@article{ref1,
title="Role of sleep quality in mediating the relationship between sexual minority status and suicidal behavior among Chinese adolescents",
journal="Psychology research and behavior management",
year="2018",
author="Huang, Yeen and Li, Pengsheng and Lai, Zhisheng and Jia, Xiaofei and Xiao, Di and Wang, Tian and Guo, Lan and Lu, Ciyong",
volume="11",
number="",
pages="607-615",
abstract="BACKGROUND: Studies suggest that sexual minority adolescents experience higher rates of sleep disturbance than their heterosexual peers, and disturbed sleep is a well-known risk factor for suicidality. This study aimed to explore whether sleep quality had mediating effects on the relationship between sexual minority status and suicidal behavior in Chinese adolescents. <br><br>METHODS: We analyzed data collected from 7th to 12th graders from seven randomly selected provinces of People's Republic of China in the 2015 School-Based Chinese Adolescents Health Survey. The 123,459 students who completed questionnaires regarding sexual attraction, the Pittsburgh Sleep Quality Index, past-year suicidal ideation, and past-year suicide attempts were included in our study (response rate: 95.9%). <br><br>RESULTS: After adjustment for covariates, sexual minority status was associated with suicidal ideation (adjusted odds ratio =1.82, 95% CI=1.69-1.95) and suicide attempts (adjusted odds ratio =2.16, 95% CI=1.82-2.56). Sleep quality partially mediated the effects of sexual minority status on suicidal ideation (standardized β estimate=0.009, 95% CI=0.007-0.012) and suicide attempts (standardized β estimate=0.004, 95% CI=0.003-0.005). <br><br>CONCLUSION: Poor sleep quality partially explained the increased risk of suicidality for Chinese sexual minority adolescents. To prevent subsequent suicidality, suicide interventions targeting sexual minorities should be made, with a focus on their disparities in sleep disturbance and sleep health promotion.<p /> <p>Language: en</p>",
language="en",
issn="1179-1578",
doi="10.2147/PRBM.S186586",
url="http://dx.doi.org/10.2147/PRBM.S186586"
}