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Sexual orientation differences in non-suicidal self-injury, suicidality, and psychosocial factors among an inpatient psychiatric sample of adolescents.
Psychiatry Res. 2020 02; 284:112664.PR

Abstract

Within broader community samples, sexual minority adolescents (SMA, e.g., lesbian, gay, bisexual, queer) are at greater risk than their heterosexual counterparts for nonsuicidal self-injury (NSSI) and suicidal thoughts and behaviors. The present study investigated whether sexual minority orientation continues to confer additional risk for these behaviors in an already higher-risk sample of youth. Frequency and function of NSSI, suicidal behavior, and psychosocial factors were assessed in a sample of 52 adolescents (aged 12-18 years) admitted to an inpatient psychiatric unit due to suicide risk; 27 of them identified as SMA, and 25 as heterosexual (HA). Greater proportions of SMA reported engaging in lifetime NSSI, compared to HA, with a greater variety and frequency of NSSI behaviors and greater endorsement of intrapersonal NSSI functions. SMA reported higher levels of suicide ideation than HA, but not suicidal behavior. Group differences in NSSI and SI persisted when controlling for the greater prevalence of abuse and levels of peer-victimization reported by SMA. In inpatient clinical settings, SMA may be more likely than heterosexual youth to engage in NSSI, including more severe forms, and to experience suicide ideation. Providing alternative coping mechanisms may serve as treatment goals for reducing NSSI in SMA.

Authors+Show Affiliations

Department of Psychiatry and Human Behavior, Alpert Medical School of Brown University, Providence, RI, United States. Electronic address: jessica_peters@brown.edu.Department of Health Studies, American University, Washington, DC, United States.Department of Psychiatry and Human Behavior, Alpert Medical School of Brown University, Providence, RI, United States.Department of Psychiatry and Human Behavior, Alpert Medical School of Brown University, Providence, RI, United States.Emergency Digital Health Innovation program, Department of Emergency Medicine, Alpert Medical School of Brown University, Providence, RI, United States.Department of Psychiatry, McLean Hospital/Harvard Medical School, Belmont, MA, United States.Department of Psychiatry and Human Behavior, Alpert Medical School of Brown University, Providence, RI, United States.Department of Psychiatry and Human Behavior, Alpert Medical School of Brown University, Providence, RI, United States; Department of Psychiatry, Beth Israel Deaconess Medical Center/Harvard Medical School, Boston, MA, United States.

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural

Language

eng

PubMed ID

31732188

Citation

Peters, Jessica R., et al. "Sexual Orientation Differences in Non-suicidal Self-injury, Suicidality, and Psychosocial Factors Among an Inpatient Psychiatric Sample of Adolescents." Psychiatry Research, vol. 284, 2020, p. 112664.
Peters JR, Mereish EH, Krek MA, et al. Sexual orientation differences in non-suicidal self-injury, suicidality, and psychosocial factors among an inpatient psychiatric sample of adolescents. Psychiatry Res. 2020;284:112664.
Peters, J. R., Mereish, E. H., Krek, M. A., Chuong, A., Ranney, M. L., Solomon, J., Spirito, A., & Yen, S. (2020). Sexual orientation differences in non-suicidal self-injury, suicidality, and psychosocial factors among an inpatient psychiatric sample of adolescents. Psychiatry Research, 284, 112664. https://doi.org/10.1016/j.psychres.2019.112664
Peters JR, et al. Sexual Orientation Differences in Non-suicidal Self-injury, Suicidality, and Psychosocial Factors Among an Inpatient Psychiatric Sample of Adolescents. Psychiatry Res. 2020;284:112664. PubMed PMID: 31732188.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Sexual orientation differences in non-suicidal self-injury, suicidality, and psychosocial factors among an inpatient psychiatric sample of adolescents. AU - Peters,Jessica R, AU - Mereish,Ethan H, AU - Krek,Maya A, AU - Chuong,Adam, AU - Ranney,Megan L, AU - Solomon,Joel, AU - Spirito,Anthony, AU - Yen,Shirley, Y1 - 2019/10/28/ PY - 2019/05/23/received PY - 2019/10/20/revised PY - 2019/10/26/accepted PY - 2019/11/17/pubmed PY - 2020/9/25/medline PY - 2019/11/17/entrez KW - Bisexual KW - Deliberate self-harm KW - Emotion regulation KW - Gay KW - LGBT KW - LGBTQ KW - Suicide SP - 112664 EP - 112664 JF - Psychiatry research JO - Psychiatry Res VL - 284 N2 - Within broader community samples, sexual minority adolescents (SMA, e.g., lesbian, gay, bisexual, queer) are at greater risk than their heterosexual counterparts for nonsuicidal self-injury (NSSI) and suicidal thoughts and behaviors. The present study investigated whether sexual minority orientation continues to confer additional risk for these behaviors in an already higher-risk sample of youth. Frequency and function of NSSI, suicidal behavior, and psychosocial factors were assessed in a sample of 52 adolescents (aged 12-18 years) admitted to an inpatient psychiatric unit due to suicide risk; 27 of them identified as SMA, and 25 as heterosexual (HA). Greater proportions of SMA reported engaging in lifetime NSSI, compared to HA, with a greater variety and frequency of NSSI behaviors and greater endorsement of intrapersonal NSSI functions. SMA reported higher levels of suicide ideation than HA, but not suicidal behavior. Group differences in NSSI and SI persisted when controlling for the greater prevalence of abuse and levels of peer-victimization reported by SMA. In inpatient clinical settings, SMA may be more likely than heterosexual youth to engage in NSSI, including more severe forms, and to experience suicide ideation. Providing alternative coping mechanisms may serve as treatment goals for reducing NSSI in SMA. SN - 1872-7123 UR - https://www.unboundmedicine.com/medline/citation/31732188/Sexual_orientation_differences_in_non_suicidal_self_injury_suicidality_and_psychosocial_factors_among_an_inpatient_psychiatric_sample_of_adolescents_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0165-1781(19)30943-6 DB - PRIME DP - Unbound Medicine ER -