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Sexual Minority Status and Age of Onset of Adolescent Suicide Ideation and Behavior
To determine if sexual minority adolescents have earlier onset of suicidality and faster progressions from ideation to plan and attempt than heterosexual adolescents. A population-based longitudinal cohort of 1771 adolescents participated in the NEXT Generation Health Study. Participants reported se...
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| Published in: | Pediatrics (Evanston) 2021-10, Vol.148 (4), p.1 |
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| container_title | Pediatrics (Evanston) |
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| creator | Luk, Jeremy W Goldstein, Risë B Yu, Jing Haynie, Denise L Gilman, Stephen E |
| description | To determine if sexual minority adolescents have earlier onset of suicidality and faster progressions from ideation to plan and attempt than heterosexual adolescents.
A population-based longitudinal cohort of 1771 adolescents participated in the NEXT Generation Health Study. Participants reported sexual minority status (defined by sexual attraction) in 2010-2011 and retrospectively reported age at onset of suicidality in 2015-2016.
Sexual minority adolescents (5.8% of weighted sample) had higher lifetime risk of suicide ideation (26.1% vs 13.0%), plan (16.6% vs 5.4%), and attempt (12.0% vs 5.4%) than heterosexual adolescents. Survival analyses adjusted for demographic characteristics and depressive symptoms revealed positive associations of sexual minority status with time to first onset of suicide ideation (hazard ratio [HR] = 1.77; 95% confidence interval [CI] 1.03-3.06) and plan (HR = 2.69; 95% CI 1.30-5.56). The association between sexual minority status and age at onset of suicide attempt was stronger at age |
| doi_str_mv | 10.1542/peds.2020-034900 |
| format | article |
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A population-based longitudinal cohort of 1771 adolescents participated in the NEXT Generation Health Study. Participants reported sexual minority status (defined by sexual attraction) in 2010-2011 and retrospectively reported age at onset of suicidality in 2015-2016.
Sexual minority adolescents (5.8% of weighted sample) had higher lifetime risk of suicide ideation (26.1% vs 13.0%), plan (16.6% vs 5.4%), and attempt (12.0% vs 5.4%) than heterosexual adolescents. Survival analyses adjusted for demographic characteristics and depressive symptoms revealed positive associations of sexual minority status with time to first onset of suicide ideation (hazard ratio [HR] = 1.77; 95% confidence interval [CI] 1.03-3.06) and plan (HR = 2.69; 95% CI 1.30-5.56). The association between sexual minority status and age at onset of suicide attempt was stronger at age <15 (HR = 3.26; 95% CI 1.25-8.47) than age ≥15 (HR = 0.59; 95% CI 0.21-1.66). The association between sexual minority status and progression from ideation to plan was stronger in the same year of first ideation (HR = 2.01; 95% CI 1.07-3.77) than ≥1 year after first ideation (HR = 1.33; 95% CI 0.26-6.77).
Sexual minority adolescents had earlier onset of suicidality and faster progression from suicide ideation to plan than heterosexual adolescents. The assessment of sexual minority status in routine pediatric care has the potential to inform suicide risk screening, management, and intervention efforts among early sexual minority adolescents.</description><identifier>ISSN: 0031-4005</identifier><identifier>EISSN: 1098-4275</identifier><identifier>DOI: 10.1542/peds.2020-034900</identifier><identifier>PMID: 34580171</identifier><language>eng</language><publisher>United States: American Academy of Pediatrics</publisher><subject>Adolescent ; Adolescents ; Age ; Age of Onset ; Demographic aspects ; Female ; Gay teenagers ; Gay youth ; Health aspects ; Health Surveys ; Heterosexuality - psychology ; Humans ; Kaplan-Meier Estimate ; LGBTQ people ; Longitudinal Studies ; Male ; Pediatric research ; Pediatrics ; Psychological aspects ; Risk factors ; Sexual and Gender Minorities - psychology ; Sexual minorities ; Suicidal behavior ; Suicidal behaviour ; Suicidal Ideation ; Suicide ; Suicide, Attempted - statistics & numerical data ; Suicides & suicide attempts ; Teenagers ; United States ; Young Adult</subject><ispartof>Pediatrics (Evanston), 2021-10, Vol.148 (4), p.1</ispartof><rights>Copyright © 2021 by the American Academy of Pediatrics.</rights><rights>COPYRIGHT 2021 American Academy of Pediatrics</rights><rights>Copyright American Academy of Pediatrics Oct 1, 2021</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c462t-75eebdc680776ab47cf65b117beabc962111187b6dfcc95ead278bbd373d34c13</citedby><cites>FETCH-LOGICAL-c462t-75eebdc680776ab47cf65b117beabc962111187b6dfcc95ead278bbd373d34c13</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34580171$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Luk, Jeremy W</creatorcontrib><creatorcontrib>Goldstein, Risë B</creatorcontrib><creatorcontrib>Yu, Jing</creatorcontrib><creatorcontrib>Haynie, Denise L</creatorcontrib><creatorcontrib>Gilman, Stephen E</creatorcontrib><title>Sexual Minority Status and Age of Onset of Adolescent Suicide Ideation and Behavior</title><title>Pediatrics (Evanston)</title><addtitle>Pediatrics</addtitle><description>To determine if sexual minority adolescents have earlier onset of suicidality and faster progressions from ideation to plan and attempt than heterosexual adolescents.
A population-based longitudinal cohort of 1771 adolescents participated in the NEXT Generation Health Study. Participants reported sexual minority status (defined by sexual attraction) in 2010-2011 and retrospectively reported age at onset of suicidality in 2015-2016.
Sexual minority adolescents (5.8% of weighted sample) had higher lifetime risk of suicide ideation (26.1% vs 13.0%), plan (16.6% vs 5.4%), and attempt (12.0% vs 5.4%) than heterosexual adolescents. Survival analyses adjusted for demographic characteristics and depressive symptoms revealed positive associations of sexual minority status with time to first onset of suicide ideation (hazard ratio [HR] = 1.77; 95% confidence interval [CI] 1.03-3.06) and plan (HR = 2.69; 95% CI 1.30-5.56). The association between sexual minority status and age at onset of suicide attempt was stronger at age <15 (HR = 3.26; 95% CI 1.25-8.47) than age ≥15 (HR = 0.59; 95% CI 0.21-1.66). The association between sexual minority status and progression from ideation to plan was stronger in the same year of first ideation (HR = 2.01; 95% CI 1.07-3.77) than ≥1 year after first ideation (HR = 1.33; 95% CI 0.26-6.77).
Sexual minority adolescents had earlier onset of suicidality and faster progression from suicide ideation to plan than heterosexual adolescents. The assessment of sexual minority status in routine pediatric care has the potential to inform suicide risk screening, management, and intervention efforts among early sexual minority adolescents.</description><subject>Adolescent</subject><subject>Adolescents</subject><subject>Age</subject><subject>Age of Onset</subject><subject>Demographic aspects</subject><subject>Female</subject><subject>Gay teenagers</subject><subject>Gay youth</subject><subject>Health aspects</subject><subject>Health Surveys</subject><subject>Heterosexuality - psychology</subject><subject>Humans</subject><subject>Kaplan-Meier Estimate</subject><subject>LGBTQ people</subject><subject>Longitudinal Studies</subject><subject>Male</subject><subject>Pediatric research</subject><subject>Pediatrics</subject><subject>Psychological aspects</subject><subject>Risk factors</subject><subject>Sexual and Gender Minorities - psychology</subject><subject>Sexual minorities</subject><subject>Suicidal behavior</subject><subject>Suicidal behaviour</subject><subject>Suicidal Ideation</subject><subject>Suicide</subject><subject>Suicide, Attempted - statistics & numerical data</subject><subject>Suicides & suicide attempts</subject><subject>Teenagers</subject><subject>United States</subject><subject>Young Adult</subject><issn>0031-4005</issn><issn>1098-4275</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNpdkUtv1DAUhS0EokNhzwpFYsMm5foVJxukYcSjUtEsBtaWY99MXWXsIXaq9t_jMKUCvLElf_fonHsIeU3hgkrB3h_RpQsGDGrgogN4QlYUurYWTMmnZAXAaS0A5Bl5kdINAAip2HNyxoVsgSq6Irsd3s1mrL75ECef76tdNnlOlQmuWu-xikO1DQnz8li7OGKyGHK1m731DqtLhyb7GH7zH_Ha3Po4vSTPBjMmfPVwn5Mfnz9933ytr7ZfLjfrq9qKhuVaScTe2aYFpRrTC2WHRvaUqh5Nb7uG0XJa1TdusLaTaBxTbd87rrjjwlJ-Tj6cdI9zf0C3GJvMqI-TP5jpXkfj9b8_wV_rfbzVnRCNUG0RePcgMMWfM6asD77kG0cTMM5JM6lU2RRloqBv_0Nv4jyFEq9QLXBZ3LJC1Sdqb0bUPtgYMt5lG8cR96hL-s1Wr5WgZfuM8sLDibdTTGnC4dE8Bb00rJeG9dKwPjVcRt78Hfpx4E-l_Bd2Z6F8</recordid><startdate>20211001</startdate><enddate>20211001</enddate><creator>Luk, Jeremy W</creator><creator>Goldstein, Risë B</creator><creator>Yu, Jing</creator><creator>Haynie, Denise L</creator><creator>Gilman, Stephen E</creator><general>American Academy of Pediatrics</general><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></search><sort><creationdate>20211001</creationdate><title>Sexual Minority Status and Age of Onset of Adolescent Suicide Ideation and Behavior</title><author>Luk, Jeremy W ; Goldstein, Risë B ; Yu, Jing ; Haynie, Denise L ; Gilman, Stephen E</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c462t-75eebdc680776ab47cf65b117beabc962111187b6dfcc95ead278bbd373d34c13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Adolescent</topic><topic>Adolescents</topic><topic>Age</topic><topic>Age of Onset</topic><topic>Demographic aspects</topic><topic>Female</topic><topic>Gay teenagers</topic><topic>Gay youth</topic><topic>Health aspects</topic><topic>Health Surveys</topic><topic>Heterosexuality - psychology</topic><topic>Humans</topic><topic>Kaplan-Meier Estimate</topic><topic>LGBTQ people</topic><topic>Longitudinal Studies</topic><topic>Male</topic><topic>Pediatric research</topic><topic>Pediatrics</topic><topic>Psychological aspects</topic><topic>Risk factors</topic><topic>Sexual and Gender Minorities - psychology</topic><topic>Sexual minorities</topic><topic>Suicidal behavior</topic><topic>Suicidal behaviour</topic><topic>Suicidal Ideation</topic><topic>Suicide</topic><topic>Suicide, Attempted - statistics & numerical data</topic><topic>Suicides & suicide attempts</topic><topic>Teenagers</topic><topic>United States</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Luk, Jeremy W</creatorcontrib><creatorcontrib>Goldstein, Risë B</creatorcontrib><creatorcontrib>Yu, Jing</creatorcontrib><creatorcontrib>Haynie, Denise L</creatorcontrib><creatorcontrib>Gilman, Stephen E</creatorcontrib><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 & Medical Complete (Alumni)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Nursing & 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>Luk, Jeremy W</au><au>Goldstein, Risë B</au><au>Yu, Jing</au><au>Haynie, Denise L</au><au>Gilman, Stephen E</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Sexual Minority Status and Age of Onset of Adolescent Suicide Ideation and Behavior</atitle><jtitle>Pediatrics (Evanston)</jtitle><addtitle>Pediatrics</addtitle><date>2021-10-01</date><risdate>2021</risdate><volume>148</volume><issue>4</issue><spage>1</spage><pages>1-</pages><issn>0031-4005</issn><eissn>1098-4275</eissn><abstract>To determine if sexual minority adolescents have earlier onset of suicidality and faster progressions from ideation to plan and attempt than heterosexual adolescents.
A population-based longitudinal cohort of 1771 adolescents participated in the NEXT Generation Health Study. Participants reported sexual minority status (defined by sexual attraction) in 2010-2011 and retrospectively reported age at onset of suicidality in 2015-2016.
Sexual minority adolescents (5.8% of weighted sample) had higher lifetime risk of suicide ideation (26.1% vs 13.0%), plan (16.6% vs 5.4%), and attempt (12.0% vs 5.4%) than heterosexual adolescents. Survival analyses adjusted for demographic characteristics and depressive symptoms revealed positive associations of sexual minority status with time to first onset of suicide ideation (hazard ratio [HR] = 1.77; 95% confidence interval [CI] 1.03-3.06) and plan (HR = 2.69; 95% CI 1.30-5.56). The association between sexual minority status and age at onset of suicide attempt was stronger at age <15 (HR = 3.26; 95% CI 1.25-8.47) than age ≥15 (HR = 0.59; 95% CI 0.21-1.66). The association between sexual minority status and progression from ideation to plan was stronger in the same year of first ideation (HR = 2.01; 95% CI 1.07-3.77) than ≥1 year after first ideation (HR = 1.33; 95% CI 0.26-6.77).
Sexual minority adolescents had earlier onset of suicidality and faster progression from suicide ideation to plan than heterosexual adolescents. The assessment of sexual minority status in routine pediatric care has the potential to inform suicide risk screening, management, and intervention efforts among early sexual minority adolescents.</abstract><cop>United States</cop><pub>American Academy of Pediatrics</pub><pmid>34580171</pmid><doi>10.1542/peds.2020-034900</doi><oa>free_for_read</oa></addata></record> |
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| subjects | Adolescent Adolescents Age Age of Onset Demographic aspects Female Gay teenagers Gay youth Health aspects Health Surveys Heterosexuality - psychology Humans Kaplan-Meier Estimate LGBTQ people Longitudinal Studies Male Pediatric research Pediatrics Psychological aspects Risk factors Sexual and Gender Minorities - psychology Sexual minorities Suicidal behavior Suicidal behaviour Suicidal Ideation Suicide Suicide, Attempted - statistics & numerical data Suicides & suicide attempts Teenagers United States Young Adult |
| title | Sexual Minority Status and Age of Onset of Adolescent Suicide Ideation and Behavior |
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