国家禁止性取向和性别认同改变努力和青年自杀倾向
Lindsay N Overhage1,2, Benjamin Lê Cook1,2, Meredith B Rosenthal3
1Harvard Medical School, Boston, Massachusetts, USA.
Health services research
|May 12, 2025
概括
国家对未成年人的性取向和性别认同改变努力的禁令与青少年自杀念头的降低有关. 这些法律对性少数群体青年产生了更大的积极影响,突出了它们的保护作用.
科学领域:
- 公共卫生政策 公共卫生政策
- 青少年心理健康 青少年心理健康
- 在LGBTQ+健康方面
背景情况:
- 性取向和性别认同改变努力 (SOGICE) 是针对LGBTQ+年轻人的有害做法.
- 青少年自杀倾向仍然是一个关键的公共卫生问题,不成比例地影响性和性别多元化的个人.
- 围绕SOGICE禁令的立法格局在各州之间存在很大差异.
研究的目的:
- 评估禁止未成年人使用SOGICE的州级立法与青少年自杀倾向之间的关联.
- 检查这些禁令对性少数群体和异性恋年轻人的不同影响.
主要方法:
- 使用准实验性的堆叠差异差异 (DID) 方法.
- 通过2011-2019年青少年风险行为调查,分析了四个禁令州的181,950名高中学生和25个控制州的240,268名学生的数据.
- 评估了去年认真考虑自杀的比例,并根据性别身份分层进行了二次分析.
主要成果:
- 与对照国家相比,SOGICE禁令的国家在两年内,青少年自杀念头减少了2.9个百分点.
- 对女同性恋,男同性恋和双性恋青年来说,这种积极影响更为明显,显示自杀考虑减少了4.6个百分点.
- 在伊利诺伊州,康涅狄格州和罗德岛州观察到统计学上显著的减少,但不是马里兰州.
结论:
- 禁止未成年人改变性取向和性别认同的州法律与青少年自杀念头率的降低有关.
- 这些立法措施似乎具有保护作用,特别是在性少数群体的年轻人身上.
- 禁止SOGICE的政策干预表明有可能改善青少年心理健康结果.
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