Cited by 1,215LGBTQ Health, Identity, and PolicySuicide and Self-Harm StudiesChild and Adolescent Psychosocial and Emotional Development

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Suicidality and Depression Disparities Between Sexual Minority and Heterosexual Youth: A Meta-Analytic Review

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Marshal, Michael P., Dietz, Laura J., Friedman, Mark S., Stall, Ron, Smith, Helen A., McGinley, James, Thoma, Brian C., Murray, Pamela J., D'Augelli, Anthony R., Brent, David A.·2011·Journal of Adolescent Health

DOI 10.1016/j.jadohealth.2011.02.005PMC PMC3649127

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Abstract

Purpose To examine disparities between sexual minority youth (SMY) and heterosexual youth in rates of suicidality and depression symptoms.Methods Separate meta-analyses were conducted to examine suicidality and depression disparities. Studies were included if the average age of the participants was <18 years, and if suicidality or depression symptoms were compared across SMY and heterosexual youth.Results SMY reported significantly higher rates of suicidality (odds ratio [OR] = 2.92) and depression symptoms (standardized mean difference, d = .33) as compared with the heterosexual youth. Disparities increased with the increase in the severity of suicidality (ideation [OR = 1.96], intent/plans [OR = 2.20], suicide attempts [OR = 3.18], suicide attempts requiring medical attention [OR = 4.17]). Effects did not vary across gender, recruitment source, and sexual orientation definition.Conclusions Disparities in suicidality and depression may be influenced by negative experiences including discrimination and victimization. Clinicians should assess sexual orientation, analyze psychosocial histories to identify associated risk factors, and promote prevention and intervention opportunities for SMY and their families.

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Authors: Marshal, M. P., Dietz, L. J., Friedman, M. S., Stall, R., Smith, H. A., McGinley, J., Thoma, B. C., Murray, P. J., D'Augelli, A. R., & Brent, D. A.
Affiliations: University of Pittsburgh (US)
University of North Carolina at Chapel Hill (US)
University of Utah (US)
West Virginia University (US)
Corresponding author: Marshal, Michael P.
ORCID: Marshal, Michael P.
Dietz, Laura J.
Friedman, Mark S.
Stall, Ron
McGinley, James
Thoma, Brian C.
Murray, Pamela J.
Brent, David A.
Venue: Journal of Adolescent Health
Publisher: Elsevier BV
Published: 2011-08
Volume: 49
Issue: 2
Pages: 115-123
ISSN: 1054-139X (ISSN-L)
DOI: 10.1016/j.jadohealth.2011.02.005
PMC: PMC3649127
OpenAlex: W2097960714
Cited by: 1,215
References: 60
Citations by year: 2026: 46 · 2025: 75 · 2024: 90 · 2023: 108 · 2022: 113 · 2021: 139 · 2020: 147 · 2019: 92 · 2018: 81 · 2017: 80 · 2016: 81 · 2015: 52 · 2014: 49 · 2013: 38 · 2012: 14
FWCI: 4.48
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Journal of Adolescent Health (publishedVersion)
PubMed (publishedVersion)
Europe PMC (PubMed Central) (acceptedVersion)
PubMed Central (acceptedVersion)
D-Scholarship@Pitt (University of Pittsburgh) (acceptedVersion)
Carolina Digital Repository (University of North Carolina at Chapel Hill) (submittedVersion)
UNC Libraries
Funders: National Institute on Drug Abuse (R01DA026312, R01DA030385)
Topics: Social Sciences › Psychology › Social Psychology › LGBTQ Health, Identity, and Policy
Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
Keywords: suicidality, depression, sexual minority youth, heterosexual youth, disparity, suicidal ideation, suicide attempts, sexual orientation, discrimination, victimization, adolescent mental health
MeSH terms: Adolescent, Bisexuality, Depression, Female, Homosexuality, Humans, Male, Suicide, Suicide, Attempted, Odds Ratio, Sexuality, Heterosexuality

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Suicidality and Depression Disparities Between Sexual Minority and Heterosexual Youth: A Meta-Analytic Review

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