Utah ranks fifth in the nation for suicide and has experienced a rapid increase in youth deaths by suicide over the last decade. Lesbian, gay, bisexual, transgender, and queer/questioning (LGBTQ) youth in Utah may be at heightened risk, given the major presence and stances of The Church of Jesus Christ of Latter-day Saints regarding LGBTQ identities and relationships. However, no research has yet examined the differences in or predictors of suicidal thoughts and behaviors (STBs; i.e., suicidal thoughts, plans, and attempts) among LGBTQ youth in Utah. Using a large representative sample of Utah middle and high schoolers (n = 73,982), we found that Latter-day Saint (LDS) and non-LDS LGBTQ groups reported greater levels of STBs than heterosexual/cisgender youth, with non-LDS LGBTQ youth reporting the highest levels of STBs, followed by LDS LGBTQ youth. Path-analyses demonstrated that LGBTQ participants' reports of higher family conflict and lower parental closeness were tied to higher depression, self-harm, and substance misuse, and these three factors were, in turn, associated with higher levels of STBs for LGBTQ youth in Utah. This path model did not differ significantly due to LDS versus non-LDS religious affiliation. Findings suggest that LGBTQ youth in Utah would be well served if clinicians and advocacy groups pay attention to the ways that religious affiliation and family dynamics might indirectly lead to STBs among adolescents.
Public Significance StatementThis study found that both Latter-day Saint and non-Latter-day Saint LGBTQ youth are at higher risk for experiencing suicidal thoughts and behaviors than their heterosexual or cisgender peers. Additionally, for LGBTQ youth, higher levels of family conflict and lower levels of parental closeness were related to more depression, substance misuse, self-harm, suicidal thoughts, and suicide attempts. These findings demonstrate the potential familial and religious risks that LGBTQ youth may experience in Utah.