Child abuse & neglect · 2025
Childhood maltreatment and suicidal behaviors among heterosexual and sexual minority youth in China.
СтатьяПоддержка исследования: вне правительства СШАНазвание и аннотация: Перевод в очереди
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Zhang Chenxi, Zhang Nan, Xu Zixuan, Hu Jie, Guan Meiqi, Zhang Lengyi, Dai Yuqin, An Wenhua, Yin Ziyan, Zhang Yanmei, Yu Yizhen
Аннотация
BACKGROUND: Childhood maltreatment (CM) is a recognized risk factor for suicide. Lesbian, gay, bisexual, and questioning (LGBQ) individuals tend to report CM and suicide more frequently compared to heterosexual individuals. However, limited research explored the association between CM and suicidal behaviors among LGBQ adolescents.
OBJECTIVE: To explore the association between CM and suicidal behaviors among heterosexual and LGBQ adolescents in China.
PARTICIPANTS AND SETTING: A cross-sectional survey was conducted among 9927 adolescents aged 15-19 years from five provinces in China, using a multi-stage cluster sampling method.
METHODS: Demographic data, CM, and suicidal behaviors were collected through a self-reported questionnaire. The associations were examined via a set of logistic regression analyses.
RESULTS: Among the participants, 27.0 % experienced CM, and 21.6 % reported suicidal behaviors in the past year. Among heterosexual adolescents, all five subtypes of CM were associated with suicidal behaviors, and the risk level increased with cumulative types of CM (CCM). In LGBQ individuals, emotional abuse (OR = 2.48, 95 % CI: 1.12-5.51) and emotional neglect (OR = 2.36, 95 % CI: 1.27-4.38) were associated with higher odds of suicidal behaviors. A potential "sensitive window effect" was observed in LGBQ individuals, with the suicide risk level peaking at exposure to two CCM (OR = 4.16, 95 % CI: 2.13-8.16), followed by a plateau with further exposure. PAF analysis indicated a higher CM-related suicide risk in LGBQ individuals, with emotional neglect accounting for 18.2 % of suicide attempts, compared to 12.6 % in heterosexuals.
CONCLUSIONS: In this cross-sectional study, CM was significantly associated with suicidal behaviors, with the strength of the associations differing by sexual orientation. The cumulative impact of maltreatment also exhibited different patterns between sexual orientation groups. These findings suggest that incorporating sexual orientation into suicide risk assessment may enhance support for adolescents with histories of maltreatment.
OBJECTIVE: To explore the association between CM and suicidal behaviors among heterosexual and LGBQ adolescents in China.
PARTICIPANTS AND SETTING: A cross-sectional survey was conducted among 9927 adolescents aged 15-19 years from five provinces in China, using a multi-stage cluster sampling method.
METHODS: Demographic data, CM, and suicidal behaviors were collected through a self-reported questionnaire. The associations were examined via a set of logistic regression analyses.
RESULTS: Among the participants, 27.0 % experienced CM, and 21.6 % reported suicidal behaviors in the past year. Among heterosexual adolescents, all five subtypes of CM were associated with suicidal behaviors, and the risk level increased with cumulative types of CM (CCM). In LGBQ individuals, emotional abuse (OR = 2.48, 95 % CI: 1.12-5.51) and emotional neglect (OR = 2.36, 95 % CI: 1.27-4.38) were associated with higher odds of suicidal behaviors. A potential "sensitive window effect" was observed in LGBQ individuals, with the suicide risk level peaking at exposure to two CCM (OR = 4.16, 95 % CI: 2.13-8.16), followed by a plateau with further exposure. PAF analysis indicated a higher CM-related suicide risk in LGBQ individuals, with emotional neglect accounting for 18.2 % of suicide attempts, compared to 12.6 % in heterosexuals.
CONCLUSIONS: In this cross-sectional study, CM was significantly associated with suicidal behaviors, with the strength of the associations differing by sexual orientation. The cumulative impact of maltreatment also exhibited different patterns between sexual orientation groups. These findings suggest that incorporating sexual orientation into suicide risk assessment may enhance support for adolescents with histories of maltreatment.