Sexual orientation differences in non-suicidal self-injury, suicidality, and psychosocial factors among an inpatient psychiatric sample of adolescents

Peters, Jessica R.; Mereish, Ethan H.; Krek, Maya; Chuong, Adam; Ranney, Megan L.; Solomon, Joel; Spirito, Anthony; Yen, Shirley

doi:10.1016/j.psychres.2019.112664

Cited by 29 publications

(26 citation statements)

References 31 publications

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“…In a recent study of adolescents admitted to inpatient psychiatric services, sexual minority adolescents reported higher levels of suicide ideation but not behavior, and no sexual orientation disparities were found in depression, clinical impairment, or life satisfaction. 61 More research is needed to understand mental health and treatment-related disparities among sexual minority youth in high-risk clinical samples. Conceptualized within the ideation-to-action theoretical framework, 39,62 our findings highlight the importance of addressing sexual minority disparities before the onset of suicide ideation and before the progression from suicide ideation to plan.…”

Section: Figurementioning

confidence: 99%

Sexual Minority Status and Age of Onset of Adolescent Suicide Ideation and Behavior

Luk

Haynie

et al. 2021

Pediatrics

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OBJECTIVES: To determine if sexual minority adolescents have earlier onset of suicidality and faster progressions from ideation to plan and attempt than heterosexual adolescents. METHODS: A population-based longitudinal cohort of 1771 adolescents participated in the NEXT Generation Health Study. Participants reported sexual minority status (defined by sexual attraction) in 2010-2011 and retrospectively reported age at onset of suicidality in 2015-2016.RESULTS: Sexual minority adolescents (5.8% of weighted sample) had higher lifetime risk of suicide ideation (26.1% vs 13.0%), plan (16.6% vs 5.4%), and attempt (12.0% vs 5.4%) than heterosexual adolescents. Survival analyses adjusted for demographic characteristics and depressive symptoms revealed positive associations of sexual minority status with time to first onset of suicide ideation (hazard ratio [HR] = 1.77; 95% confidence interval [CI] 1.03-3.06) and plan (HR = 2.69; 95% CI 1.30-5.56). The association between sexual minority status and age at onset of suicide attempt was stronger at age <15 (HR = 3.26; 95% CI 1.25-8.47) than age $15 (HR = 0.59; 95% CI 0.21-1.66). The association between sexual minority status and progression from ideation to plan was stronger in the same year of first ideation (HR = 2.01; 95% CI 1.07-3.77) than $1 year after first ideation (HR = 1.33; 95% CI 0.26-6.77).CONCLUSIONS: Sexual minority adolescents had earlier onset of suicidality and faster progression from suicide ideation to plan than heterosexual adolescents. The assessment of sexual minority status in routine pediatric care has the potential to inform suicide risk screening, management, and intervention efforts among early sexual minority adolescents.

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Section: Figurementioning

confidence: 99%

Sexual Minority Status and Age of Onset of Adolescent Suicide Ideation and Behavior

Luk

Haynie

et al. 2021

Pediatrics

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“…A ALNS foi mais comum em meninas (56,2%), conforme estudo que avaliou 1.088 adolescentes 24,25 , e a análise de grupos definidos de acordo com a orientação sexual mostrou que todos os adolescentes homossexuais relataram a prática de ALNS versus 68% dos adolescentes heterossexuais 26 .…”

Section: Epidemiologiaunclassified

Autolesão não suicida na adolescência como fator de predisposição ao suicídio

Carmo

Silveira

Vignardi

et al. 2020

Saúde ética justiça

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A autolesão não suicida na adolescência é um evento frequente e está associada a tentativas subsequentes de suicídio ou ao suicídio completo, sugerindo que esse comportamento e aspectos psicológicos relacionados a ele possam estar na mesma trajetória de risco. As regras legais determinam a obrigação do médico notificar casos suspeitos ou confirmados de automutilação às autoridades de saúde. No entanto, não se trata apenas de cumprir com os requisitos legais; o médico deve estar ciente dessa possibilidade, conhecendo os mecanismos aplicados pelos adolescentes, sabendo os motivos que possam desencadear esse comportamento prejudicial e, consequentemente, adotar medidas preventivas eficazes. De maneira geral, os adolescentes relatam que a autolesão alivia o sentimento de angústia, culpa ou vergonha, sendo uma maneira de autopunição. Embora a autolesão não-suicida geralmente resulte em alívio momentâneo da angústia, frequentemente leva a consequências negativas a longo prazo. Este estudo narrativo teve como objetivo mostrar os principais tópicos relacionados a este grave e prevalente problema.

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“…Suicidality among adolescent and young adult populations continues to be a serious public health concern (Nock et al, 2013). LGBTQIA+ youth (i.e., lesbian, gay, bisexual, transgender, questioning/queer, intersex and/or asexual adolescents and young adults) are particularly vulnerable to suicide (CDC, 2016;Liu & Mustanksi, 2012;Peters et al, 2019). LGBTQIA+ youth are up to 5-8 times more likely to experience suicidal ideation than their heterosexual and cisgender counterparts (Almeida et al, 2009;Taliaferro & Muehlenkamp, 2017;Toomey et al, 2018).…”

Section: Introductionmentioning

confidence: 99%

“…Indeed, 12.1% of adolescents contemplate suicide, 4.0% make a plan, and 4.1% make an attempt (Nock et al, 2013). LGBTQIA+ youth (i.e., lesbian, gay, bisexual, transgender, questioning/queer, intersex and/or asexual adolescents and young adults) are particularly vulnerable to suicide (CDC, 2016; Liu & Mustanksi, 2012;Peters et al, 2019). While many LGBTQIA+ youth are healthy and resilient (Ream & Savin-Williams, 2005) they often report higher rates of both suicidal ideation and behavior than their heterosexual (Haas et al, 2011) and cisgender (James et al, 2016) peers.…”

mentioning

confidence: 99%

Suicide among LGBTQIA+ youth: A review of the treatment literature

Russon

Washington

Machado³

et al. 2022

Aggression and Violent Behavior

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Suicide is a serious public health problem among adolescent and young adults. Indeed, 12.1% of adolescents contemplate suicide, 4.0% make a plan, and 4.1% make an attempt (Nock et al., 2013). LGBTQIA+ youth (i.e., lesbian, gay, bisexual, transgender, questioning/queer, intersex and/or asexual adolescents and young adults) are particularly vulnerable to suicide (CDC, 2016; Liu & Mustanksi, 2012;Peters et al., 2019). While many LGBTQIA+ youth are healthy and resilient (Ream & Savin-Williams, 2005) they often report higher rates of both suicidal ideation and behavior than their heterosexual (Haas et al., 2011) and cisgender (James et al., 2016) peers. The purpose of this paper is to provide a structured review the state of suicide treatment research for LGBTQIA+ youth and offer recommendations for future directions.

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Sexual orientation differences in non-suicidal self-injury, suicidality, and psychosocial factors among an inpatient psychiatric sample of adolescents

Cited by 29 publications

References 31 publications

Sexual Minority Status and Age of Onset of Adolescent Suicide Ideation and Behavior

Sexual Minority Status and Age of Onset of Adolescent Suicide Ideation and Behavior

Autolesão não suicida na adolescência como fator de predisposição ao suicídio

Suicide among LGBTQIA+ youth: A review of the treatment literature

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