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Sexual orientation and suicidal behaviour in adolescents and young adults: systematic review and meta-analysis
Open accessAbstract
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.”
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)
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Miranda-Mendizabal, A., Castellví, P., Parés-Badell, O., Alayo, I., Almenara, J., Alonso, I., Blasco, M. J., Cebrià, A., Gabilondo, A., Gili, M., et al. (2019) · International Journal of Public Health · doi:10.1007/s00038-018-1196-1 · Cited by 886
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Metadata
- 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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