Evidence map›Paper›PMID 35190078›Full record

SynthesisJournal of school psychology2022

The roles of school in supporting LGBTQ+ youth: A systematic review and ecological framework for understanding risk for suicide-related thoughts and behaviors.

Marisa E Marraccini, Katherine M Ingram, Shereen C Naser, Sally L Grapin, Emily N Toole, J Conor O'Neill, Andrew J Chin, Robert R Martinez, Dana Griffin

Abstract readSystematic Review
In one paragraph

Synthesis in Journal of school psychology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed.

  1. Article
  2. Partnering With Teens With Past Suicide-Related Crises: Development, Application and Refinement of Safety Procedures for Co-Design.Health expectations : an international journal of public participation in health care and health policy · 2026
    Article
  3. Exposure to Suicidal Behavior by Sexual and Gender Minority Status Among Adolescents in the Southeastern United States.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2025
    Article
  4. Article
  5. Review
  6. Potential Harms of Responding to Youth Suicide Risk in Schools.Research on child and adolescent psychopathology · 2025
    Review
  7. Review
  8. Review
  9. A mixed methods study of suicide protective factors in college students.Psicologia, reflexao e critica : revista semestral do Departamento de Psicologia da UFRGS · 2024
    Article
  10. Trends in Suicidality and Bullying among New York City Adolescents across Race and Sexual Identity: 2009-2019.Journal of urban health : bulletin of the New York Academy of Medicine · 2024
    Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Responding to "Don't Say Gay" Laws in the US: Research Priorities and Considerations for Health Equity.Sexuality research & social policy : journal of NSRC : SR & SP · 2022
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Marisa E MarracciniSchool of Education, University of North Carolina at Chapel Hill, United States of America. Electronic address: mmarracc@email.unc.edu.
Katherine M IngramSchool of Education, University of North Carolina at Chapel Hill, United States of America.
Shereen C NaserCollege of Sciences and Health Professions, Cleveland State University, United States of America.
Sally L GrapinPsychology Department, Montclair State University, United States of America.
Emily N TooleSchool of Education, University of North Carolina at Chapel Hill, United States of America.
J Conor O'NeillDepartment of Psychiatry and Behavioral Sciences, Duke University School of Medicine, United States of America.
Andrew J ChinSchool of Education, University of North Carolina at Chapel Hill, United States of America.
Robert R MartinezSchool of Education, University of North Carolina at Chapel Hill, United States of America.
Dana GriffinSchool of Education, University of North Carolina at Chapel Hill, United States of America.

Funding

Practice Experiences for School Reintegration: An Immersive Virtual Reality Program to Enhance Skill Development of Adolescents Hospitalized for Suicidal Thoughts and BehaviorsK23MH122775 · NIMH · UNIV OF NORTH CAROLINA CHAPEL HILL · PI MARRACCINI, MARISA ELLEN · 2020 to 2023
$627k
NIMH NIH HHS K23 MH122775NIMH NIH HHS L30 MH117655
6 · The paper itself

Abstract

The extant literature on suicide-related thoughts and behaviors (STB) has highlighted increased patterns of risk among specific minoritized populations, including lesbian, gay, bisexual, transgender, questioning, intersex, two spirit, and queer (LGBTQ+) youth. Compared to their heterosexual and cisgender peers, LGBTQ+ youth are at increased risk for having STB. Identity-specific stressors such as homonegativity and anti-queerness are among the unique factors posited to contribute to this risk and inhibit factors that protect against suicide. The school setting has been a focal point for suicide prevention and intervention and may also play a key role in linking students to care; however, schools also hold the potential to provide supports and experiences that may buffer against risk factors for STB in LGBTQ+ students. This systematic literature review presents findings from 44 studies examining school-related correlates of STB in LGBTQ+ students, informing an ecological approach to suicide prevention for school settings. Findings underscore the importance of school context for preventing STB in LGBTQ+ youth. Approaches that prioritize safety and acceptance of LGBTQ+ youth should span multiple layers of a student's ecology, including district and state level policies and school programs and interventions, such as Gender and Sexuality Alliances and universal bullying prevention programs. Beyond their role as a primary access point for behavioral health services, schools offer a unique opportunity to support suicide prevention by combating minority stressors through promoting positive social relationships and a safe community for LGBTQ+ students.

Indexed as

BullyingSexual and Gender MinoritiesSuicide PreventionAdolescentFemaleHumansSchoolsSuicidal IdeationGender diverseLGBTQ+SchoolsSexual gender minoritizedSexual orientationSuicide

Identifiers

PMID35190078
PMCPMC8906061

What OpenQuestion holds

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Registered trials

None linked

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.