{"title":"降低LGBTQ+自杀风险的保护因素的力量:在真空中改善一个人身份的积极方面是不够的。","authors":"Colette R Vaughan, Lucy Liotta, Erik M Benau","doi":"10.1037/ort0000864","DOIUrl":null,"url":null,"abstract":"<p><p>The goal of the present study was to determine whether positive components of lesbian, gay, bisexual, transgender, queer/questioning, and related (LGBTQ+) identity mitigate suicide risk. A sample of 260 LGBTQ+ participants completed assessments of adverse childhood experiences (ACEs), positive LGBTQ+ identity (authenticity, community, self-awareness, intimacy, social justice), outness, and self-acceptance of sexuality. Bivariate analyses indicated that ACEs were positively associated with both suicidal ideation (SI) and suicide attempts (SA). Authenticity was negatively correlated with SI, whereas a sense of community negatively correlated with SA. A multinomial logistic regression was conducted with all variables of interest entered as independent variables and suicide continuum group as the dependent variable (SI, SA, and no history of SI or SA). Compared to those with no history, individuals in the SI group reported greater ACEs and psychosocial distress. Compared to the SI group, the SA group reported significantly greater ACEs (but not distress) and a lower sense of community. Surprisingly, they also reported greater authenticity. Adding the interaction term between community and authenticity significantly improved model fit. Examination of the interaction slopes indicated that the odds of reporting an SA decreased as both authenticity and community increased. These findings suggest that fostering a sense of community may mitigate suicide risk for LGBTQ+ individuals and that authenticity in the absence of community support may increase this risk. LGBTQ+ community engagement is likely an important avenue for suicide prevention efforts. Additional findings pertaining to social desirability are also discussed. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55531,"journal":{"name":"American Journal of Orthopsychiatry","volume":" ","pages":""},"PeriodicalIF":2.1000,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"The power of protective factors to mitigate LGBTQ+ suicide risk: Improving positive aspects of one's identity in a vacuum is not enough.\",\"authors\":\"Colette R Vaughan, Lucy Liotta, Erik M Benau\",\"doi\":\"10.1037/ort0000864\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>The goal of the present study was to determine whether positive components of lesbian, gay, bisexual, transgender, queer/questioning, and related (LGBTQ+) identity mitigate suicide risk. A sample of 260 LGBTQ+ participants completed assessments of adverse childhood experiences (ACEs), positive LGBTQ+ identity (authenticity, community, self-awareness, intimacy, social justice), outness, and self-acceptance of sexuality. Bivariate analyses indicated that ACEs were positively associated with both suicidal ideation (SI) and suicide attempts (SA). Authenticity was negatively correlated with SI, whereas a sense of community negatively correlated with SA. A multinomial logistic regression was conducted with all variables of interest entered as independent variables and suicide continuum group as the dependent variable (SI, SA, and no history of SI or SA). Compared to those with no history, individuals in the SI group reported greater ACEs and psychosocial distress. Compared to the SI group, the SA group reported significantly greater ACEs (but not distress) and a lower sense of community. Surprisingly, they also reported greater authenticity. Adding the interaction term between community and authenticity significantly improved model fit. Examination of the interaction slopes indicated that the odds of reporting an SA decreased as both authenticity and community increased. These findings suggest that fostering a sense of community may mitigate suicide risk for LGBTQ+ individuals and that authenticity in the absence of community support may increase this risk. LGBTQ+ community engagement is likely an important avenue for suicide prevention efforts. Additional findings pertaining to social desirability are also discussed. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>\",\"PeriodicalId\":55531,\"journal\":{\"name\":\"American Journal of Orthopsychiatry\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":2.1000,\"publicationDate\":\"2025-07-28\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"American Journal of Orthopsychiatry\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1037/ort0000864\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"SOCIAL WORK\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"American Journal of Orthopsychiatry","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1037/ort0000864","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"SOCIAL WORK","Score":null,"Total":0}
引用次数: 0
摘要
本研究的目的是确定女同性恋、男同性恋、双性恋、跨性别、酷儿/质疑和相关(LGBTQ+)身份的积极成分是否能降低自杀风险。260名LGBTQ+参与者完成了不良童年经历(ace)、积极的LGBTQ+身份(真实性、社区、自我意识、亲密关系、社会正义)、外向性和对性的自我接受度的评估。双变量分析表明,ace与自杀意念(SI)和自杀企图(SA)呈正相关。真实性与自我认同呈负相关,而社区意识与自我认同呈负相关。将所有感兴趣的变量作为自变量,自杀连续组作为因变量(SI, SA,无SI或SA病史),进行多项逻辑回归。与没有病史的人相比,SI组的个体报告了更大的ace和社会心理困扰。与SI组相比,SA组报告了显著更高的ace(但没有痛苦)和更低的社区意识。令人惊讶的是,他们也报告了更高的真实性。加入社区与真实性之间的交互项,显著提高了模型的拟合度。相互作用斜率的检验表明,报告SA的几率随着真实性和社区的增加而降低。这些发现表明,培养社区意识可能会降低LGBTQ+个体的自杀风险,而缺乏社区支持的真实性可能会增加这种风险。LGBTQ+社区参与可能是预防自杀的重要途径。还讨论了与社会可取性有关的其他发现。(PsycInfo Database Record (c) 2025 APA,版权所有)。
The power of protective factors to mitigate LGBTQ+ suicide risk: Improving positive aspects of one's identity in a vacuum is not enough.
The goal of the present study was to determine whether positive components of lesbian, gay, bisexual, transgender, queer/questioning, and related (LGBTQ+) identity mitigate suicide risk. A sample of 260 LGBTQ+ participants completed assessments of adverse childhood experiences (ACEs), positive LGBTQ+ identity (authenticity, community, self-awareness, intimacy, social justice), outness, and self-acceptance of sexuality. Bivariate analyses indicated that ACEs were positively associated with both suicidal ideation (SI) and suicide attempts (SA). Authenticity was negatively correlated with SI, whereas a sense of community negatively correlated with SA. A multinomial logistic regression was conducted with all variables of interest entered as independent variables and suicide continuum group as the dependent variable (SI, SA, and no history of SI or SA). Compared to those with no history, individuals in the SI group reported greater ACEs and psychosocial distress. Compared to the SI group, the SA group reported significantly greater ACEs (but not distress) and a lower sense of community. Surprisingly, they also reported greater authenticity. Adding the interaction term between community and authenticity significantly improved model fit. Examination of the interaction slopes indicated that the odds of reporting an SA decreased as both authenticity and community increased. These findings suggest that fostering a sense of community may mitigate suicide risk for LGBTQ+ individuals and that authenticity in the absence of community support may increase this risk. LGBTQ+ community engagement is likely an important avenue for suicide prevention efforts. Additional findings pertaining to social desirability are also discussed. (PsycInfo Database Record (c) 2025 APA, all rights reserved).
期刊介绍:
The American Journal of Orthopsychiatry publishes articles that clarify, challenge, or reshape the prevailing understanding of factors in the prevention and correction of injustice and in the sustainable development of a humane and just society.