Inclusive Anti-bullying Policies and Reduced Risk of Suicide Attempts in Lesbian and Gay Youth
Open accessAbstract
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.
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- 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)
- PMC
- PMC3696185
- 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
- hybrid
- doi.org
- Licence
- 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
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