TY - JOUR
PY - 2020//
TI - Sexual identity-behavior profiles and suicide outcomes among heterosexual, lesbian, and gay sexually active adolescents
JO - Suicide and life-threatening behavior
A1 - Romanelli, Meghan
A1 - Xiao, Yunyu
A1 - Lindsey, Michael A.
SP - ePub
EP - ePub
VL - ePub
IS - ePub
N2 - 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.
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.
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.
CONCLUSIONS: Health and mental health providers can expand the identification of youth at risk for suicide by assessing both sexual identity and behavior.
© 2020 The American Association of Suicidology.
Language: en
LA - en SN - 0363-0234 UR - http://dx.doi.org/10.1111/sltb.12634 ID - ref1 ER -