Suicidal Ideation and Behavior Among Sexual Minority and Heterosexual Youth: 1995-2017

OBJECTIVES: In this study, we determined trends in prevalence of suicidal thoughts and behaviors among lesbian, gay, bisexual, and heterosexual youth from 1995 to 2017 using population-based surveillance data. METHODS: Data were drawn from the Massachusetts Youth Risk Behavior Survey from 1995 to 20...

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Veröffentlicht in:Pediatrics (Evanston) 2020-03, Vol.145 (3), p.1, Article 20192221
Hauptverfasser: Liu, Richard T., Walsh, Rachel F. L., Sheehan, Ana E., Cheek, Shayna M., Carter, Sarina M.
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container_issue 3
container_start_page 1
container_title Pediatrics (Evanston)
container_volume 145
creator Liu, Richard T.
Walsh, Rachel F. L.
Sheehan, Ana E.
Cheek, Shayna M.
Carter, Sarina M.
description OBJECTIVES: In this study, we determined trends in prevalence of suicidal thoughts and behaviors among lesbian, gay, bisexual, and heterosexual youth from 1995 to 2017 using population-based surveillance data. METHODS: Data were drawn from the Massachusetts Youth Risk Behavior Survey from 1995 to 2017 (unweighted N = 41 636). The annual percent change (APC) in prevalence of suicidal ideation, plans, and attempts was stratified by sexual orientation as indexed by sexual identity and sexual behavior. RESULTS: Among sexual minority youth, prevalence rates declined over the entire study period for suicidal ideation (APC(sexual identity) = -1.25; APC(sexual behavior) = -1.83), plans (APC(sexual) (identity) = -1.88; APC(sexual behavior) = -1.95), and attempts (APC(sexual identity) = -2.64; APC(sexual) (behavior) = -2.47). Among heterosexual youth, prevalence rates declined from 1995 to 2007 for suicidal ideation (APC(sexual identity) = -6.67; APC(sexual behavior) = -6.77) and plans (APC(sexual) (identity) = -5.73; APC(sexual behavior) = -6.25). These declines in ideation and plans were steeper than those for sexual minority youth. Prevalence of suicide attempts declined across the entire study period among heterosexual youth (APC(sexual identity) = -3.66; APC(sexual behavior) = -4.01). Prevalence of all 3 outcomes remained markedly high among sexual minority youth across the 23-year study period. CONCLUSIONS: Although suicidal thoughts and behavior have generally declined among sexual minority and heterosexual youth, disparities in these outcomes persist, and their prevalence among sexual minority youth has remained consistently elevated. Prioritized screening for risk for suicidal thoughts and behaviors in this vulnerable population is imperative to reduce disparities and prevalence of these outcomes.
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L. ; Sheehan, Ana E. ; Cheek, Shayna M. ; Carter, Sarina M.</creator><creatorcontrib>Liu, Richard T. ; Walsh, Rachel F. L. ; Sheehan, Ana E. ; Cheek, Shayna M. ; Carter, Sarina M.</creatorcontrib><description>OBJECTIVES: In this study, we determined trends in prevalence of suicidal thoughts and behaviors among lesbian, gay, bisexual, and heterosexual youth from 1995 to 2017 using population-based surveillance data. METHODS: Data were drawn from the Massachusetts Youth Risk Behavior Survey from 1995 to 2017 (unweighted N = 41 636). The annual percent change (APC) in prevalence of suicidal ideation, plans, and attempts was stratified by sexual orientation as indexed by sexual identity and sexual behavior. RESULTS: Among sexual minority youth, prevalence rates declined over the entire study period for suicidal ideation (APC(sexual identity) = -1.25; APC(sexual behavior) = -1.83), plans (APC(sexual) (identity) = -1.88; APC(sexual behavior) = -1.95), and attempts (APC(sexual identity) = -2.64; APC(sexual) (behavior) = -2.47). Among heterosexual youth, prevalence rates declined from 1995 to 2007 for suicidal ideation (APC(sexual identity) = -6.67; APC(sexual behavior) = -6.77) and plans (APC(sexual) (identity) = -5.73; APC(sexual behavior) = -6.25). These declines in ideation and plans were steeper than those for sexual minority youth. Prevalence of suicide attempts declined across the entire study period among heterosexual youth (APC(sexual identity) = -3.66; APC(sexual behavior) = -4.01). Prevalence of all 3 outcomes remained markedly high among sexual minority youth across the 23-year study period. CONCLUSIONS: Although suicidal thoughts and behavior have generally declined among sexual minority and heterosexual youth, disparities in these outcomes persist, and their prevalence among sexual minority youth has remained consistently elevated. Prioritized screening for risk for suicidal thoughts and behaviors in this vulnerable population is imperative to reduce disparities and prevalence of these outcomes.</description><identifier>ISSN: 0031-4005</identifier><identifier>EISSN: 1098-4275</identifier><identifier>DOI: 10.1542/peds.2019-2221</identifier><identifier>PMID: 32041813</identifier><language>eng</language><publisher>ELK GROVE VILLAGE: Amer Acad Pediatrics</publisher><subject><![CDATA[Adolescent ; Bisexuality ; Female ; Health Surveys ; Heterosexuality - statistics & numerical data ; Humans ; Life Sciences & Biomedicine ; Male ; Pediatrics ; Population Surveillance ; Prevalence ; Science & Technology ; Self destructive behavior ; Sexual and Gender Minorities - statistics & numerical data ; Sexual behavior ; Suicidal Ideation ; Suicide ; Suicide, Attempted - statistics & numerical data ; Suicides & suicide attempts ; United States - epidemiology]]></subject><ispartof>Pediatrics (Evanston), 2020-03, Vol.145 (3), p.1, Article 20192221</ispartof><rights>Copyright © 2020 by the American Academy of Pediatrics.</rights><rights>Copyright American Academy of Pediatrics Mar 2020</rights><rights>Copyright © 2020 by the American Academy of Pediatrics 2020</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>true</woscitedreferencessubscribed><woscitedreferencescount>36</woscitedreferencescount><woscitedreferencesoriginalsourcerecordid>wos000520505500018</woscitedreferencesoriginalsourcerecordid><citedby>FETCH-LOGICAL-c418t-b144144e163ee87217c0c98b8e684088574067a6e23d192cefa327f51bd8aab3</citedby><cites>FETCH-LOGICAL-c418t-b144144e163ee87217c0c98b8e684088574067a6e23d192cefa327f51bd8aab3</cites><orcidid>0000-0002-1367-9716 ; 0000-0002-0879-0612</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,315,782,786,887,27931,27932,28255,28256</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32041813$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Liu, Richard T.</creatorcontrib><creatorcontrib>Walsh, Rachel F. L.</creatorcontrib><creatorcontrib>Sheehan, Ana E.</creatorcontrib><creatorcontrib>Cheek, Shayna M.</creatorcontrib><creatorcontrib>Carter, Sarina M.</creatorcontrib><title>Suicidal Ideation and Behavior Among Sexual Minority and Heterosexual Youth: 1995-2017</title><title>Pediatrics (Evanston)</title><addtitle>PEDIATRICS</addtitle><addtitle>Pediatrics</addtitle><description>OBJECTIVES: In this study, we determined trends in prevalence of suicidal thoughts and behaviors among lesbian, gay, bisexual, and heterosexual youth from 1995 to 2017 using population-based surveillance data. METHODS: Data were drawn from the Massachusetts Youth Risk Behavior Survey from 1995 to 2017 (unweighted N = 41 636). The annual percent change (APC) in prevalence of suicidal ideation, plans, and attempts was stratified by sexual orientation as indexed by sexual identity and sexual behavior. RESULTS: Among sexual minority youth, prevalence rates declined over the entire study period for suicidal ideation (APC(sexual identity) = -1.25; APC(sexual behavior) = -1.83), plans (APC(sexual) (identity) = -1.88; APC(sexual behavior) = -1.95), and attempts (APC(sexual identity) = -2.64; APC(sexual) (behavior) = -2.47). Among heterosexual youth, prevalence rates declined from 1995 to 2007 for suicidal ideation (APC(sexual identity) = -6.67; APC(sexual behavior) = -6.77) and plans (APC(sexual) (identity) = -5.73; APC(sexual behavior) = -6.25). These declines in ideation and plans were steeper than those for sexual minority youth. Prevalence of suicide attempts declined across the entire study period among heterosexual youth (APC(sexual identity) = -3.66; APC(sexual behavior) = -4.01). Prevalence of all 3 outcomes remained markedly high among sexual minority youth across the 23-year study period. CONCLUSIONS: Although suicidal thoughts and behavior have generally declined among sexual minority and heterosexual youth, disparities in these outcomes persist, and their prevalence among sexual minority youth has remained consistently elevated. Prioritized screening for risk for suicidal thoughts and behaviors in this vulnerable population is imperative to reduce disparities and prevalence of these outcomes.</description><subject>Adolescent</subject><subject>Bisexuality</subject><subject>Female</subject><subject>Health Surveys</subject><subject>Heterosexuality - statistics &amp; numerical data</subject><subject>Humans</subject><subject>Life Sciences &amp; Biomedicine</subject><subject>Male</subject><subject>Pediatrics</subject><subject>Population Surveillance</subject><subject>Prevalence</subject><subject>Science &amp; Technology</subject><subject>Self destructive behavior</subject><subject>Sexual and Gender Minorities - statistics &amp; numerical data</subject><subject>Sexual behavior</subject><subject>Suicidal Ideation</subject><subject>Suicide</subject><subject>Suicide, Attempted - statistics &amp; numerical data</subject><subject>Suicides &amp; suicide attempts</subject><subject>United States - epidemiology</subject><issn>0031-4005</issn><issn>1098-4275</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>AOWDO</sourceid><sourceid>ARHDP</sourceid><sourceid>EIF</sourceid><recordid>eNqNkc1rFDEUwIModq1ePcqAF0FmffmaZDwIdVFbqHhoETyFTOZNN2U2WSeZav97s926qCchkMD7va_8CHlOYUmlYG-22KclA9rWjDH6gCwotLoWTMmHZAHAaS0A5BF5ktI1AAip2GNyxBkIqilfkK8Xs3e-t2N11qPNPobKhr56j2t74-NUnWxiuKou8OdckM8-xMnn2zvkFDNOMe0j3-Kc128r2rayLtOop-TRYMeEz-7vY3L58cPl6rQ-__LpbHVyXrvSP9cdFaIcpA1H1IpR5cC1utPYaAFaSyWgUbZBxnvaMoeD5UwNkna9trbjx-Tdvux27jbYOwx5sqPZTn5jp1sTrTd_R4Jfm6t4YxSIthWiFHh1X2CK32dM2Wx8cjiONmCck2FccqkliKagL_9Br-M8hbJdoZSgSmjBCrXcU678TZpwOAxDweyMmZ0xszNmdsZKwos_VzjgvxUVQO-BH9jFITmPweEBK04lAwlSlhfVK5_vJK7iHHJJff3_qfwXGXewzA</recordid><startdate>20200301</startdate><enddate>20200301</enddate><creator>Liu, Richard T.</creator><creator>Walsh, Rachel F. L.</creator><creator>Sheehan, Ana E.</creator><creator>Cheek, Shayna M.</creator><creator>Carter, Sarina M.</creator><general>Amer Acad Pediatrics</general><general>American Academy of Pediatrics</general><scope>17B</scope><scope>AOWDO</scope><scope>ARHDP</scope><scope>BLEPL</scope><scope>DTL</scope><scope>DVR</scope><scope>EGQ</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TS</scope><scope>7U9</scope><scope>H94</scope><scope>K9.</scope><scope>M7N</scope><scope>NAPCQ</scope><scope>U9A</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-1367-9716</orcidid><orcidid>https://orcid.org/0000-0002-0879-0612</orcidid></search><sort><creationdate>20200301</creationdate><title>Suicidal Ideation and Behavior Among Sexual Minority and Heterosexual Youth: 1995-2017</title><author>Liu, Richard T. ; Walsh, Rachel F. 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L.</creatorcontrib><creatorcontrib>Sheehan, Ana E.</creatorcontrib><creatorcontrib>Cheek, Shayna M.</creatorcontrib><creatorcontrib>Carter, Sarina M.</creatorcontrib><collection>Web of Knowledge</collection><collection>Web of Science - Science Citation Index Expanded - 2020</collection><collection>Web of Science - Social Sciences Citation Index – 2020</collection><collection>Web of Science Core Collection</collection><collection>Science Citation Index Expanded</collection><collection>Social Sciences Citation Index</collection><collection>Web of Science Primary (SCIE, SSCI &amp; AHCI)</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Physical Education Index</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Pediatrics (Evanston)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Liu, Richard T.</au><au>Walsh, Rachel F. L.</au><au>Sheehan, Ana E.</au><au>Cheek, Shayna M.</au><au>Carter, Sarina M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Suicidal Ideation and Behavior Among Sexual Minority and Heterosexual Youth: 1995-2017</atitle><jtitle>Pediatrics (Evanston)</jtitle><stitle>PEDIATRICS</stitle><addtitle>Pediatrics</addtitle><date>2020-03-01</date><risdate>2020</risdate><volume>145</volume><issue>3</issue><spage>1</spage><pages>1-</pages><artnum>20192221</artnum><issn>0031-4005</issn><eissn>1098-4275</eissn><abstract>OBJECTIVES: In this study, we determined trends in prevalence of suicidal thoughts and behaviors among lesbian, gay, bisexual, and heterosexual youth from 1995 to 2017 using population-based surveillance data. METHODS: Data were drawn from the Massachusetts Youth Risk Behavior Survey from 1995 to 2017 (unweighted N = 41 636). The annual percent change (APC) in prevalence of suicidal ideation, plans, and attempts was stratified by sexual orientation as indexed by sexual identity and sexual behavior. RESULTS: Among sexual minority youth, prevalence rates declined over the entire study period for suicidal ideation (APC(sexual identity) = -1.25; APC(sexual behavior) = -1.83), plans (APC(sexual) (identity) = -1.88; APC(sexual behavior) = -1.95), and attempts (APC(sexual identity) = -2.64; APC(sexual) (behavior) = -2.47). Among heterosexual youth, prevalence rates declined from 1995 to 2007 for suicidal ideation (APC(sexual identity) = -6.67; APC(sexual behavior) = -6.77) and plans (APC(sexual) (identity) = -5.73; APC(sexual behavior) = -6.25). These declines in ideation and plans were steeper than those for sexual minority youth. Prevalence of suicide attempts declined across the entire study period among heterosexual youth (APC(sexual identity) = -3.66; APC(sexual behavior) = -4.01). Prevalence of all 3 outcomes remained markedly high among sexual minority youth across the 23-year study period. CONCLUSIONS: Although suicidal thoughts and behavior have generally declined among sexual minority and heterosexual youth, disparities in these outcomes persist, and their prevalence among sexual minority youth has remained consistently elevated. Prioritized screening for risk for suicidal thoughts and behaviors in this vulnerable population is imperative to reduce disparities and prevalence of these outcomes.</abstract><cop>ELK GROVE VILLAGE</cop><pub>Amer Acad Pediatrics</pub><pmid>32041813</pmid><doi>10.1542/peds.2019-2221</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0002-1367-9716</orcidid><orcidid>https://orcid.org/0000-0002-0879-0612</orcidid><oa>free_for_read</oa></addata></record>
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subjects Adolescent
Bisexuality
Female
Health Surveys
Heterosexuality - statistics & numerical data
Humans
Life Sciences & Biomedicine
Male
Pediatrics
Population Surveillance
Prevalence
Science & Technology
Self destructive behavior
Sexual and Gender Minorities - statistics & numerical data
Sexual behavior
Suicidal Ideation
Suicide
Suicide, Attempted - statistics & numerical data
Suicides & suicide attempts
United States - epidemiology
title Suicidal Ideation and Behavior Among Sexual Minority and Heterosexual Youth: 1995-2017
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