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首页> 外文期刊>The Australian and New Zealand journal of psychiatry >Self-harm and suicide attempts among incarcerated lesbian, gay and bisexual people in Australia
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Self-harm and suicide attempts among incarcerated lesbian, gay and bisexual people in Australia

机译：Self-harm and suicide attempts among incarcerated lesbian, gay and bisexual people in Australia

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Objectives: Guided by minority stress theory, we explored the association between sexual identity, justice system involvement, self-harm and suicide attempts, among a cohort of incarcerated adults in Australia. Methods: A sample of 2698 adults incarcerated in Queensland and Western Australia were surveyed between 1 August 2008 and 12 August 2016 about their current psychological distress, mental health diagnoses, contact with mental health services, and lifetime and recent self-harm and suicide attempts. We used multivariable logistic regression to explore the relationship between sexual orientation, prior criminal justice system involvement, mental health and demographic factors. Results: Five percent of the sample identified as gay, lesbian or bisexual, with 37 of lesbian, gay, bisexual and other same-sex attracted individuals reporting that they had self-harmed (vs 14 of heterosexual peers; chi(2) = 52.4; p < 0.001) and 49 reporting a history of at least one suicide attempt (vs 23; chi(2) = 49.2; p < 0.001). Lesbian, gay, bisexual and other same-sex attracted people were 2.1 times (95 confidence interval: 1.4, 3.3) and 1.8 times (95 confidence interval: 1.2, 2.8) more likely to report a history of self-harm and suicide attempt, respectively, than non-lesbian, gay, bisexual and other same-sex attracted respondents. Conclusion: Intersectionality theory suggests that people who are navigating two or more marginalised identities often experience a compounding of internal and external stressors. Consistent with that theory, lesbian, gay, bisexual and other same-sex attracted people who experience incarceration may be at particularly high risk of self-harm and suicidal behaviour. Custodial settings should both improve cultural competency for frontline staff working with lesbian, gay, bisexual and other same-sex attracted individuals and improve access to mental health services during incarceration.

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