Abstract

Objective

The present study was conducted to (1) investigate the role of emotion regulation difficulties among self-harming Lesbian, Gay, Bisexual, Transgender, Queer, or Questioning (LGBTQ+) individuals and (2) to test for a mediating role of emotion regulation difficulties in self-harm among LGBTQ + individuals.

Method

This study investigated the relationship between LGBTQ + status, self-reported levels of emotion regulation difficulties, and self-harm in a community sample (N = 484, aged 16–63), using an online cross-sectional survey.

Results

LGBTQ + individuals reported more emotion regulation difficulties and were almost seven times more likely to self-harm than non-LGBTQ + participants. Being an LGBTQ + participant was associated with greater self-harm frequency when controlling for age, income, and difficulties in emotion regulation. Emotion regulation difficulties mediated the association between LGBTQ + status and both self-harm status and frequency.

Conclusions

The present findings suggest that treating emotion regulation difficulties might reduce both the prevalence and lifetime frequency of self-harm episodes among gender identity and sexual orientation minority individuals. Targeting emotion regulation might be used as an early prevention strategy among LGBTQ + individuals who are at risk for self-harm. Further, enhancing emotion regulation skills among self-harming LGBTQ + individuals might replace maladaptive emotion regulation strategies with healthy alternatives, and can, therefore, foster resilience. HIGHLIGHTS

• LGBTQ + individuals are at high risk for self-harm.

• ER-mediated the association between LGBTQ + status and self-harm.

• Targeting emotion regulation in LGBTQ + people may help reduce self-harm.

中文翻译：

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情绪调节对性别认同和性取向少数（LGBTQ+）个体自我伤害的中介作用

摘要

客观的

本研究旨在 (1) 调查自我伤害的女同性恋、男同性恋、双性恋、变性人、酷儿或质疑 (LGBTQ+) 个体中情绪调节困难的作用，以及 (2) 测试情绪调节困难的中介作用LGBTQ + 个体之间的自我伤害。

方法

 本研究使用在线横断面调查调查了社区样本（N = 484，年龄 16-63 岁）中 LGBTQ + 状态、自我报告的情绪调节困难水平和自我伤害之间的关系。

结果

与非 LGBTQ + 参与者相比，LGBTQ + 个体报告了更多的情绪调节困难，自我伤害的可能性几乎高出 7 倍。在控制年龄、收入和情绪调节困难时，作为 LGBTQ + 参与者与更高的自残频率相关。情绪调节困难介导了 LGBTQ + 状态与自残状态和频率之间的关联。

结论

目前的研究结果表明，治疗情绪调节困难可能会降低性别认同和性取向少数群体中自我伤害事件的发生率和终生频率。针对有自残风险的 LGBTQ + 人群，可以将针对情绪调节作为早期预防策略。此外，增强自我伤害的 LGBTQ + 个体的情绪调节技能可能会用健康的替代方法取代适应不良的情绪调节策略，因此可以培养复原力。强调

• LGBTQ + 个体自残的风险很高。

• ER 介导了 LGBTQ + 身份与自残之间的关联。

• 针对 LGBTQ + 人群的情绪调节可能有助于减少自我伤害。