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Cited by 107LGBTQ Health, Identity, and PolicySuicide and Self-Harm StudiesGender, Sexuality, and Education

Sexual orientation and suicide attempt disparities among US Adolescents: 2009–2017

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Raifman, Julia, Charlton, Brittany M., Arrington-Sanders, Renata, Chan, Philip A., Rusley, Jack, Mayer, Kenneth H., Stein, Michael D., Austin, S. Bryn +1 more·2020·PEDIATRICS
DOI 10.1542/peds.2019-1658PMC PMC7049939
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Abstract

BACKGROUND: Sexual minority adolescents face mental health disparities relative to heterosexual adolescents. We evaluated temporal changes in US adolescent reported sexual orientation and suicide attempts by sexual orientation. METHODS: We used Youth Risk Behavioral Surveillance data from 6 states that collected data on sexual orientation identity and 4 states that collected data on sex of sexual contacts continuously between 2009 and 2017. We estimated odds ratios using logistic regression models to evaluate changes in reported sexual orientation identity, sex of consensual sexual contacts, and suicide attempts over time and calculated marginal effects (MEs). RESULTS: The proportion of adolescents reporting minority sexual orientation identity nearly doubled, from 7.3% in 2009 to 14.3% in 2017 (ME: 0.8 percentage points [pp] per year; 95% confidence interval [CI]: 0.6 to 0.9 pp). The proportion of adolescents reporting any same-sex sexual contact increased by 70%, from 7.7% in 2009 to 13.1% in 2017 (ME: 0.6 pp per year; 95% CI: 0.4 to 0.8 pp). Although suicide attempts declined among students identifying as sexual minorities (ME: -0.8 pp per year; 95% CI: -1.4 to -0.2 pp), these students remained >3 times more likely to attempt suicide relative to heterosexual students in 2017. Sexual minority adolescents accounted for an increasing proportion of all adolescent suicide attempts. CONCLUSIONS: The proportion of adolescents reporting sexual minority identity and same-sex sexual contacts increased between 2009 and 2017. Disparities in suicide attempts persist. Developing and implementing approaches to reducing sexual minority youth suicide is critically important.

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  1. [4]Centers for Disease Control and Prevention. HIV Surveillance Report 2016. Vol 28 Atlanta, GA: Division of HIV/AIDS Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention; 2017. Available at: https://www.cdc.gov/hiv/pdf/library/reports/surveillance/cdc-hiv-surveillance-report-2016-vol-28.pdf. Accessed January 17, 2018 [Google Scholar]
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Authors
Raifman, J., Charlton, B. M., Arrington-Sanders, R., Chan, P. A., Rusley, J., Mayer, K. H., Stein, M. D., Austin, S. B., & McConnell, M.
Affiliations
  • Boston University (US)
  • Brigham and Women's Hospital (US)
  • School of Medicine, Johns Hopkins University, Baltimore, Maryland;
  • Miriam Hospital (US)
  • Brown University (US)
  • Harvard University (US)
Corresponding author
Raifman, Julia
ORCID
Venue
PEDIATRICS
Publisher
American Academy of Pediatrics (AAP)
Published
2020-03-01
Volume
145
Issue
3
ISSN
  • 0031-4005 (ISSN-L)
  • 1098-4275
DOI
10.1542/peds.2019-1658
PMC
PMC7049939
OpenAlex
W3004879321
Cited by
107
References
32
Citations by year
2026: 9 · 2025: 14 · 2024: 17 · 2023: 19 · 2022: 18 · 2021: 25 · 2020: 5
FWCI
18.31
Type
journal article
Language
en
Open access
Locations
  • PEDIATRICS (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • National Institute of Mental Health (K01MH116817, R25MH083620)
  • National Institute of Allergy and Infectious Diseases (P30AI094189)
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, suicide attempts, sexual minority adolescents, mental health disparities, sexual minority identity, temporal trends, adolescent suicide prevention
MeSH terms
Adolescent, Female, Humans, Male, Sexual Behavior, Suicide, Attempted, Time Factors, United States, Health Status Disparities

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