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 -