Suicide is a leading cause of death in the United States. Among sexual minority populations, suicide risk is elevated; this can be explained by minority stress. One such source of minority stress is family-of-origin rejection, a known risk factor for suicide among lesbian, gay, and bisexual (LGB) adolescents; however, less is known about this association among sexual minority adults. While navigating the intersection of minority stress theory and the interpersonal theory of suicide, this study sought to evaluate the impact of family-of-origin rejection distress on suicidal ideation among a sample of adults with marginalized sexual orientations. Recruited for two larger studies, 325 LGB participants (64.3% cisgender, 35.7% transgender or nonbinary) completed an online survey concerning minority stressors, depressive symptoms, and suicide. Using cross-sectional mediation analysis, family-of-origin rejection distress was indirectly associated with suicidal thoughts through depressive symptoms. Clinical implications and suggestions for future research are discussed.

中文翻译：

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性少数样本中对自杀意念的家庭拒绝

自杀是美国的主要死亡原因。在性少数人群中，自杀风险升高；这可以用少数压力来解释。少数族裔压力的一个此类来源是家庭拒绝，这是女同性恋、男同性恋和双性恋 (LGB) 青少年自杀的已知风险因素；然而，对性少数成年人之间的这种关联知之甚少。在探索少数群体压力理论和自杀的人际关系理论的交叉点的同时，本研究试图评估出身家庭拒绝痛苦对性取向边缘化的成年人样本中自杀意念的影响。为两项大型研究招募了 325 名 LGB 参与者（64.3% 顺性别，35.7% 跨性别或非二元性别）完成了一项关于少数族裔压力源、抑郁症状和自杀的在线调查。使用横断面中介分析，家庭起源的拒绝痛苦与通过抑郁症状的自杀念头间接相关。讨论了临床意义和对未来研究的建议。