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Effects of Victimization and Violence on Suicidal Ideation and Behaviors Among Sexual Minority and Heterosexual Adolescents.
LGBT Health. 2016 Apr; 3(2):153-61.LH

Abstract

PURPOSE

Sexual minority youth (SMY) are at higher risk for victimization and suicide than are heterosexual youth (HY). Relatively little research has examined which types of victimization are most closely linked to suicide, which is necessary to develop targeted prevention interventions. The present study was conducted to address this deficit.

METHODS

The data come from the 2011 Chicago Youth Risk Behavior Survey (n = 1,907). Structural equation modeling (SEM) in Mplus evaluated the direct, indirect, and total effects of sexual orientation on a latent indicator of suicidal ideation and behaviors via seven types of victimization. Four indicators of victimization were school-specific (e.g., harassment due to sexual orientation or gender identity (SO/GID), bullying, threatened or injured with a weapon, and skipping school due to safety concerns), and three indicators assessed other types of victimization (e.g., electronic bullying, intimate partner violence, and sexual abuse).

RESULTS

Thirteen percent of youth were classified as SMY. Significantly more SMY than HY reported suicidal ideation (27.95% vs. 13.64%), a suicide plan (22.78% vs. 12.36%), and at least one suicide attempt (29.92% vs. 12.43%) in the past year (all P < .001). A greater percentage of SMY reported SO/GID-related harassment, skipping school, electronic bullying, and sexual abuse. Sexual orientation was not directly related to suicidal ideation and behaviors in SEM. Rather, SMY's elevated risk of suicidality functioned indirectly through two forms of school-based victimization: being threatened or injured with a weapon (B = .19, SE = .09, P ≤ .05) and experiencing SO/GID-specific harassment (B = .40, SE = .15, P ≤ .01). There also was a trend for SMY to skip school as a strategy to reduce suicide risk.

CONCLUSION

Although SMY experience higher rates of victimization than do HY, school-based victimization that involves weapons or is due to one's SO/GID appear to be the most deleterious. That SMY may skip school to reduce their risk of suicidal ideation and behaviors is problematic, and schools should be encouraged to enact and enforce policies that explicitly protect SMY from victimization.

Authors+Show Affiliations

1 School of Social Service Administration, University of Chicago , Chicago, Illinois. 2 Chicago Center for HIV Elimination, University of Chicago , Chicago, Illinois.3 Department of Sociology, College of Social and Behavioral Science, The University of Utah , Salt Lake City, Utah.1 School of Social Service Administration, University of Chicago , Chicago, Illinois.4 University of Connecticut School of Social Work , West Hartford, Connecticut.5 Center for AIDS Prevention Studies, University of California San Francisco , San Francisco, California.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

26789401

Citation

Bouris, Alida, et al. "Effects of Victimization and Violence On Suicidal Ideation and Behaviors Among Sexual Minority and Heterosexual Adolescents." LGBT Health, vol. 3, no. 2, 2016, pp. 153-61.
Bouris A, Everett BG, Heath RD, et al. Effects of Victimization and Violence on Suicidal Ideation and Behaviors Among Sexual Minority and Heterosexual Adolescents. LGBT Health. 2016;3(2):153-61.
Bouris, A., Everett, B. G., Heath, R. D., Elsaesser, C. E., & Neilands, T. B. (2016). Effects of Victimization and Violence on Suicidal Ideation and Behaviors Among Sexual Minority and Heterosexual Adolescents. LGBT Health, 3(2), 153-61. https://doi.org/10.1089/lgbt.2015.0037
Bouris A, et al. Effects of Victimization and Violence On Suicidal Ideation and Behaviors Among Sexual Minority and Heterosexual Adolescents. LGBT Health. 2016;3(2):153-61. PubMed PMID: 26789401.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Effects of Victimization and Violence on Suicidal Ideation and Behaviors Among Sexual Minority and Heterosexual Adolescents. AU - Bouris,Alida, AU - Everett,Bethany G, AU - Heath,Ryan D, AU - Elsaesser,Caitlin E, AU - Neilands,Torsten B, Y1 - 2015/11/13/ PY - 2016/1/21/entrez PY - 2016/1/21/pubmed PY - 2016/12/28/medline KW - LGBT youth KW - child and adolescent development KW - sexual orientation KW - suicide SP - 153 EP - 61 JF - LGBT health JO - LGBT Health VL - 3 IS - 2 N2 - PURPOSE: Sexual minority youth (SMY) are at higher risk for victimization and suicide than are heterosexual youth (HY). Relatively little research has examined which types of victimization are most closely linked to suicide, which is necessary to develop targeted prevention interventions. The present study was conducted to address this deficit. METHODS: The data come from the 2011 Chicago Youth Risk Behavior Survey (n = 1,907). Structural equation modeling (SEM) in Mplus evaluated the direct, indirect, and total effects of sexual orientation on a latent indicator of suicidal ideation and behaviors via seven types of victimization. Four indicators of victimization were school-specific (e.g., harassment due to sexual orientation or gender identity (SO/GID), bullying, threatened or injured with a weapon, and skipping school due to safety concerns), and three indicators assessed other types of victimization (e.g., electronic bullying, intimate partner violence, and sexual abuse). RESULTS: Thirteen percent of youth were classified as SMY. Significantly more SMY than HY reported suicidal ideation (27.95% vs. 13.64%), a suicide plan (22.78% vs. 12.36%), and at least one suicide attempt (29.92% vs. 12.43%) in the past year (all P < .001). A greater percentage of SMY reported SO/GID-related harassment, skipping school, electronic bullying, and sexual abuse. Sexual orientation was not directly related to suicidal ideation and behaviors in SEM. Rather, SMY's elevated risk of suicidality functioned indirectly through two forms of school-based victimization: being threatened or injured with a weapon (B = .19, SE = .09, P ≤ .05) and experiencing SO/GID-specific harassment (B = .40, SE = .15, P ≤ .01). There also was a trend for SMY to skip school as a strategy to reduce suicide risk. CONCLUSION: Although SMY experience higher rates of victimization than do HY, school-based victimization that involves weapons or is due to one's SO/GID appear to be the most deleterious. That SMY may skip school to reduce their risk of suicidal ideation and behaviors is problematic, and schools should be encouraged to enact and enforce policies that explicitly protect SMY from victimization. SN - 2325-8306 UR - https://www.unboundmedicine.com/medline/citation/26789401/Effects_of_Victimization_and_Violence_on_Suicidal_Ideation_and_Behaviors_Among_Sexual_Minority_and_Heterosexual_Adolescents_ L2 - https://www.liebertpub.com/doi/10.1089/lgbt.2015.0037?url_ver=Z39.88-2003&amp;rfr_id=ori:rid:crossref.org&amp;rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -