Anticipated discrimination and suicidal behaviors among Black gay and bisexual male adolescents: the moderating role of developmental assets.

IF 4.9 3区 医学 Q1 PEDIATRICS
Donte T Boyd, Arielle H Sheftall
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引用次数: 0

Abstract

Background: Black gay and bisexual male adolescents (BGBMA) face disproportionately high rates of suicidal behaviors, shaped by intersecting racial and sexual minority stressors. Anticipated discrimination-a future-oriented minority stressor-may be an important yet understudied correlate of suicidality in this population. Guided by the Developmental Assets Framework, this study examined whether internal developmental assets (positive identity, positive values, social competencies) mitigate the association between anticipated discrimination and suicidal behaviors among BGBMA.

Methods: Data were drawn from 384 BGBMA aged 14-17 years residing in three Midwestern U.S. cities who completed an anonymous online Qualtrics survey between December 2023 and January 2024. Suicidal behaviors were assessed using a self-report adaptation of the Columbia-Suicide Severity Rating Scale (C-SSRS). Anticipated discrimination was measured with a nine-item subscale of the Intersectional Discrimination Index, and internal developmental assets were assessed with validated scales of positive identity, positive values, and social competencies. Linear regression models tested main effects of anticipated discrimination and internal assets on suicidal behaviors, followed by moderation analyses examining interaction terms between anticipated discrimination and each asset.

Results: Higher anticipated discrimination was significantly associated with greater suicidal behaviors (b = 0.46, p = 0.001). Positive identity (b = - 0.56, p < 0.001) and social competencies (b = - 0.78, p < 0.001) were each associated with lower suicidal behaviors. Two significant moderation effects emerged. Positive identity buffered the association between anticipated discrimination and suicidal behaviors (interaction b = - 0.23, p = 0.011); at high levels of positive identity, anticipated discrimination was no longer significantly associated with suicidal behaviors. In contrast, social competencies amplified the discrimination-suicidality association (interaction b = 0.49, p = 0.015), such that anticipated discrimination was most strongly related to suicidal behaviors at high levels of social competencies.

Conclusions: Anticipated discrimination is a robust correlate of suicidal behaviors among BGBMA. Internal developmental assets do not function uniformly: positive identity appears protective, whereas higher social competencies may confer vulnerability under conditions of anticipated discrimination. Findings underscore the need for developmentally and culturally grounded suicide prevention strategies that both strengthen identity-related assets and address discrimination-related stress in Black gay and bisexual male adolescents.

黑人男同性恋和双性恋男性青少年的预期歧视与自杀行为:发展资产的调节作用。
背景:黑人同性恋和双性恋男性青少年(BGBMA)面临着不成比例的高自杀行为率,这是由种族和性少数群体交叉的压力因素造成的。预期歧视——一种面向未来的少数民族压力源——可能是这一人群自杀的重要关联,但尚未得到充分研究。在发展资产框架的指导下,本研究考察了内部发展资产(积极认同、积极价值观、社会能力)是否缓解了预期歧视与BGBMA自杀行为之间的关联。方法:数据来自384名14-17岁居住在美国中西部三个城市的BGBMA,他们在2023年12月至2024年1月期间完成了一项匿名在线质量调查。采用哥伦比亚自杀严重程度评定量表(C-SSRS)的自我报告对自杀行为进行评估。预期歧视用交叉歧视指数的九项子量表测量,内部发展资产用积极认同、积极价值观和社会能力的有效量表评估。线性回归模型测试了预期歧视和内部资产对自杀行为的主要影响,随后进行了适度分析,检查了预期歧视和每个资产之间的相互作用项。结果:较高的预期歧视与较高的自杀行为显著相关(b = 0.46, p = 0.001)。积极认同(b = - 0.56, p < 0.001)和社会能力(b = - 0.78, p < 0.001)均与较低的自杀行为相关。出现了两个显著的调节效应。积极认同缓冲了预期歧视与自杀行为之间的关联(交互作用b = - 0.23, p = 0.011);在高水平的积极认同中,预期歧视不再与自杀行为显著相关。相反,社会能力放大了歧视与自杀的关系(交互作用b = 0.49, p = 0.015),因此,高社会能力水平的预期歧视与自杀行为的关系最为密切。结论:预期歧视与BGBMA患者的自杀行为密切相关。内部发展资产的作用并不一致:积极的身份似乎具有保护作用,而较高的社会能力可能在预期的歧视条件下赋予脆弱性。研究结果强调了发展和文化基础的自杀预防策略的必要性,这些策略既能加强与身份相关的资产,又能解决黑人同性恋和双性恋男性青少年中与歧视相关的压力。
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来源期刊
Child and Adolescent Psychiatry and Mental Health
Child and Adolescent Psychiatry and Mental Health PEDIATRICSPSYCHIATRY-PSYCHIATRY
CiteScore
7.00
自引率
3.60%
发文量
84
审稿时长
16 weeks
期刊介绍: Child and Adolescent Psychiatry and Mental Health, the official journal of the International Association for Child and Adolescent Psychiatry and Allied Professions, is an open access, online journal that provides an international platform for rapid and comprehensive scientific communication on child and adolescent mental health across different cultural backgrounds. CAPMH serves as a scientifically rigorous and broadly open forum for both interdisciplinary and cross-cultural exchange of research information, involving psychiatrists, paediatricians, psychologists, neuroscientists, and allied disciplines. The journal focusses on improving the knowledge base for the diagnosis, prognosis and treatment of mental health conditions in children and adolescents, and aims to integrate basic science, clinical research and the practical implementation of research findings. In addition, aspects which are still underrepresented in the traditional journals such as neurobiology and neuropsychology of psychiatric disorders in childhood and adolescence are considered.
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