ArticleBMJ open2018
Sexual minority status and suicidal behaviour among Chinese adolescents: a nationally representative cross-sectional study.
Article in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Prevalence of depression, anxiety and suicide among men who have sex with men in China: a systematic review and meta-analysis.Epidemiology and psychiatric sciences · 2020Pooled it
- Prevalence of sexual minorities and its association with mental health among Chinese adolescents: a nationally representative cross-sectional study.Social psychiatry and psychiatric epidemiology · 2026Article
- The impact of father-son relationship on suicidal ideation in Chinese gay and bisexual men: the mediating role of masculinity and self-esteem.BMC psychology · 2025Article
- Mental health among sexually and gender diverse adolescents in Indonesia and Vietnam: Results from the National Adolescent Mental Health Surveys.Child and adolescent psychiatry and mental health · 2025Article
- Suicidality at the intersection of sex, sexual orientation, and gender expression among secondary school students in Hong Kong: a population-based study.The Lancet regional health. Western Pacific · 2024Article
- Navigating sexual minority identity in sport: a qualitative exploration of sexual minority student-athletes in China.BMC public health · 2024Article
- Perceived school bullying and psychotic-like experiences in sexual minority adolescents: the mediating and moderating roles of resilience.Child and adolescent psychiatry and mental health · 2024Article
- Associations between Physical Activity, Mental Health, and Suicidal Behavior in Korean Adolescents: Based on Data from 18th Korea Youth Risk Behavior Web-Based Survey (2022).Behavioral sciences (Basel, Switzerland) · 2024Article
- Misuse of Prescription Opioids and Suicidal Behaviors Among Black Adolescents: Findings from the 2017 and 2019 Youth Risk Behavior Survey.Journal of racial and ethnic health disparities · 2023Article
- Mapping the Scientific Literature on Health Needs of Women with Same-Sex Attraction in Mainland China: A Scoping Review.LGBT health · 2023Article
- Suicidal ideation and behavior in youth in low- and middle-income countries: A brief review of risk factors and implications for prevention.Frontiers in psychiatry · 2022Review
- Observational
- Article
- The victim-bully cycle of sexual minority school adolescents in China: prevalence and the association of mood problems and coping strategies.Epidemiology and psychiatric sciences · 2020Article
- Addressing Minority Stress and Mental Health among Men Who Have Sex with Men (MSM) in China.Current HIV/AIDS reports · 2020Review
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesSuicidality among sexual minority adolescents has generated worldwide concern in recent decades, and previous Western studies have demonstrated that sexual minority status is associated with adolescent suicidality. However, whether this association exists in Chinese adolescents remains largely unknown. This study aimed to estimate the associations between sexual minority status and suicidal behaviour among Chinese adolescents.
designCross-sectional survey.
settingA total of 506 high schools in 7 provinces of China.
participantsA total of 150 822 students in grades 7-12 who completed the questionnaires (response rate of 95.9%) were included.
main outcome measuresSuicidal ideation and suicide attempts were used to measure suicidal behaviour, and sexual attraction (opposite sex, same sex or both sex) was used as a measure for sexual minority status.
resultsOf the 150 822 adolescents analysed, 4.1% self-reported as sexual minorities and 17.3% were unsure. Compared with heterosexual and unsure adolescents, same-sex romantic attraction (SSA) and both-sex romantic attraction (BSA) adolescents reported a higher prevalence of past-year suicidal ideation (SSA: 21.6% for males and 30.4% for females; BSA: 34.7% for males and 42.3% for females) and suicide attempts (SSA: 6.9% for males and 8.9% for females; BSA: 12.2% for males and 10.9% for females). After adjustment for covariates, SSA and BSA adolescents were more likely to have past-year suicidal ideation and suicide attempts than their heterosexual and unsure peers. BSA adolescents reported the highest risk of suicidal ideation (males: adjusted OR (AOR) 2.42, 95% CI 2.03 to 2.88; females: AOR 2.61, 95% CI 2.41 to 2.82) and suicide attempts (males: AOR 3.83, 95% CI 2.85 to 5.14; females: AOR 2.59, 95% CI 2.19 to 3.06).
conclusionsOur study suggested that Chinese sexual minority adolescents were at increased risk of suicidality, and those with BSA had an especially high risk in this population. These findings emphasised the urgent need to develop targeted interventions to effectively address suicide-related problems among Chinese sexual minority adolescents.
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