ABSTRACT Recent research suggests that intersecting marginalized identities may be important in explaining suicide-related mental health disparities. However, inconsistent findings have emerged regarding nonsuicidal self-injury (NSSI). Guided by an intersectionality framework, we examined relations between identity and NSSI using a representative sample of 8th through 12th graders from Utah (N = 49,425). The independent influence of sexual orientation, gender, race/ethnicity, and religious preference on NSSI were examined using bivariate and multivariate logistic regression analyses. Intersectionality analyses, using two-way interaction terms, were then conducted to examine the impact of intersecting identities on NSSI. Results indicated that gay/lesbian, bisexual, and transgender and “other” gender youth, and non-Latter-day Saint (LDS) participants were at particularly high risk of NSSI. In intersectionality analyses, sexual minorities were more likely than heterosexual participants to endorse NSSI among cisgender, but not gender minority youth; bisexual participants of color were less likely to engage in NSSI than European American bisexual youth, but no effect for race/ethnicity was found for gay/lesbian youth; and among heterosexual participants, non-LDS youth were more likely than LDS youth to engage in NSSI, but no effect for religion was found among gay/lesbian or bisexual participants. Implications of these results and the differences in results by method are discussed.

中文翻译：

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青少年的交叉身份与非自杀性自伤

摘要 最近的研究表明，交叉的边缘化身份可能在解释与自杀相关的心理健康差异方面很重要。然而，关于非自杀性自伤（NSSI）的研究结果不一致。在交叉性框架的指导下，我们使用来自犹他州的 8 至 12 年级学生的代表性样本（N = 49,425）检查了身份与 NSSI 之间的关系。使用双变量和多变量逻辑回归分析检查性取向、性别、种族/民族和宗教偏好对 NSSI 的独立影响。然后使用双向交互项进行交叉性分析，以检查交叉身份对 NSSI 的影响。结果表明，男同性恋/女同性恋、双性恋、跨性别和“其他”性别青年，和非后期圣徒 (LDS) 参与者的 NSSI 风险特别高。在交叉性分析中，与异性恋参与者相比，性少数群体更有可能在顺性别者中支持 NSSI，但在性别少数群体中则不然；与欧美双性恋青年相比，有色双性恋参与者参与 NSSI 的可能性较小，但未发现对同性恋青年的种族/民族影响；在异性恋参与者中，非 LDS 青年比 LDS 青年更有可能参与 NSSI，但在同性恋或双性恋参与者中没有发现对宗教的影响。讨论了这些结果的含义以及不同方法的结果差异。但不是性别少数青年；与欧美双性恋青年相比，有色双性恋参与者参与 NSSI 的可能性较小，但未发现对同性恋青年的种族/民族影响；在异性恋参与者中，非 LDS 青年比 LDS 青年更有可能参与 NSSI，但在同性恋或双性恋参与者中没有发现对宗教的影响。讨论了这些结果的含义以及不同方法的结果差异。但不是性别少数青年；与欧美双性恋青年相比，有色双性恋参与者参与 NSSI 的可能性较小，但未发现对同性恋青年的种族/民族影响；在异性恋参与者中，非 LDS 青年比 LDS 青年更有可能参与 NSSI，但在同性恋或双性恋参与者中没有发现对宗教的影响。讨论了这些结果的含义以及不同方法的结果差异。