国家政策和性和性别少数群体大学生之间的自杀行为
Michelle Flesaker1, Even Paglisotti2, Christina E Freibott3
1Center for Trauma and Mental Health, Department of Epidemiology, Boston University School of Public Health, Boston, MA, USA. mflesake@bu.edu.
Social psychiatry and psychiatric epidemiology
|April 21, 2025
概括
保护女同性恋,男同性恋,双性恋,跨性别/非双性恋和酷尔/质疑 (LGBTQ+) 个人的国家政策与大学生中自杀念头的减少有关. 这凸显了系统保护对LGBTQ+青年心理健康的影响.
科学领域:
- 公共卫生 公共卫生
- 社会学 社会学 社会学
- 心理健康研究 心理健康研究
背景情况:
- 女同性恋,男同性恋,双性恋,变性人/非二元化,酷尔/质疑 (LGBTQ+) 的大学生面临的自杀念头和企图的风险较高,相比于 cisgender 和异性恋学生.
- 很少有研究探讨了系统层面的因素,例如国家政策,可以减轻这些风险.
研究的目的:
- 调查州级政策与美国LGBTQ+年轻成年人的自杀行为之间的联系.
- 通过性别认同来检查这些关联,特别是 cisgender 性少数群体 (CSM) 和跨性别/非二元 (TNB) 个人.
主要方法:
- 从运动进步项目中利用了国家政策计数 (LGBTQ+相关法律的总和,既有保护性又有歧视性).
- 将政策数据与2022-2023年健康思维研究的学生调查数据联系起来 (n=15,861名LGBTQ+年轻人).
- 采用多层模型来评估政策得分和自杀行为之间的关系,控制相关因素.
主要成果:
- 总体国家政策得分增加10个点与CSM学生自杀意图率降低8%和TNB学生自杀意图率降低7%.
- 在CSM学生中发现了总体政策得分和自杀企图之间的关联,但在TNB学生中没有发现.
- 具体的性取向和性别认同政策计数显示了类似的保护性关联.
结论:
- 保护性的国家政策与LGBTQ+大学生中自杀念头的可能性较低显著相关.
- 这些发现强调了系统层面的政策干预在促进LGBTQ+年轻成年人的心理健康和福祉方面的关键作用.
- 对政策影响的进一步研究可以为减少弱势群体自杀风险的策略提供信息.
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