Sexual orientation and suicidal behaviour in adolescents and young adults: systematic review and meta-analysis
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Background: Research suggests that lesbian, gay and bisexual (LGB) adolescents have a higher risk of suicidal behaviours than their heterosexual peers, but little is known about specific risk factors. Aims: To assess sexual orientation as a risk factor for suicidal behaviours, and to identify other risk factors among LGB adolescents and young adults. Method: A systematic search was made of six databases up to June 2015, including a grey literature search. Population-based longitudinal studies considering non-clinical populations aged 12–26 years and assessing being LGB as a risk factor for suicidal behaviour compared with being heterosexual, or evaluating risk factors for suicidal behaviour within LGB populations, were included. Random effect models were used in meta-analysis. Results: Sexual orientation was significantly associated with suicide attempts in adolescents and youths (OR=2.26, 95% CI 1.60–3.20). Gay or bisexual men were more likely to report suicide attempts compared with heterosexual men (OR=2.21, 95% CI 1.21–4.04). Based on two studies, a non-significant positive association was found between depression and suicide attempts in LGB groups. Conclusions: Sexual orientation is associated with a higher risk of suicide attempt in young people. Further research is needed to assess completed suicide, and specific risk factors affecting the LGB population.
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The pooled OR for the overall relationship between sexual orientation and youth suicidal behavior is 2.26.
“The pooled OR for the overall relationship between sexual orientation and youth suicidal behavior is 2.26.”
From Risk and Protective Factors of Self-harm and Suicidality in Adolescents: An Umbrella Review with Meta-Analysis (2024) · cites this paper as Miranda-Mendizábal et al. (2017)
The Results (“Sexual orientation and suicide attempts”) report an OR of 2.26 for suicide attempts among LGB youths versus heterosexual youths, but only after excluding two outlying studies; the initial overall pooled estimate was 2.32. The claim broadens the outcome to suicidal behavior and does not identify 2.26 as the estimate after those exclusions. (LLM, conf=0.86)
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Involving Young People With Lived and Living Experience of Suicide in Suicide Research
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Internalized Homophobia, Coping, and Quality of Life Among Nigerian Gay and Bisexual Men
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Traumatic events and mental health: The amplifying effects of pre-trauma systemic inflammation
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Sexual orientation and mental health in a US cohort of children: a longitudinal mediation study
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Sexual orientation and suicidal behaviour in young people
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Sexual Assault, Posttraumatic Stress, Alcohol Use, and Suicidality Among Diverse College Students
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The incidence of self-harm ingestions in adolescents and young adults at a tertiary care center
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- Authors
- Miranda-Mendizábal, A., Castellví, P., Parés-Badell, O., Almenara, J., Alonso, I., Blasco, M. J., Cebrià, A., Gabilondo, A., Gili, M., Lagares, C., Piqueras, J. A., Roca, M., Rodríguez-Marín, J., Rodríguez-Jiménez, T., Soto-Sanz, V., Vilagut, G., & Alonso, J.
- Affiliations
- Universitat Pompeu Fabra (ES)
- Universitat de Miguel Hernández d'Elx (ES)
- Corresponding author
- Alonso, J.
- ORCID
- Venue
- British Journal of Psychiatry
- Publisher
- Royal College of Psychiatrists
- Published
- 2017-08
- Volume
- 211
- Issue
- 2
- Pages
- 77-87
- ISSN
- 0007-1250 (ISSN-L)
- 1472-1465
- OpenAlex
- W2594881745
- Cited by
- 188
- References
- 64
- Citations by year
- 2026: 10 · 2025: 27 · 2024: 25 · 2023: 21 · 2022: 24 · 2021: 23 · 2020: 21 · 2019: 15 · 2018: 14 · 2017: 8
- FWCI
- 2.47
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- The British Journal of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- 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
- sexual orientation, suicidal behavior, suicide attempts, adolescents, young adults, lesbian, gay, and bisexual youth, sexual minority mental health, depression, risk factors, gay men, bisexual men
- MeSH terms
- Sexual and Gender Minorities, Risk Factors, Sexual Behavior, Suicide, Attempted, Suicidal Ideation
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