Suicide Risk and Sexual Orientation: A Critical Review.

Many studies have reported higher rates of suicide attempts among sexual minority individuals compared with their heterosexual counterparts. For suicides, however, it has been argued that there is no sexual orientation risk difference, based on the results of psychological autopsy studies. The purpo...

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Publicado en:Archives of Sexual Behavior Vol. 42; no. 5; pp. 715 - 728
Autores principales: Plöderl, Martin, Wagenmakers, Eric-Jan, Tremblay, Pierre, Ramsay, Richard, Kralovec, Karl, Fartacek, Clemens, Fartacek, Reinhold
Formato: Artículo
Publicado: Springer Nature Jul2013
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jul2013
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          Plöderl, Martin
          Wagenmakers, Eric-Jan
          Tremblay, Pierre
          Ramsay, Richard
          Kralovec, Karl
          Fartacek, Clemens
          Fartacek, Reinhold
        affil:
          Department of Psychology, University of Amsterdam, Amsterdam The Netherlands
          Faculty of Social Work University of Calgary, Calgary Canada
      su:
        Suicide risk factors
        Sexual orientation
        Sexual minorities
        Homosexuality
        Heterosexuals
        Psychological autopsy
        Bayesian analysis
      sug:
        subj:
          Suicide risk factors
          Sexual orientation
          Sexual minorities
          Homosexuality
          Heterosexuals
          Psychological autopsy
          Bayesian analysis
      keyword:
        Bayesian statistics
        Sexual minority
        Suicide
        Bayesian statistics
        Sexual minority
        Suicide
      ab: Many studies have reported higher rates of suicide attempts among sexual minority individuals compared with their heterosexual counterparts. For suicides, however, it has been argued that there is no sexual orientation risk difference, based on the results of psychological autopsy studies. The purpose of this article was to clarify the reasons for the seemingly discrepant findings for suicide attempts and suicides. First, we reviewed studies that investigated if the increased suicide attempt risk of sexual minorities resulted from biased self-reports or less rigorous assessments of suicide attempts. Second, we reanalyzed the only two available case-control autopsy studies and challenge their original 'no difference' conclusion by pointing out problems with the interpretation of significance tests and by applying Bayesian statistics and meta-analytical procedures. Third, we reviewed register based and clinical studies on the association of suicides and sexual orientation. We conclude that studies of both suicide attempts and suicides do, in fact, point to an increased suicide risk among sexual minorities, thus solving the discrepancy. We also discuss methodological challenges inherent in research on sexual minorities and potential ethical issues. The arguments in this article are necessary to judge the weight of the evidence and how the evidence might be translated into practice.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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