ArticlePsychology research and behavior management2018
Role of sleep quality in mediating the relationship between sexual minority status and suicidal behavior among Chinese adolescents.
Article in Psychology research and behavior management, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.
- Pooled it
- The role of sleep quality and duration in associations between daily minority stress and next-day suicidal ideation in LGBTQ+ youth.Journal of affective disorders · 2025Article
- Minority Stress, Resilience, and Trouble Falling Asleep Among Gender and Sexual Minority Adolescents.Journal of adolescence · 2025Article
- Exploring Social-Ecological Pathways From Sexual Identity to Sleep Among Chinese Women: Structural Equation Modeling Analysis.JMIR public health and surveillance · 2025Article
- Sleep and Socioemotional Outcomes Among Sexual and Gender Minority Adolescents: A Longitudinal Study.Archives of sexual behavior · 2024Article
- Sleep disturbance and social reward processing as characteristics linking minority victimization and suicidal ideation in youth.Frontiers in neuroscience · 2024Article
- The role of sleep duration in suicide risk among sexual and gender minority adolescents.Preventive medicine · 2023Article
- In the uncharted water: Meaning-making capacity and identity negotiation of Chinese lesbian and bisexual women.Frontiers in psychology · 2023Article
- Sleep disturbance and suicide risk among sexual and gender minority people.Neurobiology of stress · 2022Article
- Gay-Straight Alliances: A Mechanism of Health Risk Reduction Among Lesbian, Gay, Bisexual, Transgender, and Questioning Adolescents.American journal of preventive medicine · 2020Article
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Authors and funding
8 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundStudies 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.
methodsWe 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%).
resultsAfter 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).
conclusionPoor 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.
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