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Am J Public Health. 2014 Feb;104(2):262-71. doi: 10.2105/AJPH.2013.301383. Epub 2013 Dec 12.

Sexual orientation and suicide ideation, plans, attempts, and medically serious attempts: evidence from local Youth Risk Behavior Surveys, 2001-2009.

Author information

1
Deborah M. Stone, Caroline Lippy, Marci F. Hertz, and Alex E. Crosby are with the Division of Violence Prevention, National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, GA. Feijun Luo is with the Division of Analysis, Research, and Practice Integration, National Center for Injury Prevention and Control. Lijing Ouyang is with the Division of Birth Defects and Developmental Disabilities, National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention.

Abstract

OBJECTIVES:

We examined the associations between 2 measures of sexual orientation and 4 suicide risk outcomes (SROs) from pooled local Youth Risk Behavior Surveys.

METHODS:

We aggregated data from 5 local Youth Risk Behavior Surveys from 2001 to 2009. We defined sexual minority youths (SMYs) by sexual identity (lesbian, gay, bisexual) and sex of sexual contacts (same- or both-sex contacts). Survey logistic regression analyses controlled for a wide range of suicide risk factors and sample design effects.

RESULTS:

Compared with non-SMYs, all SMYs had increased odds of suicide ideation; bisexual youths, gay males, and both-sex contact females had greater odds of suicide planning; all SMYs, except same-sex contact males, had increased odds of suicide attempts; and lesbians, bisexuals, and both-sex contact youths had increased odds of medically serious attempts. Unsure males had increased odds of suicide ideation compared with heterosexual males. Not having sexual contact was protective of most SROs among females and of medically serious attempts among males.

CONCLUSIONS:

Regardless of sexual orientation measure used, most SMY subgroups had increased odds of all SROs. However, many factors are associated with SROs.

PMID:
24328658
PMCID:
PMC3935703
DOI:
10.2105/AJPH.2013.301383
[Indexed for MEDLINE]
Free PMC Article
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