Prevalence and correlates of non-suicidal self-injury among lesbian, gay, bisexual, and transgender individuals: A systematic review and meta-analysis

Liu, Richard T.; Sheehan, Ana E.; Walsh, Rachel F.L.; Sanzari, Christina M.; Cheek, Shayna M.; Hernandez, Evelyn M.

doi:10.1016/j.cpr.2019.101783

Cited by 149 publications

(111 citation statements)

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“…Across studies, young women tend to make up the majority of participants, with only one study in which young men made up 40% or more of the sample [2•]. In addition, despite growing evidence that transgender and gender-diverse young people have elevated rates of self-harm and suicidality compared to their cisgender peers [43,69], none of the 25 trials included in this meta-analysis reported including any transgender or gender-diverse participants, severely curtailing our ability to assess the efficacy of either routine clinical care or psychotherapeutic treatment in a population with high-levels of clinical need.…”

Section: Limitationsmentioning

confidence: 99%

Does treatment method matter? A meta-analysis of the past 20 years of research on therapeutic interventions for self-harm and suicidal ideation in adolescents

Kothgassner

Robinson

Goreis

et al. 2020

bord personal disord emot dysregul

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Background: Self-harm is a clinically relevant and prevalent behaviour which peaks in adolescence. Given the high prevalence of self-harm, the high levels of psychiatric comorbidity, and its role as a risk factor for suicide, delivering evidence-based care is critical. Methods: We conducted a systematic review and meta-analysis of the literature on treating self-harm in adolescents (12-19 years) published in the last 20 years, identifying 25 randomised controlled trials. We calculated the effect of treatment interventions relative to active control conditions in reducing self-harm, suicidal ideation and depressive symptoms. Results: Overall, treatment interventions fared slightly better than active controls in decreasing self-harm (d = 0.13, 95% CI 0.04-0.22, p = .004), suicidal ideation (d = 0.31, 95% CI 0.12-0.50, p = .001) and depressive symptoms (d = 0.22, 95% CI 0.07-0.38, p = .006). Subgroup analysis of specific therapies revealed moderate effects of DBT-A in reducing self-harm (d = 0.51, 95% CI 0.18-0.85, p = .002) and suicidal ideation (d = 0.48, 95% CI 0.17-0.80, p = .003), as well as moderate effects of family-centred therapy in the treating suicidal ideation (d = 0.58, 95% CI 0.01-1.15, p = .049).

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Section: Limitationsmentioning

confidence: 99%

Does treatment method matter? A meta-analysis of the past 20 years of research on therapeutic interventions for self-harm and suicidal ideation in adolescents

Kothgassner

Robinson

Goreis

et al. 2020

bord personal disord emot dysregul

View full text Add to dashboard Cite

show abstract

“…In sub-Saharan Africa, suicide remains in the top 12 leading causes of death among young persons aged 10-24 years [3]. Leading researchers and the WHO have reported that young people identifying as in a sexual or gender minority group are at elevated risk of self-harm and eventual suicide compared to heterosexual young people [1,[4][5][6][7][8]. However, neither our own recent systematic literature review [9], nor those of Aggarwal et al [10], and Lim et al [11] found studies providing evidence on the prevalence of self-harm in sexual or gender minority young people in countries in sub-Saharan Africa.…”

Section: Introductionmentioning

confidence: 99%

Prevalence of self-harm among lesbian, gay, bisexual, and transgender adolescents: a comparison of personal and social adversity with a heterosexual sample in Ghana

2020

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Objectives: We sought to estimate the prevalence of self-reported self-harm among adolescents identifying as lesbian, gay, bisexual, and transgender (LGBT) in Ghana, and compare self-reported personal and social adversities related to self-harm in this group to those in a random sample of heterosexual adolescents from the same locality. Results: A total of 444 adolescents aged 13-21 years, comprising 74 LGBT adolescents and 370 heterosexual adolescents, provided data. The lifetime prevalence estimate of self-harm was higher in the LGBT group (47%) than the heterosexual group (23%). The LGBT group reported a higher rate of self-harm during the previous 12 months (45%), compared to the heterosexual group (18%). LGBT adolescents reported more alcohol and substance use and more personal social adversities, including various forms of victimisation, than heterosexual adolescents. They were no more likely to report difficulty in making and keeping friends or schoolwork problems than were heterosexual adolescents.

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“…Among 15-29 year old, suicides are the second leading cause of death (WHO, 2018). Sexual minorities such as lesbian, gay, and bisexual people (LGB) show a substantially increased risk for suicidal behavior (di Giacomo, Krausz, Colmegna, Aspesi, & Clerici, 2018;Haas et al, 2011;Hatchel, Polanin, & Espelage, 2019;King et al, 2008;Liu et al, 2019;Meyer, 2003) and completed suicides (Bjorkenstam, Andersson, Dalman, Cochran, & Kosidou, 2016;Ream, 2019), whose reasons are not sufficiently understood.…”

Section: Introductionmentioning

confidence: 99%

“…Indeed, research based on questionnaires and interviews of LGB demonstrates that increases in suicidality are related to higher subjective ratings of victimization and a lack of acceptance in the social environment (Almeida, Johnson, Corliss, Molnar, & Azrael, 2009;Haas et al, 2011;Hatchel et al, 2019;Liu & Mustanski, 2012;Liu et al, 2019;Mustanski & Liu, 2013). While these studies empirically underpin the minority stress framework and provide valuable information on Electronic supplementary material The online version of this article (https://doi.org/10.1007/s13178-020-00477-3) contains supplementary material, which is available to authorized users.…”

Section: Introductionmentioning

confidence: 99%

Acceptance Towards LGB Persons Is an Independent Protective Factor Against Suicide on a Country Level

2020

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Background Sexual minorities such as lesbian, gay, and bisexual (LGB) people have an increased risk for suicide, whose reasons are not sufficiently understood. We aimed to test if differences in LGB acceptance explain variations in general suicide rates on a country level. Methods We used linear regression models to explain the variation in age-standardized suicide rates in 34 OECD countries based on LGB acceptance, which was recently assessed in large international surveys polling the general population about their attitude towards homosexuality. We included economic and sociological variables, which have been shown to be related to suicide rates in previous work, as covariates. We then used backward elimination, leave-one-out cross-validation, and the Bayesian information criterion to identify best-fitting models (i.e., to select relevant predictors). Results All employed model selection methods favored a 4-predictor model, where higher LGB acceptance, fertility rate, religiosity, and unemployment rate were significantly related to lower suicide rates. Suicide rates were well explained by this sparse model (R 2 adjusted = 0.442). In the full model with all predictors, as well as in the selected four-predictor model, higher LGB acceptance was significantly related to lower suicide rates. Conclusions Our findings suggest that low LGB acceptance, as measured by international surveys, might be a risk factor for suicide.

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Prevalence and correlates of non-suicidal self-injury among lesbian, gay, bisexual, and transgender individuals: A systematic review and meta-analysis

Cited by 149 publications

References 100 publications

Does treatment method matter? A meta-analysis of the past 20 years of research on therapeutic interventions for self-harm and suicidal ideation in adolescents

Does treatment method matter? A meta-analysis of the past 20 years of research on therapeutic interventions for self-harm and suicidal ideation in adolescents

Prevalence of self-harm among lesbian, gay, bisexual, and transgender adolescents: a comparison of personal and social adversity with a heterosexual sample in Ghana

Acceptance Towards LGB Persons Is an Independent Protective Factor Against Suicide on a Country Level

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