ArticleArchives of sexual behavior2026
Do Victimization and Hopelessness Relate to Suicidality Differently Across Sexual Orientation? Evidence from the 2015-2023 U.S. Youth Risk Behavior Surveys.
Article in Archives of sexual behavior, 2026. 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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Abstract
This study assessed whether associations between suicidality, victimization, and hopelessness varied across heterosexual, bisexual, homosexual, and unsure-orientation youth. Data comprised 20,367 complete cases drawn from the 2015-2023 Youth Risk Behavior Surveillance System. Overlap propensity score weights balanced more than 40 suicidality-related covariates (e.g., gender, age, race/ethnicity, health behaviors, substance use, and risk-seeking behaviors) across groups. Weighted logistic regressions estimated group differences and tested sexual orientation by stressor interactions. After weighting, bisexual, homosexual, and unsure-orientation youth exhibited significantly higher odds of suicidal ideation and planning compared to heterosexual peers (ORs = 2.06-4.19), though adjusted differences in suicide attempts were varied (ORs = 0.89-1.46). While victimization and hopelessness were robustly associated with ideation and planning across all groups (ORs = 1.73-3.32), their associations with suicide attempts were inconsistent (ORs = 0.32-1.45). Interaction analyses between sexual orientation and these stressors showed inconsistent results (ORs = 0.54-1.69), suggesting that, the impact of victimization and hopelessness may not vary uniformly by orientation. Supplementary analyses of 2023 data indicated that among transgender youth, victimization had a weaker association with suicide outcomes (ORs = 0.56-0.99), whereas hopelessness was more strongly correlated with ideation and planning (ORs = 1.46-5.73). These transgender-specific estimates should be interpreted with caution due to small subgroup size and limited covariate overlap. Together, these findings highlight heterogeneity in suicidality across sexual-orientation groups and emphasize the need for longitudinal research with richer contextual and biological measures to clarify mechanisms and subgroup-specific risk and protective factors.
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