ArticleThe Journal of adolescent health : official publication of the Society for Adolescent Medicine2018
Sexual Identity, Adverse Childhood Experiences, and Suicidal Behaviors.
Article in The Journal of adolescent health : official publication of the Society for Adolescent Medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
34 citing papers in PubMed, 100 citations in OpenAlex.
- Review
- Understanding suicidality among sexual and gender minority youth: Applying the interpersonal psychological theory of suicide.Journal of research on adolescence : the official journal of the Society for Research on Adolescence · 2026Article
- Article
- Early life stress modulates social behavior via oxytocin and arginine vasopressin in males.European archives of psychiatry and clinical neuroscience · 2026Article
- Sexual identity, child maltreatment, mental health, and substance use among emerging adults aged 18 to 23 years.Canadian journal of public health = Revue canadienne de sante publique · 2025Article
- Sexual Orientation and Exposure to Close Others' Self-Injurious Thoughts and Behaviors.JAMA network open · 2025Article
- Adverse Childhood Experiences, Intimate Partner Violence Victimization, and Posttraumatic Stress Disorder Symptoms Among Sexual Minority Young Adults.Journal of child & adolescent trauma · 2025Article
- The Association Between Sexual Identity, Depression, and Adolescent Substance Use.Child psychiatry and human development · 2025Article
- Adverse Childhood Experiences Among LGBTQ+ High School Students: National Evidence From the 2023 Youth Risk Behavior Survey.American journal of public health · 2025Article
- Are we gatekeeping trauma? A conceptual model to expand criterion A for invisible, identity-based, and systemic traumas.Social science & medicine (1982) · 2025Review
- Child abuse prevalence estimates in Canada; comparisons of nationally representative data from 2012 to 2022: a population-based study.Lancet regional health. Americas · 2025Article
- Targeted Research and Treatment Implications in Women With Depression.Focus (American Psychiatric Publishing) · 2025Review
- Adverse Childhood Experiences and Health Outcomes Among Sexual and Gender Minorities: A Systematic Review.Journal of child & adolescent trauma · 2024Article
- Childhood Adversity and Adolescent Smartphone Use Across Sexual Orientation and Gender Expression.JAMA network open · 2024Article
- Article
- Adverse Childhood Experiences Among Lesbian, Gay, Bisexual, and Queer Veterans.American journal of preventive medicine · 2023Article
- Intersectionality and Adverse Childhood Experiences: Comparing Subgroups of Sex, Race/Ethnicity, and Sexual Orientation.American journal of preventive medicine · 2023Article
- Multilevel Risk and Protective Factors for Frequent and Nonfrequent Past-30-Day Marijuana Use: Findings From a Representative Sample of High School Youth.Journal of studies on alcohol and drugs · 2023Article
- Changes in Mental Health and Well-Being Are Associated With Living Arrangements With Parents During COVID-19 Among Sexual Minority Young Persons in the U.S.Psychology of sexual orientation and gender diversity · 2023Article
- How adverse and benevolent childhood experiences influence depression and suicidal ideation in Chinese undergraduates: a latent class analysis.Environmental health and preventive medicine · 2023Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
Abstract
purposeThe objective of this study was to examine the influence of sexual identity and adverse childhood experiences (ACEs) on suicidal behaviors in a population-based sample of high school students.
methodsA two-stage cluster random sampling design was used to recruit 5,108 students from 97 high schools. A total of 4,955 students (97%) provided information that allowed for classification of sexual identity into three groups: (1) lesbian, gay, or bisexual (LGB) (10%); (2) not sure (4.6%); and (3) heterosexual (85.4%). Five measures of childhood abuse and household dysfunction were summed, and the ACE score was categorized as 0, 1, 2, and 3-5 ACEs. Weighted logistic regression was used to assess the influence of sexual identity, ACEs, and their interaction on suicide ideation and attempts in the past 12 months.
resultsCompared with heterosexual students, those who were LGB and were not sure had higher odds of suicide ideation and attempts. There was also a graded relationship between cumulative ACE exposure and suicidal behaviors. Although sexual identity/ACE interaction was not observed, LGB/not sure students who experienced a high number of ACEs were disproportionately affected. Compared with heterosexual students with 0 ACE, LGB/not sure students with 0 ACE (adjusted odds ratio [AOR] = 3.32, 95% confidence interval [CI] = 1.96-5.61), 1 ACE (AOR = 6.58, 95% CI = 4.05-10.71), 2 ACEs (AOR 13.50, 95% CI = 8.45-21.58), and 3-5 ACEs (AOR = 14.04, 95% CI = 8.72, 22.62) had higher odds of suicide ideation. A similar pattern was observed for suicide attempts.
conclusionsLGB and students not sure of their sexual identity with greater exposure to ACEs have disproportionately high levels of suicide ideation and attempts. Trauma-informed interventions for these populations are warranted.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.