Suicidal Ideation and Attempt Among Adolescents Reporting 'Unsure' Sexual Identity or Heterosexual Identity Plus Same-Sex Attraction or Behavior: Forgotten Groups?
| Autor: | Richard Montoro, Karine J. Igartua, Yue Zhao, Brett D. Thombs |
|---|---|
| Rok vydání: | 2010 |
| Předmět: |
Male
Child abuse medicine.medical_specialty Adolescent Substance-Related Disorders Sexual Behavior media_common.quotation_subject Statistics as Topic Poison control Suicide Attempted Risk Factors Developmental and Educational Psychology medicine Humans Child Abuse Homosexuality Homosexuality Male Psychiatry Suicidal ideation media_common Depressive Disorder Likelihood Functions Sexual identity Unsafe Sex Sexual attraction Quebec Gender Identity Homosexuality Female Child Abuse Sexual Health Surveys Aggression Psychiatry and Mental health Cross-Sectional Studies Heterosexuality Sexual orientation Female medicine.symptom Psychology Clinical psychology |
| Zdroj: | Journal of the American Academy of Child & Adolescent Psychiatry. 49:104-113 |
| ISSN: | 0890-8567 |
| Popis: | Objective To compare risk of suicide ideation and attempts in adolescents with 1) gay, lesbian, or bisexual (GLB) identity, 2) "unsure" identity, or 3) heterosexual identity with same-sex attraction/fantasy or behavior, to heterosexual identity without same-sex attraction/fantasy or behavior. Method A total of 1,856 students 14 years of age and older from 14 public and private high schools in Montreal, Quebec, were surveyed anonymously. The survey included items assessing sexual orientation, health risk behaviors, and suicidal ideation and attempts. Multiple logistic regression models were used to assess risk factors for suicidal ideation and attempts. Results In all, 58 (3.1%) adolescents self-identified as GLB, 59 (3.2%) as unsure, and 115 (6.2%) as heterosexual with same-sex attraction/fantasy or behavior. Compared with heterosexually identified youth without same-sex attraction/fantasy or behavior (N = 1,624; 87.5%), in multivariable analyses, 12-month suicidal ideation was significantly higher for both GLB (odds ratio [OR] = 2.31, 95% confidence interval [CI] = 1.22–4.37) and unsure youth (OR = 2.64, 95% CI=1.38–5.08). Twelve-month suicide attempts were significantly elevated for GLB youth (OR = 2.23, 95% CI=1.15–4.35) and high, although not statistically significant, for unsure youth (OR = 1.61, 95% CI=0.77–3.36). Heterosexual identity with same-sex attraction/fantasy or behavior was not significantly associated with increased suicidal ideation (OR = 1.26, 95% CI=0.76–2.08) or attempts (OR = 1.03, 95% CI=0.55–1.91) in multivariable analyses. Conclusion Compared with heterosexual youth without same-sex attraction/fantasy or behavior, adolescents with GLB and unsure identities were at greater risk of suicidality. However, youth who reported same-sex attraction or behavior but a heterosexual identity were not at elevated risk. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|