State policies and suicidal behavior among sexual and gender minority college students.

IF 3.6 2区医学 Q1 PSYCHIATRY

Social Psychiatry and Psychiatric Epidemiology Pub Date : 2025-04-21 DOI:10.1007/s00127-025-02903-6

Michelle Flesaker, Even Paglisotti, Christina E Freibott, Jaimie L Gradus, Sarah K Lipson

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引用次数: 0

Abstract

Purpose: While lesbian, gay, bisexual, transgender/nonbinary, and queer/questioning (LGBTQ+) college students are at heightened risk of suicidal ideation and attempt compared to cisgender and heterosexual students, few studies have examined system-level factors to reduce these risks. We investigated associations between state-level policies and suicidal behavior by gender identity (cisgender sexual minority; CSM, and transgender/nonbinary; TNB) among U.S. LGBTQ + young adults attending 135 institutions.

Methods: State policy tallies, from the Movement Advancement Project, represent a sum of LGBTQ+-related laws, with indices for protective (positive) and discriminatory (negative) legislation for an overall score (range: -23.5 to 42.5). We linked tallies with student survey data from LGBTQ + young adult participants (18-24 years) in the 2022-2023 Healthy Minds Study (n = 15,861). We used multilevel models to calculate odds ratios (OR) and 95% confidence intervals (CI) for associations between 10-point increases in overall, sexual orientation, and gender identity tallies and suicidal behavior.

Results: A 10-point increase in overall policy tally was associated with an 8% reduction in the odds of suicidal ideation in CSM participants (OR = 0.92, 95% CI = 0.87, 0.97) and a 7% reduction in TNB participants (OR = 0.93, 95% CI = 0.87, 1.00). Associations were observed between overall policy tallies and suicide attempt among CSM, but not TNB students. We observed congruent results for sexual orientation- and gender-specific tallies.

Conclusion: Protective state policy was associated with lower odds of suicidal ideation among LGBTQ + college students. We build upon evidence demonstrating the importance of system-level protections for LGBTQ + individuals.

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国家政策与性少数和性别少数大学生的自杀行为。

目的：虽然女同性恋、男同性恋、双性恋、跨性别/非双性恋和酷儿/质疑（LGBTQ+）大学生与异性恋和异性恋学生相比有更高的自杀意念和企图风险，但很少有研究调查了系统层面的因素来降低这些风险。我们调查了州一级政策与性别认同自杀行为之间的关系(性少数群体；CSM和跨性别/非二元；在美国135个机构的LGBTQ +年轻人中。方法：来自运动推进项目（Movement Advancement Project）的国家政策统计，代表了与LGBTQ+相关的法律的总和，其中保护性（积极）和歧视性（消极）立法的指数为总分（范围：-23.5至42.5）。我们将统计结果与2022-2023年健康心理研究（n = 15,861）中LGBTQ +年轻成人参与者（18-24岁）的学生调查数据联系起来。我们使用多水平模型来计算总体、性取向和性别认同数据增加10个点与自杀行为之间的比值比（OR）和95%置信区间（CI）。结果：总体政策得分增加10点，CSM参与者自杀意念的几率降低8% (OR = 0.92, 95% CI = 0.87, 0.97)， TNB参与者自杀意念的几率降低7% （OR = 0.93, 95% CI = 0.87, 1.00）。在CSM学生中观察到总体政策与自杀企图之间的联系，而在TNB学生中没有。我们观察到性取向和性别统计结果一致。结论：国家保护政策与LGBTQ +大学生较低的自杀意念发生率相关。我们建立在证明系统层面保护LGBTQ +个人重要性的证据之上。

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

Social Psychiatry and Psychiatric Epidemiology 医学-精神病学

CiteScore

8.50

自引率

2.30%

发文量

184

审稿时长

3-6 weeks

期刊介绍： Social Psychiatry and Psychiatric Epidemiology is intended to provide a medium for the prompt publication of scientific contributions concerned with all aspects of the epidemiology of psychiatric disorders - social, biological and genetic. In addition, the journal has a particular focus on the effects of social conditions upon behaviour and the relationship between psychiatric disorders and the social environment. Contributions may be of a clinical nature provided they relate to social issues, or they may deal with specialised investigations in the fields of social psychology, sociology, anthropology, epidemiology, health service research, health economies or public mental health. We will publish papers on cross-cultural and trans-cultural themes. We do not publish case studies or small case series. While we will publish studies of reliability and validity of new instruments of interest to our readership, we will not publish articles reporting on the performance of established instruments in translation. Both original work and review articles may be submitted.