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首页> 外文期刊>Rural and Remote Health >Same-sex-attracted adolescents in rural Australia: stressors, depression and suicidality, and barriers to seeking mental health support AUTHORS
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Same-sex-attracted adolescents in rural Australia: stressors, depression and suicidality, and barriers to seeking mental health support AUTHORS

机译：澳大利亚农村地区的同性吸引青少年：压力，抑郁和自杀倾向以及寻求心理健康支持的障碍

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Introduction: To address the lack of Australian data examining mental health in same-sex attracted rural adolescents compared with their rural heterosexual peers, this study examined experiences of stressors, symptoms of depression and suicidality, and perceptions of barriers to seeking mental health support, comparing same-sex attracted adolescents with heterosexual adolescents living in rural Australia. Methods: Respondents were recruited through high schools in rural South Australia and completed a questionnaire that included demographic questions, the Kutcher Adolescent Depression Scale (KADS-6) and measures of stressors and perceptions of barriers to seeking mental health support. Participants were 531 adolescents (55% female, 43% male), aged 13 to 18, 31 of whom identified as same-sex attracted. Results: Same-sex attracted adolescents reported significantly more depression symptoms (mean=6.1, standard deviation (SD)=3.9) compared to other adolescents (mean=2.9, SD=3.2, U=2867, p<0.001, r=0 .16). More adolescents who were same-sex attracted screened positive for depression (54.8% vs 15.9%) and there was a significant difference in responses to the item assessing suicidality between same-sex attracted and other adolescents (mean=1.1, SD=1.1; mean=0.3, SD=0.7, χ2 (1, N=531)=27.10, p<0.001, phi=0.24). Same-sex attracted adolescents reported more experiences of stressors relating to relationships, bullying and physical assault than heterosexual adolescents but, contrary to expectations, did not report perceiving more barriers to seeking mental health support (total barriers: same-sex attracted adolescents mean=2.5 (1.8), other adolescents mean=2.5 (1.9), t(527)=0.06, p=0.95, d=0.00). Conclusions: Adolescents who identified as being same-sex attracted are at much greater risk of depression and suicidality than other adolescents in rural South Australia. The finding that same-sex attracted adolescents experienced a higher number of relationship stressors, bullying and assault underscores the need for more focus on addressing these issues for this group of vulnerable adolescents. While same-sex attracted adolescents did not perceive more barriers to seeking mental health support, greater understanding of same-sex attracted adolescents’ access to appropriate services in rural areas is needed to be able to improve mental health functioning in this population. In addition, addressing the wider issues (eg stigma) contributing to the greater number of stressors, including victimisation, faced by same-sex attracted adolescents should be a priority.
机译：简介：为解决澳大利亚缺乏同性吸引农村青少年同异性恋同伴相比研究其心理健康的澳大利亚数据的问题，本研究研究了压力源的经历，抑郁和自杀倾向的症状以及寻求心理健康支持的障碍的感知，比较同性吸引了青少年，异性恋青少年生活在澳大利亚农村。方法：通过南澳大利亚农村地区的一所中学招募受访者，并填写了一份调查表，其中包括人口统计学问题，库彻青少年抑郁量表（KADS-6）以及压力源和对寻求心理健康支持的障碍的感知的测量方法。参加者为531名青少年（女性55％，男性43％），年龄在13至18岁之间，其中31名被确定为同性伴侣。结果：同性吸引青少年报告的抑郁症状（平均值= 6.1，标准差（SD）= 3.9）比其他青少年（平均值= 2.9，SD = 3.2，U = 2867，p <0.001，r = 0）明显多。 16）。同性吸引的青少年中，抑郁症筛查呈阳性（54.8％比15.9％），同性吸引和其他青少年之间对自杀倾向评估项目的反应存在显着差异（平均值= 1.1，SD = 1.1;平均值＝ 0.3，SD ＝ 0.7，χ2（1，N ＝ 531）＝ 27.10，p ＜0.001，phi ＝ 0.24）。同性吸引的青少年报告说，与异性恋青少年相比，与人际关系，欺凌和人身伤害有关的压力源经历要多，但与预期相反，报告并未发现感知到寻求心理健康支持的障碍更多（总障碍：同性吸引的青少年平均值= 2.5 （1.8），其他青少年平均= 2.5（1.9），t（527）= 0.06，p = 0.95，d = 0.00）。结论：与南澳大利亚农村地区的其他青少年相比，被确定为同性吸引的青少年患抑郁和自杀的风险要大得多。同性吸引青少年的发现经历了更多的人际关系压力源，欺凌和殴打凸显了需要更加集中精力为这一弱势青少年群体解决这些问题。尽管同性吸引青少年没有更多寻求心理健康支持的障碍，但需要更多地了解同性吸引青少年在农村地区获得适当服务的机会，以改善该人群的心理健康功能。此外，应对同性吸引的青少年面临的更广泛的问题（例如污名化）造成更多的压力源，包括受害，应作为优先事项。

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