@article{ref1,
title="Sexual identity-behavior profiles and suicide outcomes among heterosexual, lesbian, and gay sexually active adolescents",
journal="Suicide and life-threatening behavior",
year="2020",
author="Romanelli, Meghan and Xiao, Yunyu and Lindsey, Michael A.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="OBJECTIVE: Adolescents' sexual behaviors can be incongruent with those assumed to align with their sexual identity. Identity-behavior profiles permit the characterization of youth who might remain undetected using a single-dimensional assessment of sexual orientation. This study examined suicide risks among four distinct sexual identity-behavior profiles of youth: heterosexual with other-sex partners only, heterosexual with any same-sex partners, lesbian or gay (LG) with same-sex partners only, and LG with any other-sex partners. <br><br>METHOD: Data were analyzed from the 2017 National Youth Risk Behavior Survey. Participants' reported sex, sexual identity, and the sex of their sexual contacts were used to construct the identity-behavior profiles. Multivariate logistic regression was used to examine the relationship between identity-behavior profiles and suicide outcomes. <br><br>RESULTS: Compared to heterosexual respondents with other-sex partners only, heterosexual respondents with any same-sex partners and LG respondents with same-sex partners only had greater odds of having a suicide plan; LG respondents with any other-sex partners were over seven times more likely to have suicidal thoughts and attempt suicide and 14 times more likely to have a suicide plan. <br><br>CONCLUSIONS: Health and mental health providers can expand the identification of youth at risk for suicide by assessing both sexual identity and behavior.<br><br>© 2020 The American Association of Suicidology.<p /> <p>Language: en</p>",
language="en",
issn="0363-0234",
doi="10.1111/sltb.12634",
url="http://dx.doi.org/10.1111/sltb.12634"
}