Objective

Rates of self-injurious thoughts and behaviors have increased in adolescents over the past two decades. Sexual and gender minority (SGM) youth report elevated rates of self-injurious thoughts and behaviors compared to heterosexual and cisgender youth. Studies of factors influencing suicide risk in SGM youth remain limited, however, and have largely been conducted in community or epidemiological samples.

Method

The present study aimed to address these limitations by examining the prevalence and clinical characteristics of sexual and gender minority youth in a sample of 515 youth admitted to an adolescent inpatient unit. In addition, the present study aimed to compare rates of self-reported self-injurious thoughts and behaviors, adverse early childhood experiences, and rates of rehospitalization in sexual and gender minority compared to non-sexual and gender minority youth.

Results

Results show that nearly 40% of the sample identified as sexual and/or gender minority. Sexual minority youth reported higher rates of suicidal ideation (t = −6.19, p < .001), higher rates of prior suicidal behavior (Chi² = 27.44, p < .001) and non-suicidal self-injury (Chi² = 48.09, p < .001), and greater numbers of adverse childhood experiences (t = −3.99, p < .001); gender minority youth reported higher rates of suicidal ideation (t = −3.91 p = .001). There were no group differences for SGM youth in rates of rehospitalization in the 6-months following initial admission. These results held when controlling for sex assigned at birth and current depression status in multi-variate analyses.

Conclusions

The study illuminates the importance of assessing SGM status in clinical care and highlights the need to evaluate sexual and gender minority specific risk factors for self-injurious thoughts and behaviors in youth.

中文翻译：

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青少年住院样本中性少数和性别少数青少年的患病率和临床风险指数。

客观的

在过去的二十年中，青少年的自残想法和行为的发生率有所增加。与异性恋和顺性别青年相比，性少数和性别少数 (SGM) 青年的自残想法和行为发生率更高。然而，影响 SGM 青少年自杀风险因素的研究仍然有限，并且大部分是在社区或流行病学样本中进行的。

方法

本研究旨在通过检查青少年住院部收治的 515 名青少年样本中性少数和性别少数青少年的患病率和临床特征来解决这些局限性。此外，本研究旨在比较性少数和性别少数青少年与非性少数和性别少数青少年的自我报告的自残想法和行为、不良幼儿经历以及再住院率。

结果

结果显示，近 40% 的样本被认定为性少数和/或性别少数。性少数青少年的自杀意念发生率较高（t  = −6.19，p  < .001），先前有自杀行为的发生率较高（Chi ²  = 27.44，p  < .001），非自杀性自残发生率较高（Chi ²  = 48.09） ，p  < .001），以及更多的不良童年经历（t  = -3.99，p  < .001）；性别少数青年的自杀意念发生率较高 ( t  = -3.91 p  = .001)。SGM 青少年在初次入院后 6 个月内的再住院率没有组间差异。在多变量分析中控制出生时的性别和当前的抑郁状态时，这些结果成立。

结论

该研究阐明了评估 SGM 状态在临床护理中的重要性，并强调需要评估青少年自伤思想和行为的性和性别少数特定风险因素。