Cited by 340LGBTQ Health, Identity, and PolicyBullying, Victimization, and AggressionSuicide and Self-Harm Studies

Inclusive Anti-bullying Policies and Reduced Risk of Suicide Attempts in Lesbian and Gay Youth

Open access
Hatzenbuehler, Mark L., Keyes, Katherine M.·2013·Journal of Adolescent Health

Abstract

PURPOSE: To evaluate whether anti-bullying policies that are inclusive of sexual orientation are associated with a reduced prevalence of suicide attempts among lesbian, gay, and bisexual youths. METHODS: A total of 31,852 11th-grade public school students (1,413 lesbian, gay, and bisexual individuals; 4.4%) in Oregon completed the Oregon Healthy Teens survey in 2006-2008. The independent variable was the proportion of school districts in the 34 counties participating in the Oregon Healthy Teens survey that adopted anti-bullying policies inclusive of sexual orientation. The outcome measure was any self-reported suicide attempt in the past 12 months. We stratified results by sexual orientation. RESULTS: Lesbian and gay youths living in counties with fewer school districts with inclusive anti-bullying policies were 2.25 times (95% confidence interval [CI], 1.13-4.49) more likely to have attempted suicide in the past year compared with those living in counties where more districts had these policies. Inclusive anti-bullying policies were significantly associated with a reduced risk for suicide attempts among lesbian and gay youths, even after controlling for sociodemographic characteristics (sex, race/ethnicity) and exposure to peer victimization (odds ratio, .18; 95% CI, .03-.92). In contrast, anti-bullying policies that did not include sexual orientation were not associated with lower suicide attempts among lesbian and gay youths (odds ratio, .38; 95% CI, .02-7.33). CONCLUSIONS: Inclusive anti-bullying policies may exert protective effects for the mental health of lesbian and gay youths, including reducing their risk for suicide attempts.

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 · 10.1016/j.jadohealth.2012.08.010

Cites

6 of 6 references verified0 citation errors · 0 not checkable

Statistics

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

Self-check

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

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

Cites

Flagged first, then by citations

Research works printed but not linked: 21

  1. [4]Herek GM Legal recognition of same-sex relationships in the United States Am Psychol 2006 61 607 21 16953748
  2. [5]Patterson CJ Children of lesbian and gay parents: Psychology, law, and policy Am Psychol 2009 64 727 36 19899878
  3. [6]Haas AP Eliason M Mays VM Mathy RM Cochran SD D’Augelli AR Silverman MM Fisher PW Hughes T Rosario M Russell ST Malley E Reed J Litts DA Haller E Sell RL Remafedi G Bradford J Beautrais AL Brown GK Diamond GM Friedman MS Garofalo R Turner MS Hollibaugh A Clayton PJ Suicide and suicide risk in lesbian, gay, bisexual, and transgender populations: Review and recommendations J Homosex 2011 58 10 51 21213174 PMC3662085
  4. [7]Hatzenbuehler ML McLaughlin KA Keyes KM Hasin DS The impact of institutional discrimination on psychiatric disorders in lesbian, gay, and bisexual populations: A prospective study Am J Public Health 2010 100 452 9 20075314 PMC2820062
  5. [8]Hatzenbuehler ML Keyes KM Hasin DS State-level policies and psychiatric morbidity in lesbian, gay, and bisexual populations Am J Public Health 2009 99 2275 81 19833997 PMC2775762
  6. [9]Hatzenbuehler ML The social environment and suicide attempts in a population-based sample of LGB youth Pediatrics 2011 127 896 903 21502225 PMC3081186
  7. [10]Toomey RB Ryan C Diaz RM Russell ST High School Gay-Straight Alliances (GSAs) and Young Adult Well-Being: An Examination of GSA Presence, Participation, and Perceived Effectiveness Appl Dev Sci 2011 15 175 85 22102782 PMC3217265
  8. [13]Bronfenbrenner U The Ecology of Human Development: Experiments by Nature and Design Cambridge, MA Harvard University Press 1979
  9. [14]Garofalo R Wolf RC Kessel S Palfrey J DuRant RH The association between health risk behaviors and sexual orientation among a school-based sample of adolescents Pediatrics 1998 101 895 902 9565422
  10. [15]Brener N Collins J Kann L Warren C Williams B Reliability of the youth risk behavior survey questionnaire Am J Epidemiol 1995 141 575 80 7900725
  11. [16]Brener ND Kann L McManus T Kinchen SA Sundberg EC Ross JG Reliability of the 1999 youth risk behavior survey questionnaire J Adolesc Health 2002 31 336 42 12359379
  12. [17]Garofalo R Wolf RC Wissow LS Woods ER Goodman E Sexual orientation and risk of suicide attempts among a representative sample of youth Arch Pediatr Adolesc Med 1999 153 487 493 10323629
  13. [18]Russell ST Joyner K Adolescent sexual orientation and suicide risk: evidence from a national study Am J Public Health 2001 91 1276 81 11499118 PMC1446760
  14. [19]Diggle PJ Liang KY Zeger SL Analysis of Longitudinal Data New York, NY Oxford University Press Inc 1994
  15. [20]Robin L Brener ND Donahue SF Hack T Hale K Goodenow C Associations between health risk behaviors and opposite-, same-, and both-sex sexual partners in representative samples of Vermont and Massachusetts high school students Arch Pediatr Adolesc Med 2002 156 349 55 11929369
  16. [23]Kahn L Olsen EO McManus T Kinchen S Chyen D Harris A Wechsler H Sexual identity, sex of sexual contacts, and health-risk behaviors among students in grades 9–12: Youth Risk Behavior Surveillance, Selected Sites, United States, 2001–2009 MMWR 2011 60 1 133 21659985
  17. [24]Ross LE Dobinson C Eady A Perceived determinants of mental health for bisexual people: a qualitative examination Am J Public Health 2010 100 96 102 PMC2820049 20075326
  18. [25]Puhl RM Latner JD Stigma, obesity, and the health of the nation’s children Psychol Bull 2007 133 557 80 17592956
  19. [28]Diamond LM New paradigms for research on heterosexual and sexual- minority development J Clin Child Adolesc Psychol 2003 32 490 98 14710457
  20. [29]Eccles JS Roeser RW Bornstein MH Lamb ME School and community influences on human development Developmental Science: An Advanced Textbook 6 New York, NY Psychology Press 2011 571 643
  21. [32]Institute of Medicine of the National Academy of Sciences The Health of Lesbian, Gay, Bisexual and Transgender People: Building a Foundation for Better Understanding The National Academies Press Washington, DC 2011 22013611

Cited by

Sorted by citations

Authors
Hatzenbuehler, M. L., & Keyes, K. M.
Affiliations
Columbia University (US)
Venue
Journal of Adolescent Health
Publisher
Elsevier BV
Published
2013-07
Volume
53
Issue
1
Pages
S21-S26
ISSN
1054-139X (ISSN-L)
OpenAlex
W2157462125
Cited by
340
References
6
Citations by year
2026: 12 · 2025: 33 · 2024: 53 · 2023: 25 · 2022: 31 · 2021: 31 · 2020: 22 · 2019: 28 · 2018: 21 · 2017: 25 · 2016: 24 · 2015: 20 · 2014: 11 · 2013: 3
FWCI
29.02
Type
journal article
Language
en
Open access
Locations
  • Journal of Adolescent Health (publishedVersion, cc-by-nc-nd)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
National Institute on Drug Abuse (K01DA032558)
Topics
  • Social Sciences › Psychology › Social Psychology › LGBTQ Health, Identity, and Policy
  • Social Sciences › Psychology › Social Psychology › Bullying, Victimization, and Aggression
  • Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
Keywords
anti-bullying policy, sexual orientation, lesbian, gay, and bisexual youth, suicide attempts, school district policy, peer victimization, adolescent mental health, inclusive policy
MeSH terms
Adolescent, Female, Humans, Male, Oregon, Public Policy, Risk Factors, Schools, Suicide, Attempted, Homosexuality, Male, Homosexuality, Female, Bullying

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