Evidence map›Paper›PMID 40838905›Full record

ArticleThe Journal of adolescent health : official publication of the Society for Adolescent Medicine2025

Exposure to Suicidal Behavior by Sexual and Gender Minority Status Among Adolescents in the Southeastern United States.

Kirsty A Clark, Kelly E O'Connor, Elisa Park, Phillip Smith, Krista Mehari

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Article in The Journal of adolescent health : official publication of the Society for Adolescent Medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Kirsty A ClarkDepartment of Medicine, Health, and Society, Vanderbilt University, Nashville, Tennessee; Department of Psychology and Human Development, Vanderbilt University, Nashville, Tennessee. Electronic address: kirsty.clark@vanderbilt.edu.
Kelly E O'ConnorDepartments of Surgery and Psychology, Virginia Commonwealth University, Richmond, Virginia.
Elisa ParkDepartment of Social and Behavioral Sciences, Yale University, New Haven, Connecticut.
Phillip SmithDepartment of Psychology, University of South Alabama, Mobile, Alabama.
Krista MehariDepartment of Psychology and Human Development, Vanderbilt University, Nashville, Tennessee.

Funding

NCIPC CDC HHS R01 CE003298
6 · The paper itself

Abstract

purposeTo investigate exposure to others' suicidal behavior in explaining the heightened risk for suicidal thoughts and behaviors (STBs) among sexual and gender minority (SGM) adolescents.

methodsFrom December 2022 to May 2023, this cross-sectional survey study recruited 1,128 students from four public high schools (grades 9-12) in one historically segregated county in the southeastern United States. We estimated exposure to others' suicidal behavior and one's own STBs by SGM status.

resultsSGM adolescents reported significantly higher levels of STBs and more prevalent exposure to friends' and family members' suicide attempts and deaths (all p < 0.01), with 50.2% of SGM adolescents reporting exposure to friends' suicide attempts. In multivariate mediation models adjusted for confounders, exposure to friends' and family members' suicide attempts accounted for 7%-12% of the disparities in STBs between SGM and cisgender/heterosexual adolescents. DISCUSSION: Exposure to others' suicidal behavior is prevalent among SGM adolescents and associated with the group's increased risk of STBs. Suicide prevention policies and programs targeting SGM adolescents should enhance school-based screening, increase access to SGM-affirmative mental health resources, and leverage peer-engaged interventions.

Indexed as

Adolescent BehaviorSexual and Gender MinoritiesSuicidal IdeationSuicide, AttemptedAdolescentCross-Sectional StudiesFemaleHumansMaleRisk FactorsSoutheastern United StatesStudentsSurveys and Questionnairesadolescencediscriminationexposure to violencegender identitysexual orientationsuicide

Identifiers

PMID40838905
PMCPMC12743606

What OpenQuestion holds

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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.