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Suicide ideation, planning, and attempts: the case of the Latinx LGB youth

Background: Guided by an ecological systems theory (EST) framework, the purpose of the present study was to investigate how multiple micro, mezzo, and macro factors influence the suicidality continuum from suicidal ideation to suicide attempt among Latinx LGB (lesbian, gay, and bisexual) youth livin...

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Autores principales: Boyas, Javier F., Villarreal-Otálora, Tatiana, Alvarez-Hernandez, Luis R., Fatehi, Mariam
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Tabriz University of Medical Sciences 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6717921/
https://www.ncbi.nlm.nih.gov/pubmed/31508340
http://dx.doi.org/10.15171/hpp.2019.28
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author Boyas, Javier F.
Villarreal-Otálora, Tatiana
Alvarez-Hernandez, Luis R.
Fatehi, Mariam
author_facet Boyas, Javier F.
Villarreal-Otálora, Tatiana
Alvarez-Hernandez, Luis R.
Fatehi, Mariam
author_sort Boyas, Javier F.
collection PubMed
description Background: Guided by an ecological systems theory (EST) framework, the purpose of the present study was to investigate how multiple micro, mezzo, and macro factors influence the suicidality continuum from suicidal ideation to suicide attempt among Latinx LGB (lesbian, gay, and bisexual) youth living in the United States. Methods: Data for this cross sectional-study included 451 participants who self-identified as Latinx LGB on the 2017-National Youth Risk Behavioral Survey. The analysis explored micro, mezzo, and macro-level factors’ association with three suicidality outcomes (ideation, planning, and attempt) at the bivariate and multivariate level. Since the outcome variables were dichotomized, univariate logistic regressions and backward elimination logistic regressions were used. Results: The most commonly reported suicidal behavior was ideation (n = 173; 40%), followed by planning (n = 150; 34%), and then attempt (n = 64; 21%). Findings from the backward elimination logistic regression on suicidal ideation suggest the best set of independent variables are being bullied at school (odds ratio [OR] = 2.81; CI: 1.61–4.89), experiencing sexual assault(OR = 2.32; CI: 1.32–4.07), experiencing depressive symptoms (OR = 1.99; CI: 1.07– 3.69),being cannabis use (OR = 1.76; CI: 1.08–2.89), and being female (OR = 1.72; CI: 1.01–2.93).For suicide planning the model suggested, experiencing depressive symptoms (OR = 3.21; CI:1.74–5.91), cannabis use (OR = 2.46; CI: 1.49–4.07), being bullied at school (OR = 2.04; CI:1.17–3.58), and experiencing sexual assault (OR = 1.88; CI: 1.07–3.31) exhibited the strongest relationships. Suicide attempt was significantly associated with cannabis use (OR = 3.12; CI:1.60–6.08), experiencing depression (OR= 2.89; CI: 1.30–6.43), experiencing sexual assault (OR = 2.77; CI: 1.34–5.71), and being bullied at school (OR = 2.34; CI: 1.12–4.91). Conclusion: Given the findings of this study, it is essential that tailored suicide prevention efforts be established that uniquely address the intersections of race/ethnicity and sexual orientation and how this intersection influences micro, mezzo, and macro factors associated with suicide ideation, planning, and attempt among Latinx LGB adolescents.
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spelling pubmed-67179212019-09-10 Suicide ideation, planning, and attempts: the case of the Latinx LGB youth Boyas, Javier F. Villarreal-Otálora, Tatiana Alvarez-Hernandez, Luis R. Fatehi, Mariam Health Promot Perspect Original Article Background: Guided by an ecological systems theory (EST) framework, the purpose of the present study was to investigate how multiple micro, mezzo, and macro factors influence the suicidality continuum from suicidal ideation to suicide attempt among Latinx LGB (lesbian, gay, and bisexual) youth living in the United States. Methods: Data for this cross sectional-study included 451 participants who self-identified as Latinx LGB on the 2017-National Youth Risk Behavioral Survey. The analysis explored micro, mezzo, and macro-level factors’ association with three suicidality outcomes (ideation, planning, and attempt) at the bivariate and multivariate level. Since the outcome variables were dichotomized, univariate logistic regressions and backward elimination logistic regressions were used. Results: The most commonly reported suicidal behavior was ideation (n = 173; 40%), followed by planning (n = 150; 34%), and then attempt (n = 64; 21%). Findings from the backward elimination logistic regression on suicidal ideation suggest the best set of independent variables are being bullied at school (odds ratio [OR] = 2.81; CI: 1.61–4.89), experiencing sexual assault(OR = 2.32; CI: 1.32–4.07), experiencing depressive symptoms (OR = 1.99; CI: 1.07– 3.69),being cannabis use (OR = 1.76; CI: 1.08–2.89), and being female (OR = 1.72; CI: 1.01–2.93).For suicide planning the model suggested, experiencing depressive symptoms (OR = 3.21; CI:1.74–5.91), cannabis use (OR = 2.46; CI: 1.49–4.07), being bullied at school (OR = 2.04; CI:1.17–3.58), and experiencing sexual assault (OR = 1.88; CI: 1.07–3.31) exhibited the strongest relationships. Suicide attempt was significantly associated with cannabis use (OR = 3.12; CI:1.60–6.08), experiencing depression (OR= 2.89; CI: 1.30–6.43), experiencing sexual assault (OR = 2.77; CI: 1.34–5.71), and being bullied at school (OR = 2.34; CI: 1.12–4.91). Conclusion: Given the findings of this study, it is essential that tailored suicide prevention efforts be established that uniquely address the intersections of race/ethnicity and sexual orientation and how this intersection influences micro, mezzo, and macro factors associated with suicide ideation, planning, and attempt among Latinx LGB adolescents. Tabriz University of Medical Sciences 2019-08-06 /pmc/articles/PMC6717921/ /pubmed/31508340 http://dx.doi.org/10.15171/hpp.2019.28 Text en © 2019 The Author(s). http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Boyas, Javier F.
Villarreal-Otálora, Tatiana
Alvarez-Hernandez, Luis R.
Fatehi, Mariam
Suicide ideation, planning, and attempts: the case of the Latinx LGB youth
title Suicide ideation, planning, and attempts: the case of the Latinx LGB youth
title_full Suicide ideation, planning, and attempts: the case of the Latinx LGB youth
title_fullStr Suicide ideation, planning, and attempts: the case of the Latinx LGB youth
title_full_unstemmed Suicide ideation, planning, and attempts: the case of the Latinx LGB youth
title_short Suicide ideation, planning, and attempts: the case of the Latinx LGB youth
title_sort suicide ideation, planning, and attempts: the case of the latinx lgb youth
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6717921/
https://www.ncbi.nlm.nih.gov/pubmed/31508340
http://dx.doi.org/10.15171/hpp.2019.28
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