Sexual and gender minority identity, peer victimization, and suicidality in adolescents: A mediation study using the ABCD Study.

IF 6.5 1区医学 Q1 PSYCHIATRY

Journal of Child Psychology and Psychiatry Pub Date : 2025-03-24 DOI:10.1111/jcpp.14155

Sen Liu, Devin English, Yunyu Xiao, Yan Li, Li Niu

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引用次数: 0

Abstract

Background: Sexual and gender minority (SGM) youth are more susceptible to suicidal ideation and attempts compared to their heterosexual and cisgender peers. Yet, it is unclear how interpersonal and online victimization experiences account for the elevated suicide risks in this population. This study investigates the extent of peer and cyber victimization among SGM youth and its contribution to their higher risks of suicidal ideation and attempts longitudinally.

Methods: Data were from the first three waves of the Adolescent Brain Cognitive Development (ABCD) Study (5,596 9-10-year-old youth; 2,640 [47.2%] female; 3,107 [55.5%] non-Hispanic White). Youth reported sexual and gender identities and experiences of peer (overt, relational, reputational) and cyber victimization. Suicidal ideation and attempts were assessed using youth reports of Kiddie Schedule for Affective Disorders and Schizophrenia for DSM-5. We used mixed-effects logistic regression to quantify the association between SGM identity reported at waves 1-2 (9-11 years) and suicidal ideation and attempts at wave 3 (11-12 years) and longitudinal mediation analysis to determine whether peer and cyber victimization accounted for these associations.

Results: SGM youth were at greater risk for lifetime suicidal ideation (odds ratio [OR] 4.75, 95% CI 3.74-6.03), lifetime suicide attempts (OR 5.87, 95% CI 3.72-9.28), and current suicidal ideation or attempts (OR 4.94, 95% CI 3.19-7.68) compared to non-SGM youth. SGM youth experienced elevated peer (overt: β = 0.40, 95% CI 0.31-0.49; relational: β = 0.43, 95% CI 0.34-0.53; reputational: β = 0.51, 95% CI 0.42-0.60) and cyber victimization (OR 2.35, 95% CI 1.77-3.11). Around 22%-28% of the disparities in current suicidal ideation or attempts were mediated by peer or cyber victimization.

Conclusions: SGM youth are disproportionately affected by both interpersonal and online victimization, which are subsequently associated with their elevated suicide risks. Our findings underscore the urgent need for targeted interventions to foster safer school and online environments to reduce suicide among SGM youth.

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青少年的性和性别少数认同、同伴受害和自杀：一项使用ABCD研究的中介研究。

背景：与异性恋和顺性同龄人相比，性少数和性别少数（SGM）青少年更容易产生自杀意念和企图。然而，目前尚不清楚人际和网络受害经历如何解释这一人群中自杀风险的增加。本研究调查了SGM青少年的同伴和网络受害程度及其对自杀意念和企图的高风险的贡献。方法：数据来自青少年大脑认知发展（ABCD）研究的前三波(5596名9-10岁青少年；女性2640人（47.2%）；3107[55.5%]非西班牙裔白人)。青少年报告了性和性别身份以及同伴（公开的、关系的、声誉的）和网络受害的经历。自杀意念和企图使用DSM-5的儿童情感障碍和精神分裂症时间表的青少年报告进行评估。我们使用混合效应逻辑回归来量化第1-2波（9-11年）报告的SGM身份与第3波（11-12年）的自杀意念和企图之间的关联，并使用纵向中介分析来确定同伴和网络受害是否占这些关联的原因。结果：与非SGM青年相比，SGM青年终生自杀意念（比值比[OR] 4.75, 95% CI 3.74-6.03）、终生自杀企图（OR 5.87, 95% CI 3.72-9.28）和当前自杀意念或企图（OR 4.94, 95% CI 3.19-7.68）的风险更高。SGM青年同伴水平升高(显性：β = 0.40, 95% CI 0.31-0.49；相关性：β = 0.43, 95% CI 0.34-0.53；声誉：β = 0.51, 95% CI 0.42-0.60)和网络受害（OR 2.35, 95% CI 1.77-3.11）。目前自杀意念或企图的差异中约有22%-28%是由同伴或网络受害者造成的。结论：SGM青少年不成比例地受到人际和网络伤害的影响，这随后与他们更高的自杀风险相关。我们的研究结果强调，迫切需要有针对性的干预措施，以促进更安全的学校和网络环境，以减少SGM青少年的自杀行为。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Child Psychology and Psychiatry 医学-精神病学

CiteScore

13.80

自引率

5.30%

发文量

169

审稿时长

1 months

期刊介绍： The Journal of Child Psychology and Psychiatry (JCPP) is a highly regarded international publication that focuses on the fields of child and adolescent psychology and psychiatry. It is recognized for publishing top-tier, clinically relevant research across various disciplines related to these areas. JCPP has a broad global readership and covers a diverse range of topics, including: Epidemiology: Studies on the prevalence and distribution of mental health issues in children and adolescents. Diagnosis: Research on the identification and classification of childhood disorders. Treatments: Psychotherapeutic and psychopharmacological interventions for child and adolescent mental health. Behavior and Cognition: Studies on the behavioral and cognitive aspects of childhood disorders. Neuroscience and Neurobiology: Research on the neural and biological underpinnings of child mental health. Genetics: Genetic factors contributing to the development of childhood disorders. JCPP serves as a platform for integrating empirical research, clinical studies, and high-quality reviews from diverse perspectives, theoretical viewpoints, and disciplines. This interdisciplinary approach is a key feature of the journal, as it fosters a comprehensive understanding of child and adolescent mental health. The Journal of Child Psychology and Psychiatry is published 12 times a year and is affiliated with the Association for Child and Adolescent Mental Health (ACAMH), which supports the journal's mission to advance knowledge and practice in the field of child and adolescent mental health.