A systematic review of the factors associated with suicide attempts among sexual-minority youth

• Xavier Xu Wang ^[1] ; Quan Gan ^[2] ; Junwen Zhou ^[3] ; Mireille Cosquer ^[1] ; Bruno Falissard ^[2] ; Emmanuelle Corruble ^[4] ; Catherine Jousselme ^[1] ; Florence Gressier ^[4]
  1. [1] INSERM U1018, CESP, MOODS team, Université Paris-Saclay, Le Kremlin Bicêtre, France; Centre Hospitalier Fondation Vallée, Gentilly, France
  2. [2] INSERM UMR1018, CESP, Department of Biostatistics, Hôpital Paul Brousse, Assistance Publique-Hôpitaux de Paris, Hôpitaux Universitaires Paris Saclay, Villejuif, France
  3. [3] Department of Public Health, Université Aix-Marseille, Marseille, France
  4. [4] INSERM U1018, CESP, MOODS team, Université Paris-Saclay, Le Kremlin Bicêtre, France; Department of Psychiatry, Bicêtre University Hospital, Assistance Publique-Hôpitaux de Paris, Hôpitaux Universitaires Paris Saclay, Le Kremlin-Bicêtre, France

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• Localización: European journal of psychiatry, ISSN 0213-6163, Vol. 37, Nº 2, 2023, págs. 72-83
• Idioma: inglés
• DOI: 10.1016/j.ejpsy.2022.09.003
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  • Background and objectives Recent literature reported a higher risk of suicide attempts among sexual minority youth. Discovering the risk and protective factors of suicide attempts among this vulnerable population can play a key role in reducing the suicide rate. Our research aims to systematically search for the risk and protective factors for suicide attempts among sexual minority youth.

    Methods We have conducted a systematic review of published studies of associated factors for suicide attempts in sexual minority youth. Four databases up to 2020 were searched to find relevant studies.

    Results Twelve articles were included. For sexual minority youth, the identified risk factors associated with suicide attempts are early coming out, being unacceptable by families, dissatisfaction with sexual minority friendships, too few friends, physical abuse, sexual abuse, and bullying. The identified protective factors for suicide attempts are feeling safe at school, teacher support, anti-bullying policy, and other adult support.

    Conclusion Both risk and protective factors for suicide attempts stem directly from the environments in which youth grew up: family, school, and the internet. Effective preventive measures among sexual minority youth need to be developed and implemented. Societal-level anti-stigma interventions are needed to reduce the risk of victimization and awareness should be raised among family and friends.