缓冲因素。本分析探讨了与过去一年自杀意念和自杀未遂相关的少数群体压力和社会支持的各个方面。研究方法对加拿大不同性别的人群(n = 1542)进行了横断面互联网调查。二元逻辑回归计算了与过去一年自杀意念和自杀未遂相关的二元和多元因素。反向排除法(保留社会人口学因素和自我心理健康评价)确定了突出的少数群体压力和社会支持(供给)因素。研究结果半数以上(56.72%)的参与者曾有过自杀的念头,24.84%的参与者曾试图自杀。在过去一年中,26.80%的人曾想过自杀,5.32%的人曾试图自杀。受害事件、指导(如在做出重要决定时有人倾诉)和依恋(如提供情感安全感的亲密关系)社会供给子量表在经过逆向消除程序后仍具有显著性。结论我们的研究结果强调,要预防自杀死亡,就必须采取全面、多层次的方法,考虑结构、社区和个人策略,解决公开歧视问题,并整合社会联系和指导。
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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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