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. 1998 Jan;88(1):57–60. doi: 10.2105/ajph.88.1.57

The relationship between suicide risk and sexual orientation: results of a population-based study.

G Remafedi 1, S French 1, M Story 1, M D Resnick 1, R Blum 1
PMCID: PMC1508407  PMID: 9584034

Abstract

OBJECTIVES: This study examined the relationship between sexual orientation and suicide risk in a population-based sample of adolescents. METHODS: Participants were selected from a cross-sectional, statewide survey of junior and senior public high school students. All males (n = 212) and females (n = 182) who described themselves as bisexual/homosexual were compared with 336 gender-matched heterosexual respondents on three outcome measures: suicidal ideation, intent, and self-reported attempts. Logistic regression analyses were used to examine the association between sexual orientation and outcome measures with adjustment for demographic characteristics. RESULTS: Suicide attempts were reported by 28. 1 % of bisexual/homosexual males, 20.5% of bisexual/homosexual females, 14.5% of heterosexual females, and 4.2% of heterosexual males. For males, but not females, bisexual/homosexual orientation was associated with suicidal intent (odds ratio [OR] = 3.61 95% confidence interval [CI = 1.40, 9.36) and attempts (OR=7.10; 95% CI=3.05, 16.53). CONCLUSIONS: There is evidence of a strong association between suicide risk and bisexuality or homosexuality in males.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. BECK A. T., WARD C. H., MENDELSON M., MOCK J., ERBAUGH J. An inventory for measuring depression. Arch Gen Psychiatry. 1961 Jun;4:561–571. doi: 10.1001/archpsyc.1961.01710120031004. [DOI] [PubMed] [Google Scholar]
  2. Blum R. W., Geer L., Hutton L., McKay C., Resnick M. D., Rosenwinkel K., Song Y. The Minnesota Adolescent Health Survey. Implications for physicians. Minn Med. 1988 Mar;71(3):143-5, 149. [PubMed] [Google Scholar]
  3. Blumenthal S. J. Youth suicide: risk factors, assessment, and treatment of adolescent and young adult suicidal patients. Psychiatr Clin North Am. 1990 Sep;13(3):511–556. [PubMed] [Google Scholar]
  4. D'Augelli A. R., Hershberger S. L. Lesbian, gay, and bisexual youth in community settings: personal challenges and mental health problems. Am J Community Psychol. 1993 Aug;21(4):421–448. doi: 10.1007/BF00942151. [DOI] [PubMed] [Google Scholar]
  5. Gonsiorek J. C., Sell R. L., Weinrich J. D. Definition and measurement of sexual orientation. Suicide Life Threat Behav. 1995;25 (Suppl):40–51. [PubMed] [Google Scholar]
  6. Harry J. Parasuicide, gender, and gender deviance. J Health Soc Behav. 1983 Dec;24(4):350–361. [PubMed] [Google Scholar]
  7. Kosky R., Silburn S., Zubrick S. R. Are children and adolescents who have suicidal thoughts different from those who attempt suicide? J Nerv Ment Dis. 1990 Jan;178(1):38–43. doi: 10.1097/00005053-199001000-00007. [DOI] [PubMed] [Google Scholar]
  8. Kourany R. F. Suicide among homosexual adolescents. J Homosex. 1987 Summer;13(4):111–117. doi: 10.1300/J082v13n04_07. [DOI] [PubMed] [Google Scholar]
  9. Leventhal J. M. Research strategies and methodologic standards in studies of risk factors for child abuse. Child Abuse Negl. 1982;6(2):113–123. doi: 10.1016/0145-2134(82)90003-5. [DOI] [PubMed] [Google Scholar]
  10. Low B. P., Andrews S. F. Adolescent suicide. Med Clin North Am. 1990 Sep;74(5):1251–1264. doi: 10.1016/s0025-7125(16)30514-4. [DOI] [PubMed] [Google Scholar]
  11. Remafedi G. Adolescent homosexuality: psychosocial and medical implications. Pediatrics. 1987 Mar;79(3):331–337. [PubMed] [Google Scholar]
  12. Remafedi G., Farrow J. A., Deisher R. W. Risk factors for attempted suicide in gay and bisexual youth. Pediatrics. 1991 Jun;87(6):869–875. [PubMed] [Google Scholar]
  13. Remafedi G., Resnick M., Blum R., Harris L. Demography of sexual orientation in adolescents. Pediatrics. 1992 Apr;89(4 Pt 2):714–721. [PubMed] [Google Scholar]
  14. Resnick M. D., Blum R. W. The association of consensual sexual intercourse during childhood with adolescent health risk and behaviors. Pediatrics. 1994 Dec;94(6 Pt 1):907–913. [PubMed] [Google Scholar]
  15. Resnick M. D., Chambliss S. A., Blum R. W. Health and risk behaviors of urban adolescent males involved in pregnancy. Fam Soc. 1993 Jun;74(6):366–374. [PubMed] [Google Scholar]
  16. Rich C. L., Fowler R. C., Young D., Blenkush M. San Diego suicide study: comparison of gay to straight males. Suicide Life Threat Behav. 1986 Winter;16(4):448–457. doi: 10.1111/j.1943-278x.1986.tb00730.x. [DOI] [PubMed] [Google Scholar]
  17. Roesler T., Deisher R. W. Youthful male homosexuality. Homosexual experience and the process of developing homosexual idenity in males aged 16 to 22 years. JAMA. 1972 Feb 21;219(8):1018–1023. doi: 10.1001/jama.219.8.1018. [DOI] [PubMed] [Google Scholar]
  18. Schneider S. G., Farberow N. L., Kruks G. N. Suicidal behavior in adolescent and young adult gay men. Suicide Life Threat Behav. 1989 Winter;19(4):381–394. [PubMed] [Google Scholar]
  19. Shaffer D., Fisher P., Hicks R. H., Parides M., Gould M. Sexual orientation in adolescents who commit suicide. Suicide Life Threat Behav. 1995;25 (Suppl):64–71. [PubMed] [Google Scholar]
  20. Sonenstein F. L., Pleck J. H., Ku L. C. Sexual activity, condom use and AIDS awareness among adolescent males. Fam Plann Perspect. 1989 Jul-Aug;21(4):152–158. [PubMed] [Google Scholar]
  21. Widom C. S. Child abuse, neglect, and adult behavior: research design and findings on criminality, violence, and child abuse. Am J Orthopsychiatry. 1989 Jul;59(3):355–367. doi: 10.1111/j.1939-0025.1989.tb01671.x. [DOI] [PubMed] [Google Scholar]

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