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自杀的想法和行为在自闭症的变性人或性别不符合美国大学生
Annabelle M Mournet1, John K Kellerman1, Roscoe C Garner1
1Department of Psychology, Rutgers, The State University of New Jersey, Piscataway.
JAMA network open
|October 9, 2024
概括
自闭症和跨性别或性别不合规 (TGNC) 个体面临自杀思想和行为 (STB) 的更高风险. 这些身份的交叉性进一步提高了STB风险,突出了大学环境中需要有针对性的支持的需要.
科学领域:
- 公共卫生 公共卫生
- 精神病学是一个精神病学.
- 神经多样性研究 神经多样性研究
背景情况:
- 自杀风险是一个关键的全球公共卫生问题.
- 自闭症和跨性别或性别不合规 (TGNC) 个体表现出不成比例的自杀思想和行为 (STB) 的高率.
- 关于自闭症和TGNC身份对性传播疾病的交叉影响的研究有限.
研究的目的:
- 调查自闭症和TGNC大学生中性传播疾病的患病率和特征.
- 检查与自闭症和TGNC身份交叉相关的独特风险.
- 为弱势学生群体制定有针对性的干预措施提供信息.
主要方法:
- 来自美国大学健康协会国家大学健康评估 (2019-2023) 的横截面数据的二次分析.
- 包括41,507名大学生,自我报告自闭症和TGNC身份.
- 适度回归分析,以评估自闭症和TGNC在性传播疾病上的状态之间的相互作用.
主要成果:
- 自闭症和TGNC身份都独立地与增加性传播疾病的几率有关.
- 性别认同表明,自杀念头的几率比 (OR) 为3.34,自杀企图的几率比为2.74.
- 自闭症显示,自杀念头的OR为2.06,自杀企图的OR为2.39.
- 对于自杀企图 (OR,0.51) 发现了一个显著的相互作用效应,非自闭症的 cisgender 个体具有最低的尝试率.
结论:
- 该研究证实自闭症和TGNC个体的STB风险增加.
- 自闭症和TGNC身份的交叉性与增加的性病风险有关.
- 迫切需要量身定制的干预措施来支持拥有这些交叉身份的大学生.
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