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Sexual orientation and risk factors for suicidal ideation and suicide attempts: a multi-centre cross-sectional study in three Asian cities.
J Epidemiol. 2015; 25(2):155-61.JE

Abstract

PURPOSE

Despite robust empirical and theoretical evidence for higher rates of suicide among lesbian, gay, and bisexual (LGB) youths, little is known about the relationship between suicide and sexual orientation among Asian youths. This study examined differences in prevalence of suicidal ideation and suicide attempts between LGB and heterosexual youths in the cities of Hanoi, Shanghai, and Taipei, China.

METHODS

The data are from a community-based multi-centre cross-sectional study conducted from 2006 to 2007, with a sample of 17 016 youths aged 15-24 years from Hanoi, Shanghai, and Taipei. Chi-square test and logistic regression were used to evaluate correlates of suicidal ideation and suicide attempts.

RESULTS

The overall prevalence of suicidal ideation and suicide attempts in the preceding 12 months in LGB youths were both higher than in heterosexual youth (12.8% vs. 8.1% and 4.0% vs. 2.4%, respectively). Stratified by city, the prevalence of suicidal ideation was lowest in Hanoi (2.2%), followed by Shanghai (8.0%) and Taipei (17.0%). Similar trends were observed in the prevalence of suicide attempts, which was lowest in Hanoi (0.3%), followed by Shanghai (1.2%) and Taipei (2.5%). Of note, however, multivariate logistic regression results revealed that LGB youth were at a higher risk for suicidal ideation than heterosexual youth only in Taipei (odds ratio 1.65).

CONCLUSIONS

Suicidality is common among Asian youth, with higher prevalence observed in urbanized cities. LGB youths are at greater risk of suicidal ideation than their heterosexual counterparts in Taipei than in the other two examined cities.

Authors+Show Affiliations

Department of Epidemiology and Social Science, Shanghai Institute of Planned Parenthood Research.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Multicenter Study
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

25446798

Citation

Lian, Qiguo, et al. "Sexual Orientation and Risk Factors for Suicidal Ideation and Suicide Attempts: a Multi-centre Cross-sectional Study in Three Asian Cities." Journal of Epidemiology, vol. 25, no. 2, 2015, pp. 155-61.
Lian Q, Zuo X, Lou C, et al. Sexual orientation and risk factors for suicidal ideation and suicide attempts: a multi-centre cross-sectional study in three Asian cities. J Epidemiol. 2015;25(2):155-61.
Lian, Q., Zuo, X., Lou, C., Gao, E., & Cheng, Y. (2015). Sexual orientation and risk factors for suicidal ideation and suicide attempts: a multi-centre cross-sectional study in three Asian cities. Journal of Epidemiology, 25(2), 155-61. https://doi.org/10.2188/jea.JE20140084
Lian Q, et al. Sexual Orientation and Risk Factors for Suicidal Ideation and Suicide Attempts: a Multi-centre Cross-sectional Study in Three Asian Cities. J Epidemiol. 2015;25(2):155-61. PubMed PMID: 25446798.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Sexual orientation and risk factors for suicidal ideation and suicide attempts: a multi-centre cross-sectional study in three Asian cities. AU - Lian,Qiguo, AU - Zuo,Xiayun, AU - Lou,Chaohua, AU - Gao,Ersheng, AU - Cheng,Yan, Y1 - 2014/11/29/ PY - 2014/12/3/entrez PY - 2014/12/3/pubmed PY - 2015/8/19/medline SP - 155 EP - 61 JF - Journal of epidemiology JO - J Epidemiol VL - 25 IS - 2 N2 - PURPOSE: Despite robust empirical and theoretical evidence for higher rates of suicide among lesbian, gay, and bisexual (LGB) youths, little is known about the relationship between suicide and sexual orientation among Asian youths. This study examined differences in prevalence of suicidal ideation and suicide attempts between LGB and heterosexual youths in the cities of Hanoi, Shanghai, and Taipei, China. METHODS: The data are from a community-based multi-centre cross-sectional study conducted from 2006 to 2007, with a sample of 17 016 youths aged 15-24 years from Hanoi, Shanghai, and Taipei. Chi-square test and logistic regression were used to evaluate correlates of suicidal ideation and suicide attempts. RESULTS: The overall prevalence of suicidal ideation and suicide attempts in the preceding 12 months in LGB youths were both higher than in heterosexual youth (12.8% vs. 8.1% and 4.0% vs. 2.4%, respectively). Stratified by city, the prevalence of suicidal ideation was lowest in Hanoi (2.2%), followed by Shanghai (8.0%) and Taipei (17.0%). Similar trends were observed in the prevalence of suicide attempts, which was lowest in Hanoi (0.3%), followed by Shanghai (1.2%) and Taipei (2.5%). Of note, however, multivariate logistic regression results revealed that LGB youth were at a higher risk for suicidal ideation than heterosexual youth only in Taipei (odds ratio 1.65). CONCLUSIONS: Suicidality is common among Asian youth, with higher prevalence observed in urbanized cities. LGB youths are at greater risk of suicidal ideation than their heterosexual counterparts in Taipei than in the other two examined cities. SN - 1349-9092 UR - https://www.unboundmedicine.com/medline/citation/25446798/Sexual_orientation_and_risk_factors_for_suicidal_ideation_and_suicide_attempts:_a_multi_centre_cross_sectional_study_in_three_Asian_cities_ L2 - https://dx.doi.org/10.2188/jea.JE20140084 DB - PRIME DP - Unbound Medicine ER -