Trends in Self-Injurious Thoughts and Behaviors Among US Adults, 2015–2019: Differential Risk According to Sexual Orientation

Sönmez, İbrahim; Palamar, Joseph J.

doi:10.1080/13811118.2022.2096519

Cited by 1 publication

(1 citation statement)

References 33 publications

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“…Third, women at risk for suicide should be provided with evidence-based interventions (EBI) for suicide prevention. Given the increased risk for attempted suicide among bisexual women (Sonmez & Palamar, 2022) and limited available information about the efficacy of suicide prevention EBIs for this group, existing EBIs for suicide prevention (Barnhorst et al, 2021; Hofstra et al, 2020; Mann et al, 2021) may need to be adapted to improve the intervention fit and efficacy for bisexual women. Several adaptative models (Escoffery et al, 2019) exist to guide adaptations.…”

Section: Discussionmentioning

confidence: 99%

Examining whether the impact of different types of interpersonal violence and mental disorders on attempted suicide is greater for bisexual women.

Cavanaugh¹,

Wismar²

2024

Psychological Trauma: Theory, Research, Practice, and Policy

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Objective: This national study examined whether different types of interpersonal violence and mental disorders were associated with greater risk for attempted suicide among bisexual women than heterosexual women. Method: Data were used from participants in Wave II of the National Epidemiologic Survey on Alcohol and Related Conditions in the United States of America who identified as female and either heterosexual or bisexual (N = 19,261; 71% White). Logistic regression models tested the main and interactive effects of three types of interpersonal violence (i.e., childhood abuse, childhood neglect, or intimate partner violence [IPV]), four types of mental disorders (i.e., mood, anxiety, substance use, and posttraumatic stress) and sexual orientation (i.e., bisexual vs. heterosexual) on attempted suicide. A post hoc logistic regression also tested the main and interactive effects of four types of anxiety disorders (i.e., panic disorder, social phobia, specific phobia, and generalized anxiety disorder [GAD]) and sexual orientation on attempted suicide. Results: Sexual orientation moderated the impact of childhood neglect, IPV, and anxiety disorders on attempted suicide. Bisexual women who experienced childhood neglect, IPV, or an anxiety disorder had 3.75, 1.43, and 6.24 greater odds, respectively, of attempted suicide, compared to heterosexual women who reported these problems. Additionally, bisexual women who had GAD had 1.66 greater odds of attempting suicide compared to heterosexual women who had GAD. Conclusions: Findings elucidate factors that may increase suicide risk in vulnerable populations as called for by the Centers for Disease Control and Prevention's suicide prevention strategic plan. Clinical Impact StatementStudy findings suggest that clinicians who work to prevent interpersonal violence and mental disorders across the lifespan may prevent attempted suicide among women generally and that preventing child neglect, intimate partner violence (IPV), and generalized anxiety disorder (GAD) may reduce suicide risk, especially among bisexual women. Practitioners should screen all women with histories of interpersonal, including childhood maltreatment and intimate partner violence, and mental disorders for attempted suicide, especially bisexual women who report histories of child neglect, IPV, or GAD, and refer at-risk women to trauma-informed suicide prevention interventions.

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