Objective

Suicidal behavior and bullying victimization are important indicators of adolescent psychological distress, and are patterned by sex, race/ethnicity and sexual identity. This study aimed to estimate trends and disparities in these factors along with key demographics.

Method

Youth Risk Behavior Survey data (2015-2019, N = 44,066) were collected biennially through national cross-sectional surveys of US school-attending adolescents. Survey-weighted logistic regressions examined disparities in past-year bullying and suicidal behavior, overall and by demographics.

Results

Bullying in 2019 was highest for female (vs male) students (odds ratio [OR] = 1.82, 95% CI = 1.62, 2.06), American Indian/Alaskan Native (vs White) students (OR = 1.48, 95% 0.91, 2.41, p > .05), and gay/lesbian (vs heterosexual) students (OR = 2.81, 95% CI = 2.07, 3.81). Suicidal behavior disparities affected similar groups. There was minimal evidence for shifts in disparities since 2015, with the exception of bullying for gay/lesbian adolescents. The prevalence of bullying victimization among gay and lesbian adolescents went from 31.6% to 44.5% between 2015 and 2019, surpassing the bisexual and “Not Sure” groups to be the sexual identity group with the highest rate of bullying victimization.

Conclusion

Interventions that operate on multiple structural levels and empower marginalized youth are needed.

中文翻译：

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美国青少年人口亚群欺凌和自杀行为的全国趋势和差异

客观的

自杀行为和欺凌受害是青少年心理困扰的重要指标，并受性别、种族/民族和性认同的影响。本研究旨在估计这些因素的趋势和差异以及关键人口统计数据。

方法

青少年风险行为调查数据（2015-2019，N = 44,066）通过对美国在校青少年的全国横断面调查每两年收集一次。调查加权逻辑回归研究了过去一年欺凌和自杀行为的总体差异和人口统计差异。

结果

2019 年女学生（与男学生相比）的欺凌行为最高（比值比 [OR] = 1.82，95% CI = 1.62，2.06），美洲印第安人/阿拉斯加原住民（与白人）学生（OR = 1.48，95% 0.91，2.41 , p > .05) 和男同性恋/女同性恋（相对于异性恋）学生 (OR = 2.81, 95% CI = 2.07, 3.81)。自杀行为差异影响相似的群体。自 2015 年以来，几乎没有证据表明差距发生了变化，但欺凌同性恋青少年除外。2015年至2019年，青少年男女同性恋欺凌受害率从31.6%上升至44.5%，超过双性恋和“不确定”群体成为欺凌受害率最高的性别认同人群。

结论

需要在多个结构层面上运作并赋予边缘化青年权力的干预措施。