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Sexual violence victimization and suicide: Testing a coping‐mental health framework
Aggressive Behavior ( IF 2.7 ) Pub Date : 2021-02-15 , DOI: 10.1002/ab.21955
Andrea R. Kaniuka 1 , Sarah L. Desmarais 2 , Robert J. Cramer 1 , Julie E. Stoner 3 , Shelby Veri 1 , Susan Wright 4 , Tess M. Gemberling 5 , Matt R. Nobles 6 , Sarah R. Holley 7
Affiliation  

Sexual violence victimization is a prevalent public health concern. However, little research has investigated the factors linking sexual violence victimization to suicidal thoughts and behaviors (STBs). The current study tested the applicability of the psychological mediation framework, a coping‐mental health model, for the prevention of STBs among victims of sexual youviolence. Furthermore, the current study explored whether sexual orientation moderated the progression from sexual violence victimization to STBs. Data were drawn from an online survey of victimization experiences and health (N = 2175). Bootstrap mediation tested whether the association of sexual violence victimization and STBs was mediated by emotion regulation strategies (cognitive reappraisal and expressive suppression) and psychopathology (anxiety, depression, and posttraumatic stress disorder). Multiple‐groups analysis tested whether links within the mediation effects varied by sexual orientation. Bivariate findings showed that: (1) sexual minority persons were more likely to report sexual violence victimization and (2) cognitive reappraisal was more meaningfully associated with mental health among sexual minority persons. Sexual violence victimization was associated with STBs via a serial mediation through emotion regulation and psychopathology. The association between psychopathology and STBs was stronger among sexual minority compared with heterosexual respondents. Physical violence victimization was associated with STBs for heterosexual but not sexual minority persons in a follow‐up model. Findings support an emotion regulation‐mental health framework for the prevention of suicide among victims of sexual violence. Research and training implications are discussed.

中文翻译:

性暴力受害和自杀:测试应对心理健康框架

性暴力受害是普遍存在的公共卫生问题。但是,很少有研究调查将性暴力受害与自杀念头和行为联系起来的因素。当前的研究测试了心理调解框架(一种应对精神健康模型)在性暴力受害者中预防机顶盒的适用性。此外,当前的研究探讨了性取向是否能缓解从性暴力受害到机顶盒的发展。数据来自对受害经历和健康的在线调查(N = 2175)。Bootstrap调解测试了性暴力受害与STB的关联是否由情绪调节策略(认知重新评估和表达抑制)和心理病理(焦虑,抑郁和创伤后应激障碍)介导。多组分析测试了调解效果内的联系是否因性取向而异。二元调查结果表明:(1)少数族裔人更容易报告性暴力受害;(2)认知再评估与少数族裔人的心理健康更有意义。性暴力受害是通过情绪调节和心理病理学的一系列调解与机顶盒相关联的。与异性恋者相比,性少数群体中心理病理学与机顶盒之间的关联更强。在随访模型中,肢体暴力受害与异性恋但不是性少数群体的机顶盒相关。研究结果支持了情绪调节-心理健康框架,以防止性暴力受害者中的自杀。研究和培训意义进行了讨论。
更新日期:2021-04-06
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