Suicide risk among gender and sexual minority college students: The roles of victimization, discrimination, connectedness, and identity affirmation

Busby, Danielle; Horwitz, Adam G.; Zheng, Kai; Eisenberg, Daniel; Harper, Gary W.; Albucher, Ronald C.; Roberts, Laura Weiss; Coryell, William; Pistorello, Jacqueline; King, Cheryl A.

doi:10.1016/j.jpsychires.2019.11.013

Cited by 83 publications

(45 citation statements)

References 43 publications

(44 reference statements)

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“…Moreover, our results are consistent with studies showing that connectedness was inversely associated with NSSI [ 45 ]. Klonsky and May [ 46 ] define connectedness as a personal connection to other people, other interests, roles, projects, or any sense of purpose or meaning that keeps one invested in living [ 47 ].…”

Section: Discussionsupporting

confidence: 93%

Meaning in Life Buffers the Association between Perceived Burdensomeness, Thwarted Belongingness, and Frequency of Non-Suicidal Self-Injuries in Spanish Adolescents

Marco

Tejada

Guillén

et al. 2021

JCM

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Background: Adolescence is a developmental stage when there is a high risk of engaging in non-suicidal self-injury (NSSI). There is recent interest in the study of thwarted belongingness and perceived burdensome as variables associated with the frequency of NSSI in adolescents. Meaning in life (MIL) might be negatively associated with thwarted belongingness and perceived burdensomeness. To date, no studies have analyzed the buffering role of MIL in the association between thwarted belongingness and perceived burdensomeness and the frequency of lifetime NSSI in Spanish adolescents. Aims: (a) To test whether thwarted belongingness and perceived burdensomeness are associated with frequency of lifetime NSSI; (b) to test whether MIL moderates the association between thwarted belongingness and frequency of lifetime NSSI; and (c) to test whether MIL moderates the association between perceived burdensomeness and frequency of lifetime NSSI. Method: The sample consisted of N = 1531 participants (n = 736, 48.1%, were men, and n = 795, 51.9%, were women) between 12 and 18 years old from Spain. The participants filled out the Inventory of Statements about Self-Injury, Purpose-In-Life Test-Adolescent Version, and Interpersonal Needs Questionnaire. Moderation analyses were performed. Results: No statistically significant differences were found in the frequency of lifetime NSSI in the adolescents based on gender. Thwarted belongingness and perceived burdensomeness were positively associated with the frequency of lifetime NSSI in Spanish adolescents. MIL was a moderating variable between thwarted belongingness and the frequency of lifetime NSSI, and between perceived burdensomeness and the frequency of lifetime NSSI. Conclusions: Thwarted belongingness and perceived burdensomeness might be positively associated with the frequency of lifetime NSSI, and MIL might be negatively associated with the frequency of lifetime NSSI. Thus, adding these variables to current descriptive theories of NSSI in adolescents would allow us to improve assessment and treatment protocols for adolescents with NSSI.

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Section: Discussionsupporting

confidence: 93%

Meaning in Life Buffers the Association between Perceived Burdensomeness, Thwarted Belongingness, and Frequency of Non-Suicidal Self-Injuries in Spanish Adolescents

Marco

Tejada

Guillén

et al. 2021

JCM

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“…Relatedly, there are a number of environmental protective factors for suicidal behavior, including social support and a relationship with a therapist ( 33 ). While research suggests that environmental risk factors can change across the lifespan [e.g., with bullying being a particular risk factor in children and adolescents ( 34 )] or differ between sub-groups of people [e.g., with discrimination being a particular risk factor in sexual and gender minorities ( 35 )], the environment undoubtedly impacts risk of suicide attempts.…”

Section: Diagnostic Validity Of Sbdmentioning

confidence: 99%

Suicide in DSM-5: Current Evidence for the Proposed Suicide Behavior Disorder and Other Possible Improvements

Fehling¹,

Selby

2021

Front. Psychiatry

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Suicide continues to be one of the greatest challenges faced by mental health clinicians and researchers, an issue made worse by increasing trends in the global suicide rate. Suicide behavior disorder (SBD) was introduced in DSM-5 as a disorder for further consideration and potential acceptance into the diagnostic system. There are numerous positive developments that would arise from the addition of a suicide-related diagnosis. Utilizing the 2009 guidelines established by Kendler and colleagues, the present review examines the evidence for SBD's validity and discusses the diagnosis' potential clinical benefits and limitations. Altogether, growing evidence indicates that SBD has preliminary validity and benefit. SBD presents with several significant limitations, however, and possible alternative additions to future DSMs are highlighted.

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“…Few studies interested in personal sexual life include age of thought LGBT, coming out and experience. The adolescents coming out before 16 years of age were more likely to commit suicide than others (Rimes et al, 2019) while another study revealed no association between LGBT identity affirmation and suicide behavior (Busby et al, 2020). Whereas self-identified as LGBT before the age of 10 was reported no association with suicide attempt (Rimes et al, 2019), and the age of being attracted to the same sex was not associated with suicide behavior (Mustanski & Liu, 2013).…”

Section: Resultsmentioning

confidence: 97%

“…However, two studies reported no associations with a negative reaction of a friend or most friends have the same sexual orientation (Rimes et al, 2019) as well as friend caring (Taliaferro & Muehlenkamp, 2017). Social connectedness was a protective factor to prevent the suicide attempt (Busby et al, 2020). The protective policy of peer-tutoring program didn’t show any significance in Goodenow’s study (Goodenow et al, 2006).…”

Section: Resultsmentioning

confidence: 99%

A systematic review of the factors associated with suicide attempts among sexual-minority adolescents

Wang

Gan

Zhou

et al. 2022

Preprint

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Introduction: Suicide attempt is a worldwide major public health problem, that accounts for 1.4% of all deaths worldwide Recent literature reported a higher risk of suicide attempt among adolescents associated with sexual minority status but few systematic reviews focused on the risk and protective factors. For that reason, it seems necessary to examine the risk and protective factors of attempted suicide in sexual minority adolescents. Methods: We conducted a systematic review of published studies on factors associated with suicide attempts in LGBT adolescents. 4 databases up to December 2020 were searched to find relevant studies. Results: In addition to the factors usually found in the general population (gender, ethnic minorities, childhood trauma, psychiatric symptoms, addictive behaviors), some factors have been independently associated with suicide attempts in the LGBT population: early coming out, not acceptable by families, not satisfied with LGBT friendship, too few numbers of friends, physical abuse, sexual abuse, and bullying. The protective factors of suicide attempts reported in the LGBT population were feeling safe at school, teacher support, anti-bullying policy, and other adult support. Conclusion: Effective preventive measures for suicide attempts among LGBT youth need to be developed and implemented. The impact of interventions targeting teacher responses to LGBT stigma, discussion of LGBT issues in class, and reactions of family and friends to the coming out of LGBT youth should be further investigated.

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Suicide risk among gender and sexual minority college students: The roles of victimization, discrimination, connectedness, and identity affirmation

Cited by 83 publications

References 43 publications

Meaning in Life Buffers the Association between Perceived Burdensomeness, Thwarted Belongingness, and Frequency of Non-Suicidal Self-Injuries in Spanish Adolescents

Meaning in Life Buffers the Association between Perceived Burdensomeness, Thwarted Belongingness, and Frequency of Non-Suicidal Self-Injuries in Spanish Adolescents

Suicide in DSM-5: Current Evidence for the Proposed Suicide Behavior Disorder and Other Possible Improvements

A systematic review of the factors associated with suicide attempts among sexual-minority adolescents

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