CoChat
Sign Up
Cited by 253LGBTQ Health, Identity, and PolicySuicide and Self-Harm StudiesGender, Sexuality, and Education

The DOI matches its Crossref record, with a small difference in title or year; 55 of the 57 references it cites were found in a registry or an index, and 1 are not checked yet.

Estimating the Risk of Attempted Suicide Among Sexual Minority Youths: A Systematic Review and Meta-analysis

Open access
di Giacomo, Ester, Krausz, Micheal, Colmegna, Fabrizia, Aspesi, Flora, Clerici, Massimo·2018·JAMA Pediatrics
DOI 10.1001/jamapediatrics.2018.2731PMC PMC6583682
Open this paper in CoChat — free accountOpen PDF

Abstract

Importance: Suicide is the second-leading cause of death among adolescents. Sexual minority individuals are at a higher risk of suicide and attempted suicide, but a precise and systematic evaluation of this risk among sexual minority youths has not been documented to our knowledge. Objective: To examine the risk of attempted suicide among sexual minority adolescents, differentiating for each sexual minority group. Data Sources: Electronic databases (PubMed, Embase, and PsycINFO) were searched for articles published through April 30, 2017, with the following search terms: heterosexual, homosexual, bisexual, transgender, adolescents, teens, and attempted suicide. Study Selection: Studies that reported attempted suicide in sexual minority adolescents compared with heterosexual peers were included. Thirty-five studies satisfied criteria for inclusion of 764 records identified. Data Extraction and Synthesis: Pooled analyses were based on odds ratios (ORs), with relevant 95% CIs, weighting each study with inverse variance models with random effects. Risk of publication bias and analysis of heterogeneity through univariable and multivariable meta-regressions were also rated. Main Outcomes and Measures: The evaluation of increased odds of attempted suicide among sexual minority youths compared with heterosexual peers. Results: Thirty-five studies reported in 22 articles that involved a total of 2 378 987 heterosexual and 113 468 sexual minority adolescents (age range, 12-20 years) were included in the analysis. Sexual minority youths were generally at higher risk of attempted suicide (OR, 3.50; 95% CI, 2.98-4.12; c2 = 3074.01; P < .001; I2 = 99%). If estimated in each sexual minority group, the OR was 3.71 in the homosexual group (95% CI, 3.15-4.37; c2 = 825.20; P < .001; I2 = 97%) and 4.87 in the bisexual group (95% CI, 4.76-4.98; c2 = 980.02; P < .001; I2 = 98%); transgender youths were described as an individual group in only 1 study, which reported an OR of 5.87 (95% CI, 3.51-9.82). Meta-regressions weighted for the study weight highlighted that the presence of young participants (12 years old) was associated with heterogeneity in the bisexual group, whereas the year of sampling was associated with heterogeneity in the whole group when combined with other covariates. Conclusions and Relevance: Our findings suggest that youths with nonheterosexual identity have a significantly higher risk of life-threatening behavior compared with their heterosexual peers. Public awareness is important, and a careful evaluation of supportive strategies (eg, support programs, counseling, and destigmatizing efforts) should be part of education and public health planning.

Overview

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Integrity signals

Registry

Crossref · 10.1001/jamapediatrics.2018.2731

Cites

55 of 56 references verified0 citation errors · 0 not checkable

Statistics

Verification

Claims the paper makes

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

The self-check needs the paper’s full text.

Citations

Cites

Show all 57 references

Research works printed but not linked: 1

  1. Sterne, 2008, Cochrane Handbook for Systematic Reviews of Interventions. Chichester, UK: Cochrane Book Series

Cited by

Sorted by citations

Items 101–200 of 253

Related

See all

Metadata

Authors
di Giacomo, E., Krausz, M., Colmegna, F., Aspesi, F., & Clerici, M.
Affiliations
  • University of Milano-Bicocca (IT)
  • University of British Columbia (CA)
  • Psychiatric Department, Azienda Socio Sanitaria Territoriale Monza, Monza, Italy
Corresponding author
di Giacomo, Ester
ORCID
Venue
JAMA Pediatrics
Publisher
American Medical Association (AMA)
Published
2018-12-01
Volume
172
Issue
12
Pages
1145
ISSN
  • 1072-4710 (ISSN-L)
  • 2168-6203
DOI
10.1001/jamapediatrics.2018.2731
PMC
PMC6583682
OpenAlex
W2897499017
Cited by
253
References
57
Citations by year
2026: 37 · 2025: 39 · 2024: 44 · 2023: 29 · 2022: 42 · 2021: 26 · 2020: 22 · 2019: 13 · 2018: 1
FWCI
2.41
Type
journal article
Language
en
Open access
Locations
  • Archives of Pediatrics and Adolescent Medicine (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
  • BOA (University of Milano-Bicocca) (submittedVersion)
Topics
  • Social Sciences › Psychology › Social Psychology › LGBTQ Health, Identity, and Policy
  • Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
  • Social Sciences › Gender Studies › Gender, Sexuality, and Education
Keywords
suicide attempts, sexual minority adolescents, suicide risk, sexual orientation, homosexuality, bisexuality, transgender youth, heterosexual comparison, adolescent mental health, sexual minority health disparities, gender identity, sexual minority stigma
MeSH terms
Sexual and Gender Minorities, Adolescent, Child, Female, Humans, Male, Risk Factors, Suicide, Attempted, Prevalence, Young Adult

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review