High suicidality rates among LGB+ youth in Japan: Demographic and psychosocial correlates

IF 4.9 2区医学 Q1 CLINICAL NEUROLOGY

Journal of affective disorders Pub Date : 2025-05-28 DOI:10.1016/j.jad.2025.119468

Adam O. Hill , Noriyo Kaneko , Natalie Amos , Adam Bourne , Mayumi Imahashi , Gregory Armstrong , Stuart Gilmour

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引用次数: 0

Abstract

Purpose

This study examines correlates of suicidal ideation and attempts in the past 12 months among lesbian, gay, bisexual, pansexual, queer, asexual and questioning (LGB+) youth in Japan, where youth suicide rates are among the highest globally.

Methods

Data were drawn from a 2024 national cross-sectional online survey in Japan, analysing 3380 cisgender LGB+ individuals aged 15–25 years. Multivariable logistic regressions were conducted to identify significant correlates regarding suicidal ideation and suicide attempts in the past 12 months.

Results

In total, 30.6 % of participants reported suicidal ideation, and 8.3 % reported suicide attempts in the past 12 months. In the multivariable regression analyses, bisexual and heterosexual-identifying participants had lower odds of experiencing suicidal ideation compared to their gay-identifying peers. Cisgender women showed higher odds of suicidal ideation than cisgender men. Living in rural or remote areas, experiencing verbal, physical or sexual harassment or being socially excluded based on sexuality or gender identity, and homelessness were all associated with increased odds of suicidal ideation. Cisgender women had higher odds of a suicide attempt compared to cisgender men. Harassment and social exclusion based on sexuality or gender identity, and recent homelessness were strongly associated with higher odds of suicide attempts.

Conclusion

This study underscores the need for targeted suicide prevention policies for LGB+ youth in Japan, focusing on anti-harassment measures, LGB+-affirming rural support services, and homelessness prevention. Moreover, these findings highlight the need for LGB+ youth to be explicitly identified as a priority population for suicide prevention in Japan when youth suicide is at record highs.

查看原文本刊更多论文

日本LGB+青年的高自杀率：人口统计学和社会心理相关性。

目的：本研究调查了日本的女同性恋、男同性恋、双性恋、泛性恋、酷儿、无性恋和质疑（LGB+）青年在过去12个 月内自杀意念和企图的相关性，日本的青年自杀率是全球最高的。方法：数据来自日本2024年全国横断面在线调查，分析了3380名年龄在15-25岁 岁的顺性别LGB+个体。进行多变量逻辑回归以确定过去12个 月内自杀意念和自杀企图的显著相关性。结果：在过去的12个 个月里，30.6 %的参与者报告有自杀意念，8.3 %的参与者报告有自杀企图。在多变量回归分析中，双性恋和异性恋参与者经历自杀意念的几率比他们的同性恋同龄人要低。顺性女性比顺性男性有更高的自杀意念。生活在农村或偏远地区，遭受口头、身体或性骚扰，或因性取向或性别认同而被社会排斥，以及无家可归，都与自杀念头的几率增加有关。与男性相比，顺性女性有更高的自杀倾向。基于性取向或性别认同的骚扰和社会排斥，以及最近的无家可归与更高的自杀企图几率密切相关。结论：本研究强调了日本LGB+青年有针对性的自杀预防政策的必要性，重点是反骚扰措施、肯定LGB+的农村支持服务和无家可归预防。此外，这些发现强调，在日本青少年自杀率创历史新高的情况下，LGB+青年需要被明确地确定为预防自杀的优先人群。

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 affective disorders 医学-精神病学

CiteScore

10.90

自引率

6.10%

发文量

1319

审稿时长

9.3 weeks

期刊介绍： The Journal of Affective Disorders publishes papers concerned with affective disorders in the widest sense: depression, mania, mood spectrum, emotions and personality, anxiety and stress. It is interdisciplinary and aims to bring together different approaches for a diverse readership. Top quality papers will be accepted dealing with any aspect of affective disorders, including neuroimaging, cognitive neurosciences, genetics, molecular biology, experimental and clinical neurosciences, pharmacology, neuroimmunoendocrinology, intervention and treatment trials.