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. 2020 Nov:130:327-332.
doi: 10.1016/j.jpsychires.2020.08.022. Epub 2020 Aug 18.

Prevalence and clinical indices of risk for sexual and gender minority youth in an adolescent inpatient sample

Alexandra H Bettis  1 , Elizabeth C Thompson  2 , Taylor A Burke  2 , Jacqueline Nesi  2 , Anastacia Y Kudinova  3 , Jeffrey I Hunt  3 , Richard T Liu  3 , Jennifer C Wolff  3
Affiliations

Prevalence and clinical indices of risk for sexual and gender minority youth in an adolescent inpatient sample

Alexandra H Bettis et al. J Psychiatr Res. 2020 Nov.

Abstract

Objective: Rates of self-injurious thoughts and behaviors have increased in adolescents over the past two decades. Sexual and gender minority (SGM) youth report elevated rates of self-injurious thoughts and behaviors compared to heterosexual and cisgender youth. Studies of factors influencing suicide risk in SGM youth remain limited, however, and have largely been conducted in community or epidemiological samples.

Method: The present study aimed to address these limitations by examining the prevalence and clinical characteristics of sexual and gender minority youth in a sample of 515 youth admitted to an adolescent inpatient unit. In addition, the present study aimed to compare rates of self-reported self-injurious thoughts and behaviors, adverse early childhood experiences, and rates of rehospitalization in sexual and gender minority compared to non-sexual and gender minority youth.

Results: Results show that nearly 40% of the sample identified as sexual and/or gender minority. Sexual minority youth reported higher rates of suicidal ideation (t = -6.19, p < .001), higher rates of prior suicidal behavior (Chi2 = 27.44, p < .001) and non-suicidal self-injury (Chi2 = 48.09, p < .001), and greater numbers of adverse childhood experiences (t = -3.99, p < .001); gender minority youth reported higher rates of suicidal ideation (t = -3.91 p = .001). There were no group differences for SGM youth in rates of rehospitalization in the 6-months following initial admission. These results held when controlling for sex assigned at birth and current depression status in multi-variate analyses.

Conclusions: The study illuminates the importance of assessing SGM status in clinical care and highlights the need to evaluate sexual and gender minority specific risk factors for self-injurious thoughts and behaviors in youth.

Keywords: Adolescent; Gender identity; Self-injury; Sexual orientation; Suicide.

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Conflict of interest statement

Conflicts of interest: The authors have no disclosures or conflicts of interest to declare.

References

    1. Heron M Deaths: Final data for 2016 (National Vital Statistics Reports; CDC). Natl Vital Stat Reports. 2018;67:1–76. https://www.cdc.gov/%0Ahttps://www.cdc.gov/nchs/data/nvsr/nvsr67/nvsr67_.... - PubMed
    1. Plemmons G, Hall M, Doupnik S, Gay J, Brown C, Browning W, Casey R, Freundlich K, Johnson D, Lind C, Rehm K, Thomas S, Williams D. Hospitalization for suicide ideation or attempt: 2008–2015. Pediatrics. 2018;141. - PubMed
    1. Marshal MP, Dermody SS, Cheong JW, Burton CM, Friedman MS, Aranda F, Hughes TL. Trajectories of Depressive Symptoms and Suicidality Among Heterosexual and Sexual Minority Youth. J Youth Adolesc. 2013;42:1243–1256. - PMC - PubMed
    1. Marshal MP, Dietz LJ, Friedman MS, Stall R, Smith HA, McGinley J, Thoma BC, Murray PJ, D’Augelli AR, Brent DA. Suicidality and depression disparities between sexual minority and heterosexual youth: A meta-analytic review. J Adolesc Heal. 2011;49:115–123. - PMC - PubMed
    1. Testa RJ, Sciacca LM, Wang F, Hendricks ML, Goldblum P, Bradford J, Bongar B. Effects of violence on transgender people. Prof Psychol Res Pract. 2012;43:452–459.

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