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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...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Tabriz University of Medical Sciences
2019
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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. |
format | Online Article Text |
id | pubmed-6717921 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Tabriz University of Medical Sciences |
record_format | MEDLINE/PubMed |
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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