OBJECTIVE Sexual and gender minority (SGM) adolescents report elevated risk for psychopathology. Identifying as a racial/ethnic minority and sexual minority (SM) or gender minority (GM) may lead to greater stress/discrimination and psychopathology. We examined nonsuicidal self-injury, suicide ideation, and suicide attempts (i.e., self-injurious thoughts and behaviors [SITBs]) and depressive symptoms across intersections of sexual orientation, gender, and race/ethnicity. METHOD Study participants consisted of a large (n = 2,948; 59% GM) sample of adolescents aged 14-18 who were recruited online to complete a cross-sectional survey. SGM status, race/ethnicity, and their interactions were used to predict depressive symptoms and SITBs. Associations among race/ethnicity and GM-specific psychosocial factors were assessed. RESULTS SM (B = 3.75) and GM (B = 8.81) participants reported higher depressive symptoms and SITB histories (odds ratios [ORs] from 1.92 to 2.43 and 2.87 to 5.44, respectively). Asian participants were less likely to report nonsuicidal self-injury (OR = 0.45), and Latinx participants were more likely to report suicide attempts (OR = 1.50). Although omnibus tests of interactions were largely insignificant, exploratory analyses revealed fewer depressive symptoms (B = -8.40) and SITBs (ORs from -0.95 to -2.05) among Black SM participants and, at times, Black GM participants. This protective effect may relate to lower self-reported expectations of rejection due to gender. CONCLUSIONS GM participants reported the highest risk for depressive symptoms and SITBs. Contrary to hypotheses, multiple minority identification was not associated with greater psychopathology. Future research, assessing specific sexual and gender identities across diverse samples, is needed to highlight how race affects psychopathology risk across these identities. (PsycINFO Database Record (c) 2020 APA, all rights reserved).

中文翻译：

---

性少数和性别少数青少年的心理健康：检查与种族和民族的相互作用。


目的 性少数和性别少数 (SGM) 青少年报告精神病理学风险较高。识别为种族/族裔少数群体和性少数群体 (SM) 或性别少数群体 (GM) 可能会导致更大的压力/歧视和精神病理学。我们研究了跨性取向、性别和种族/民族的非自杀性自残、自杀意念和自杀企图（即自残想法和行为 [SITB]）和抑郁症状。方法 研究参与者由大量（n = 2,948；59% GM）14-18 岁青少年样本组成，他们是在网上招募来完成横断面调查的。 SGM 状态、种族/民族及其相互作用被用来预测抑郁症状和 SITB。评估了种族/民族和转基因特定心理社会因素之间的关联。结果 SM (B = 3.75) 和 GM (B = 8.81) 参与者报告了较高的抑郁症状和 SITB 病史（比值比 [OR] 分别为 1.92 至 2.43 和 2.87 至 5.44）。亚洲参与者不太可能报告非自杀性自残（OR = 0.45），拉丁裔参与者更有可能报告自杀企图（OR = 1.50）。尽管交互作用的综合测试在很大程度上是微不足道的，但探索性分析显示，黑人 SM 参与者以及有时黑人 GM 参与者的抑郁症状（B = -8.40）和 SITB（OR 从 -0.95 到 -2.05）较少。这种保护作用可能与自我报告的因性别而拒绝的预期较低有关。结论 转基因参与者报告抑郁症状和 SITB 的风险最高。与假设相反，多重少数群体认同与更大的精神病理学无关。 未来的研究需要评估不同样本中的特定性和性别身份，以强调种族如何影响这些身份的精神病理学风险。 （PsycINFO 数据库记录 (c) 2020 APA，保留所有权利）。