ABSTRACT

Many studies have found that lesbian, gay, bisexual, transgender, queer, and questioning (LGBTQ) youth are disproportionately impacted by poor mental health outcomes. However, there remains a gap in understanding factors associated with the mental health of youth who are questioning, unsure of, or exploring (QUE) their sexual identity. Using data from The Trevor Project’s 2019 National Survey on LGBTQ Youth Mental Health, a quantitative cross-sectional survey of LGBTQ youth between 13 and 24, we explored suicidality among 801 QUE youth. Significantly more QUE youth were younger, nonwhite, and transgender and nonbinary compared to other LGBTQ youth. QUE youth reported higher rates of suicidality compared to other LGBTQ youth; however, this increased risk was related to the overrepresentation of younger and transgender and nonbinary youth among QUE youth. In adjusted models, being transgender and nonbinary, hearing parents use religion to say negative things about being LGBTQ, and experiencing physical threat or harm based on sexual orientation or gender identity were significantly related to seriously considering suicide and attempting suicide among QUE youth. Given the intricate relationship between the two, researchers should assess both gender identity and sexual identity when determining the risk of suicidality among LGBTQ youth.

摘要

许多研究发现，女同性恋、男同性恋、双性恋、跨性别、酷儿和质疑 (LGBTQ) 青年受到不良心理健康结果的不成比例的影响。然而，对于质疑、不确定或探索 (QUE) 其性身份的青少年的心理健康相关因素的理解仍然存在差距。我们使用特雷弗项目 2019 年全国 LGBTQ 青年心理健康调查的数据，这是一项对 13 至 24 岁 LGBTQ 青年的定量横断面调查，我们探讨了 801 名 QUE 青年的自杀倾向。与其他 LGBTQ 青年相比，更多 QUE 青年是年轻、非白人、跨性别和非二元性青年。与其他 LGBTQ 青年相比，QUE 青年报告的自杀率更高；然而，这种增加的风险与 QUE 青年中年轻、跨性别和非二元青年的比例过高有关。在调整后的模型中，跨性别和非二元性、听到父母使用宗教来谈论关于 LGBTQ 的负面言论，以及经历基于性取向或性别认同的身体威胁或伤害与 QUE 青年中认真考虑自杀和企图自杀显着相关。鉴于两者之间错综复杂的关系，研究人员在确定 LGBTQ 青年的自杀风险时应同时评估性别认同和性认同。QUE 青年中，经历基于性取向或性别认同的身体威胁或伤害与认真考虑自杀和企图自杀显着相关。鉴于两者之间错综复杂的关系，研究人员在确定 LGBTQ 青年的自杀风险时应同时评估性别认同和性认同。QUE 青年中，经历基于性取向或性别认同的身体威胁或伤害与认真考虑自杀和企图自杀显着相关。鉴于两者之间错综复杂的关系，研究人员在确定 LGBTQ 青年的自杀风险时应同时评估性别认同和性认同。