Sexual Orientation and Risk Factors for Suicidal Ideation and Suicide Attempts Among Adolescents and Young Adults

Silenzio, Vincent; Peña, Juan B.; Duberstein, Paul R.; Cerel, Julie; Knox, Kerry L.

doi:10.2105/ajph.2006.095943

Cited by 203 publications

(137 citation statements)

References 21 publications

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“…Our study was able to extend previous findings by taking into account the presence of both Axis I and II mental health diagnoses, including Cluster B personality traits. Mental disorder comorbidity has been shown as a strong risk factor for suicidal behaviour 5,7,9,21,48,55,56 and, as such, is important to consider when examining suicide attempts. High rates of suicide attempts reported in previous work may have been conflated by high rates of mental disorders in this population.…”

Section: Discussionmentioning

confidence: 99%

Sexual Orientation and its Relation to Mental Disorders and Suicide Attempts: Findings from a Nationally Representative Sample

2011

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Clinical Implications • Clinicians need to be aware of the high rates of mental disorders among sexual orientation minorities. • Clinicians need to maintain a high index of suspicion during suicide risk assessment because suicide attempts were independently associated with sexual orientation minority status. • Findings highlight the significance of substance use disorders in lesbians and in bisexual women even in the context of other mental health problems. Limitations • Sexual orientation minority status was based on self-identified sexual orientation only. • Mental disorders were not assessed by clinicians. • The National Epidemiologic Survey on Alcohol and Related Conditions Wave 2 was used in our study as a cross-sectional dataset, employing lifetime histories of mental disorders and suicide attempts. Therefore, we cannot be certain that mental disorders were experienced in the context of endorsing sexual orientation minority status.

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Section: Discussionmentioning

confidence: 99%

Sexual Orientation and its Relation to Mental Disorders and Suicide Attempts: Findings from a Nationally Representative Sample

2011

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“…These disparities are thought to contribute to increased risk of suicide attempts (Hegna and Wichstrøm, 2007;Russell and Joyner, 2001; cf. Silenzio et al, 2007) and ideation (Silenzio et al, 2007), elevated frequencies of risky sexual behaviors (e.g., Meyer and Dean, 1995; cf. Weatherburn et al, 1993), and other adverse consequences.…”

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confidence: 99%

Patterns of Alcohol Use and Consequences Among Empirically Derived Sexual Minority Subgroups

Talley

Sher

Steinley

et al. 2012

J. Stud. Alcohol Drugs

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ABSTRACT. Objective: The current study develops an empirically determined classifi cation of sexual orientation developmental patterns based on participants' annual reports of self-identifi cations, sexual attractions, and sexual behaviors during the fi rst 4 years of college. A secondary aim of the current work was to examine trajectories of alcohol involvement among identifi ed subgroups. Method: Data were drawn from a subsample of a longitudinal study of incoming fi rst-time college students at a large, public university (n = 2,068). Longitudinal latent class analysis was used to classify sexual minority participants into empirically derived subgroups based on three self-reported facets of sexual orientation. Multivariate repeated-measures analyses were conducted to examine how trajectories of alcohol involvement varied by sexual orientation class membership. Results: Four unique subclasses of sexual orientation developmental patterns were identifi ed for males and females: one consistently exclusively heterosexual group and three sexual minority groups. Despite generally similar alcohol use patterns among subclasses, certain sexual minority subgroups reported elevated levels of alcohol-related negative consequences and maladaptive motivations for use throughout college compared with their exclusively heterosexual counterparts. Conclusions: Elevations in coping and conformity motivations for alcohol use were seen among those subgroups that also evidenced heightened negative alcohol-related consequences. Implications and limitations of the current work are discussed. (J. Stud. Alcohol Drugs, 73, 290-302, 2012) Received: May 16, 2011. Revision: November 9, 2011. This research was supported by National Institute on Alcohol Abuse and Alcoholism Grants K99 AA019974 (to Amelia E. Talley); F31 AA019596 (to Andrew K. Littlefi eld); and T32 AA13526, R37 AA07231, and KO5 AA017242 (to Kenneth J. Sher).*Correspondence may be sent to Amelia E. Talley at the Department of Psychological Sciences, University of Missouri, Columbia, MO 65211 or via email at: Talleyae@missouri.edu. S EXUAL MINORITY INDIVIDUALS (i.e., those who endorse a nonheterosexual self-identifi cation or same-sex sexual attractions or behaviors) tend to show higher levels of substance use (Bux, 1996;Marshal et al., 2009;Paul et al., 1991;Talley et al., 2010). Alcohol use disparities may be more pronounced for female sexual minority members (Corliss et al., 2008;Eisenberg and Wechsler, 2003; Marshal et al., 2008) compared with their male counterparts. These disparities are thought to contribute to increased risk of suicide attempts (Hegna and Wichstrøm, 2007;Russell and Joyner, 2001; cf. Silenzio et al., 2007) and ideation (Silenzio et al., 2007), elevated frequencies of risky sexual behaviors (e.g., Meyer and Dean, 1995; cf. Weatherburn et al., 1993), and other adverse consequences.Several hypotheses attempt to explain vulnerability to alcohol misuse among sexual minorities (for reviews, see Bux, 1996;Hughes and Eliason, 2002), including coping with s...

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“…As reported in various other cultural and social settings, [30][31][32][33][34][35][36][37][38][39] same-sex attraction and homosexuality were highly correlated with suicidal behaviour in New Caledonia, especially among Kanak youth, probably related to strong homophobia in the Kanak community. The relationships between suicidal behaviour and early tobacco use, 4,7,8,40 alcohol consumption and cannabis use 3-10 have long been known.…”

Section: Discussionmentioning

confidence: 73%

Kava drinking associated with suicidal behaviour among young Kanaks using kava in New Caledonia

Vignier

Salomon

Hamelin

2011

Australian and New Zealand Journal of Public Health

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Sexual Orientation and Risk Factors for Suicidal Ideation and Suicide Attempts Among Adolescents and Young Adults

Cited by 203 publications

References 21 publications

Sexual Orientation and its Relation to Mental Disorders and Suicide Attempts: Findings from a Nationally Representative Sample

Sexual Orientation and its Relation to Mental Disorders and Suicide Attempts: Findings from a Nationally Representative Sample

Patterns of Alcohol Use and Consequences Among Empirically Derived Sexual Minority Subgroups

Kava drinking associated with suicidal behaviour among young Kanaks using kava in New Caledonia

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