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Suicidality and depression disparities between sexual minority and heterosexual youth: A meta-analytic review

Marshal, MP and Dietz, LJ and Friedman, MS and Stall, R and Smith, HA and McGinley, J and Thoma, BC and Murray, PJ and D'Augelli, AR and Brent, DA (2011) Suicidality and depression disparities between sexual minority and heterosexual youth: A meta-analytic review. Journal of Adolescent Health, 49 (2). 115 - 123. ISSN 1054-139X

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Purpose: To examine disparities between sexual minority youth (SMY) and heterosexual youth in rates of suicidality and depression symptoms. Methods: Separate meta-analyses were conducted to examine suicidality and depression disparities. Studies were included if the average age of the participants was <18 years, and if suicidality or depression symptoms were compared across SMY and heterosexual youth. Results: SMY reported significantly higher rates of suicidality (odds ratio [OR] = 2.92) and depression symptoms (standardized mean difference, d =.33) as compared with the heterosexual youth. Disparities increased with the increase in the severity of suicidality (ideation [OR = 1.96], intent/plans [OR = 2.20], suicide attempts [OR = 3.18], suicide attempts requiring medical attention [OR = 4.17]). Effects did not vary across gender, recruitment source, and sexual orientation definition. Conclusions: Disparities in suicidality and depression may be influenced by negative experiences including discrimination and victimization. Clinicians should assess sexual orientation, analyze psychosocial histories to identify associated risk factors, and promote prevention and intervention opportunities for SMY and their families. © 2011 Society for Adolescent Health and Medicine.


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Item Type: Article
Status: Published
CreatorsEmailPitt UsernameORCID
Marshal, MP
Dietz, LJ
Friedman, MSmsf11@pitt.eduMSF11
Stall, Rrstall@pitt.eduRSTALL
Smith, HA
McGinley, J
Thoma, BC
Murray, PJ
D'Augelli, AR
Brent, DA
Centers: Other Centers, Institutes, Offices, or Units > Center for LGBT Health Research
Date: 1 August 2011
Date Type: Publication
Journal or Publication Title: Journal of Adolescent Health
Volume: 49
Number: 2
Page Range: 115 - 123
DOI or Unique Handle: 10.1016/j.jadohealth.2011.02.005
Schools and Programs: Graduate School of Public Health > Behavioral and Community Health Sciences
Refereed: Yes
ISSN: 1054-139X
Article Type: Review
MeSH Headings: Adolescent; Bisexuality--psychology; Depression--epidemiology; Female; Heterosexuality--psychology; Homosexuality--psychology; Humans; Male; Odds Ratio; Sexuality--psychology; Suicide--psychology; Suicide--statistics & numerical data; Suicide, Attempted--psychology; Suicide, Attempted--statistics & numerical data
Other ID: NLM NIHMS313704, NLM PMC3649127
PubMed Central ID: PMC3649127
PubMed ID: 21783042
Date Deposited: 12 Jun 2013 21:28
Last Modified: 23 Jun 2018 12:55


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