Abstract

Objective

The current study examined suicide-related disclosure intentions in LGBTQ + youth, and the associations between reporting of lifetime experiences of minority stress and intentions to disclose suicidal thoughts.

Method

A sample of 592 LGBTQ + youth ages 12–24 (22.3% cisgender men, 33.1% cisgender women, 44.6% gender diverse, 75.3% white) who contacted an LGBTQ-specific crisis service, completed a survey.

Results

Youth reported highest intentions to disclose future suicidal ideation to LGBTQ-specific crisis services, a mental health professional, and someone they know who also identifies as LGBTQ. They reported lowest suicide-related disclosure intentions to family, spiritual counselors, and emergency room personnel. Greater lifetime minority stress was significantly associated with lower suicide-related disclosure intentions. When specific domains of minority stress were examined separately, five domains were significantly associated with lower suicide-related disclosure intentions: identity management, family rejection, homonegative communication, negative expectancies, and internalized homonegativity. However, only internalized homonegativity remained significant when they were examined simultaneously. In addition, greater lifetime minority stress was significantly associated with lower suicide-related disclosure intentions to some groups (e.g., family, friends), but not others (e.g., others who have thought about or attempted suicide, others who identify as LGBT).

Conclusions

Minority stress may play an important role in LGBTQ + youth’s suicide-related disclosure intentions. As such, reducing minority stress and its effects may be an important target to promote disclosure of suicidal thoughts and access to treatment among LGBTQ + youth.

• HIGHLIGHTS

• Minority stress was associated with lower suicide-related disclosure intentions.

• Internalized homonegativity was uniquely associated with disclosure intentions.

• Reducing minority stress may promote disclosure of suicidal thoughts.

中文翻译：

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更大的少数族裔压力与在 LGBTQ + 青年中披露自杀想法的意愿较低有关

摘要

客观的

目前的研究检查了 LGBTQ + 青年中与自杀相关的披露意图，以及报告少数群体压力的终生经历与披露自杀想法的意图之间的关联。

方法

592 名 12 至 24 岁的 LGBTQ + 青年（22.3% 顺性别男性，33.1% 顺性别女性，44.6% 性别多样化，75.3% 白人）的样本完成了一项调查。

结果

青少年报告了向 LGBTQ 特定危机服务、心理健康专业人士以及他们认识的也被认定为 LGBTQ 的人披露未来自杀意念的最高意图。他们向家人、精神顾问和急诊室工作人员报告了与自杀相关的最低披露意图。较大的终生少数族裔压力与较低的自杀相关披露意图显着相关。当单独检查少数群体压力的特定领域时，五个领域与较低的自杀相关披露意图显着相关：身份管理、家庭拒绝、同性消极沟通、消极期望和内化同性。然而，当同时检查它们时，只有内化的同质性仍然显着。此外，

结论

少数族裔压力可能在 LGBTQ + 青少年与自杀相关的披露意图中发挥重要作用。因此，减少少数群体的压力及其影响可能是促进 LGBTQ + 青年披露自杀想法和获得治疗的重要目标。

• 强调

• 少数族裔压力与较低的自杀相关披露意图有关。

• 内化同质性与披露意图唯一相关。

• 减少少数人的压力可能会促进自杀念头的披露。