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To Home of: Increasing Awareness of Gay, Lesbian, Bisexual, Transgender, Two Spirit, Queer... Suicide Issues
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Gay, Lesbian, Bisexual & Transgender
"Attempted Suicide" Incidences/Risks
Suicidality Studies From 1970 to 2011
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Sent(a)Mental Project - A Memorial to GLBTIQA Suicides / Final Version (2009)

Talking About Suicide & LGBT Populations (2011): Suggestions & Recommendations.

Feds support new national LGBT youth suicide prevention task force (USA, 2010)
Task Forces Focus on LGBT Youth, American Indians/Alaska Natives, Military/Veterans (2010)
Related: 1, 2, 3. Notes of Caution / Warnings: 1, 2 (Paragraphs 7-9), 3, 4.
Will it be white racist GLBT suicide prevention? - To be Ignored: Two Spirit Youth? GLBT Street Youth?
To Effectively Address a Serious Problem, Good to Know How It Developed. Related Paper.
A Department of Silence: Bullying of LGBT youth not a priority (2010).
Shutting LGBT Students Out: How Current Anti-Bullying Policies Fail America’s Youth (2011)
LGBT youth suicide reports show need for more studies (2011).

Jamie Hubley, Gay 15-Year-Old Ottawa, Canada (2011). Related: 1, 2, 3, 4, 5, 6.
"I hate being the only open gay guy in my school… It f***ing sucks, I really want to end it. Like all of it, I not getting better
theres 3 more years of highschool left, Iv been on 4 different anti -depressants, none of them worked. I’v been depressed since january,
How f***ing long is this going to last. People said “It gets better”. Its f***ing bull****. I go to see psychologist,
What the f*** are they suppost to f***ing do? All I do is talk about problems, it doesnt make them dissapear?? I give up."

It Gets Better Project. - Related Thesis. - The “It Gets Better Campaign”: An unfortunate use of queer futurity.
Why should LGBTQ students have to wait for it to get better? We have the power to make it better now.
School should not be about survival. PDF.
Jamey Rodemeyer Suicide (2011): 1, 2, 3, 4, 5.
Anti-gay bullying leads to another tragic teen suicide (2011): Nicholas Kelo Jr... was 13 years old.
It is unknown as to whether or not Nick was gay, but that did not stop his bullies or their attacks... 1, 2, 3, 4, 5.

Gay teen Lance Lundsten's death ruled a suicide (2011): 1, 2, 3.
New study shows that before things “get better,” there are consequences.
Make It Better Project (2011). - Does it ever really get better? (2011)
Negative gay community description, with the white racism missing.
The 2011 University GLB Student Suicidality & Deliberate Self-Injury Alert!

Author Keith Boykin's new book (2011):
For Colored Boys Who Have Considered Suicide When The Rainbow Is Still Not Enough
.


"American Indian and Alaska Native Suicide Prevention" Website

"Honouring Life Network," Canada: Aboriginal Youth Suicide


"Action Alliance for Suicide Prevention," USA


Suicidality Studies Index: All Studies (This Page): The Index. - All Random & Special Sample Studies. - All American & Canadian Studies. - All European Studies. - Transgender Studies. - The Results of Additional School-Based North American Youth Risk Behavior Surveys or Similar Surveys - Random Sampling - are Located on Another Page.

Other Pages: Homosexually Oriented People Are Generally at Greater Risk for the More Serious Suicidal Behaviors. - An Expanded Homosexuality Factor in Adolescent Suicide. - "Attempting Suicide" as Related To Gender Nonconformity & Transgender Issues. - Bell & Weinberg (1978) Homosexualities Study: "Attempted Suicide" Study Results.


This page contain the results of about 150 studies (+/- 115 published in peer reviewed journals) that have reported "attempted suicide" incidences for varying sample of sexual minority individuals most often described or self-described (may be self-identified) as Gay (G), Lesbian (L), Bisexual (B), Transgender (TG), Homosexual, Predominantly Homosexual, Homosexual/Bisexual, Same-Sex Attracted, Same-Sex Romantically Attracted, MSM (Men Who Have Sex With Men), WSW (Women Who Have Sex With Women), and Same-Sex Sexually Active (Same-Sex Sex). Some "Self-Harm" or "Self-Injury" study results are also reported.

Risk Ratios (RRs) or Odds Ratios (ORs) were produced - if they were not given by study authors - when Heterosexual or Predominantly Heterosexual individuals were also a part of a study and sufficient data was available to do calculations. As a rule, homosexually oriented people have been at higher risk for attempting suicide, compared to their heterosexual counterparts, and more so for males.  Transgender people - and other gender nonconforming people in other categories - may be at the highest risk for having attempted suicide.

Study Samples have been non-random (convenience samples, or others that are quite large and representative) or random.

To.... The Alerts!

Homosexually Oriented Males More At Risk For Death By Suicide? At All Ages?

Qin P, Agerbo E, Mortensen PB (2003)Suicide risk in relation to socioeconomic, demographic, psychiatric, and familial factors: a national register-based study of all suicides in Denmark, 1981-1997. American Journal of Psychiatry, 160(4): 765-72. (Abstract) (Full Text) - "...registered [same-sex] partners included as a separate category in the analysis had an odds ratio of 4.31 (95% CI= 2.23–8.36) in the crude analysis and 3.63 (95% CI=1.71– 7.67) in analyses with adjustment for other factors in the full model [for having committed suicide compared to opposite-sex married couples]". Note: This is a First-Time Research Result! See: Frisch M, Bronnum-Hansen H (2009). Mortality among men and women in same-sex marriage: a national cohort study of 8333 Danes. American Journal of Public Health, 99(1): 133-7. Abstract. After 1995, higher risk of death in same-sex marriages occur in first 3 year of the marriage. Note: The paper does not mention the Qin et al (2003) suicide results (above), and suicide is only mentioned as possibly being implicated in the higher risk of death for same-sex couples.

Mathy RM, Cochran SD, Olsen J, Mays VM (2009). The association between relationship markers of sexual orientation and suicide: Denmark, 1990-2001. Social Psychiatry and Psychiatric Epidemiology. [Epub ahead of print]. From Abstract: "Using data from death certificates issued between 1990 and 2001 and population estimates from the Danish census, we estimated suicide mortality risk among individuals classified into one of three marital/cohabitation statuses: current/formerly in same-sex RDPs; current/formerly heterosexually married; or never married/registered. RESULTS: Risk for suicide mortality was associated with this proxy indicator of sexual orientation, but only significantly among men. The estimated age-adjusted suicide mortality risk for RDP men was nearly eight times greater than for men with positive histories of heterosexual marriage and nearly twice as high for men who had never married."

Child Death Review Unit, BC Coroners Service (2008). "Looking for Something to Look Forward to" (a B.C. youth who died by suicide) ... A Five-Year Retrospective Review of Child and Youth Suicide in B.C. : In the five-year period between January 1, 2003, and December 31, 2007, 81 children and youth died by suicide in British Columbia. When this project was initiated, 66 of these cases were closed and 15 remained open and under investigation. The Child Death Review Unit’s review of the 66 closed cases resulted in the following findings: • Older youth (age 17–18 years), males, Aboriginal children and youth, and gay, lesbian and bisexual children and youth, as well as those who were questioning their sexuality, were at increased risk of suicide... Sexual orientation: Four children and youth identified as gay, lesbian or bisexual. Three other children and youth had been questioning their sexual orientation in the months prior to death.

Are Homosexually Oriented Adolescents at Risk for Suicide?
Are Adolescents 'Teased' Because They Are Assumed to be Homosexual at Risk for Suicide?
See: Related "Major Alert!"

Are Homosexually Oriented Individuals Overrepresented in Hospital Emergency Care as the result of a Suicide Attempt? - As it has been the rule in most mainstream suicidality studies, "sexual orientation" information has not been solicited from study participants (2 American studies in the 1980s). One exception to this rule occurred in the
Weyrauch et al. (2001) study (and, later, in 2 smaller studies): "The study sample was composed of individuals who required admission to a major urban public hospital in Seattle, Washington, for inpatient medical treatment of significant morbidity sustained in a suicide attempt... Seventy-five percent of the subjects reported heterosexual gender orientation, 7% were  homosexual [only attracted to opposite sex persons], and 18% bisexual [attracted to both sexes]." In a study from South Africa that was published as an M.S. Dissertation by Pretorius (1992), the following was written in the abstract: "All cases of attempted suicide referred to the Department of Psychiatry at the University of Pretoria were studied over a period of a year. This investigation included a psychiatric evaluation and a study of details relating to each case of suicidal behaviour. In addition, suicide intent and risk were measured. The patient's stressors were also recorded. total of 307 patients, 86 of whom were male and 221 female, were evaluated. After 5 years as many respondents of the initial investigation as possible were traced, with the main object of obtaining information about subsequent suicidal behaviour. 205 respondents were traced, 59 of whom were male and 205 female. Acute risk factors for repeated suicide attempts for men were: never married, unemployed and the loss of a job. Many were not living with someone with whom they had an intimate relationship. The most common chronic conditions were Alcohol- and Drug-related as well as Homosexuality and Epilepsy. The most commonly observed personality traits were Antisocial, Dependent and Inadequate traits.

A CDC 2011 study of all Youth Risk Behavior Surveys from 2001 to 2009 - with sexual orientation information - produced results that indicate, as a rule, that gay, lesbian and bisexual adolescents are more likely at the greatest risk, compared to their heterosexual counterparts, to report having received medical care as a result of having attempted suicide in the past year. A Report of Study Results.

An American Hint Suggesting Ongoing Gay/Lesbian/Bisexual Suicide Problem: - Depression, isolation, rejection lead many gay youths to attempt suicide
(2009): Switchboard of Miami, Miami-Dade's crisis center, launched a gay suicide hotline in 2005. It became the Gay, Lesbian, Bisexual and Transgender Suicide Hotline in 2006. Between July 1, 2007, and June 30, 2008, Switchboard took about 400 calls from people identifying themselves as gay, including 56 that counselors declared ''crisis calls,'' or people at immediate risk. It's not just young gay people contemplating suicide, said Ed Straub Jr., a Switchboard board member who founded the hotline. ''In the first year of our program, . . . 52 percent of the people calling the Switchboard were between the ages 35 and 59,'' he said. Both gay men and lesbians are at risk. ''Absolutely,'' Straub said. ``In fact, women are twice as likely to consider suicide as men, even though the number of male suicides is higher.'' The gay hotline has a $30,000 annual budget, with funding from groups including Dade Community Foundation and private donors. ''We try to spend half or a third of that in advertising,'' Straub said. ``We advertise mostly in the local gay press. That increases the call volume back to Switchboard.'' Straub became involved with suicide prevention after three friends killed themselves in 2004. ``I'm like a lightning rod. People come to me. I come to the bars. We talk at cocktail parties. On Lincoln Road. People want to open up about it. It's amazing how many people are touched by suicide.'' Straub said he has observed three factors that often contribute to gay suicide attempts: • Financial and health-related issues. • Drug and alcohol use. • Loneliness or feeling unable to achieve life goals.

A Hint From England Related to Ongoing Suicide Problems: - No Way Out (Late 1990s, or 2000): The shocking statistics for suicide amongst gay teenagers have traditionally been attributed to the pressures of coming out in a hetero-defined society. Murray Healy discovers an alarming new trend amongst twenty-somethings who find the promised land of the urban gay community isn’t all they expected it to be...
Last year, six friends of mine tried to kill themselves. All men in their twenties, all intelligent, attractive, popular, and seemingly happy; and all, to a greater or lesser extent, identifying as gay. I started the year never having known anyone who’d attempted suicide. 
 


Review Papers & Meta-Analyses: GLB Suicidality & Mental Health


Index: Tables of Suicidality Study Results

"Attempted Suicide" Incidences For Homosexually Oriented People
& Some Comparisons With Heterosexually Oriented People


Categories
Random
Non-Random
Non-Random
American
Adolescents
in Schools:
1, 2, 3 A - A4
Youth / Adults
1970-1983 B
1987-1991 B-1
Youth / Adults
1993-1999
2000-2009 C - C5
American
Youth/Adult  -
University Students D-D5

Adults
1994-2011 E - E3

Dissertation
Studies
F - F2
North American
Adults G
---
---
Canada
Adolescents in School: 1, 2
Adults 1, 2, 3, 4
Youth
AIDS/HIV
Male Cohorts

UK/Ireland
---
Youth/Adults (England/Scotland) H
Youth/Adult (Ireland)
---
Europe
Youth/Adults I - I2
Youth/Adults J -J3
France K
Austria L-L1
Australia
New Zealand
Adolescents N-N3
Adults Australia N-7
NZ Birth Cohort M
Youth/Adullts M-7
---
Japan, Mexico
& South Africa
--
Youth/Adults --
World
Special Samples
---
USA Twin Study
NZ Birth Cohort /
- USA Longitudinal: School O - O3
---
Colorado, USA
Three Studies
Three Studies
---
Selected "At Risk"
Populations
Psychiatric Patients
Transsexual People
Street Youth: USA /
Canada / UK: 1991-2006
Transgender P -P7


Associated Supplementary Data Table(s)
: A.
Pinhey & Millman (2004: Guam YRBS), A-2. Olshen et al. 2007: 2005: NYC YRBS, A-3. Farley et al (2008): 2007: NYC YRBS, A-4. Borowski et al. (1999): Adolescent Health Survey, American Indian / Alaska Native, A-5. Massachusetts's 2008 MetroWest Survey, Kessel-Schneider et al. (2011-2012). - B. Bell & Weinberg (1978: San Francisco), B-2. Remafedi et al. (1991: US Midwest. Pacific Northwest). -  C. Savin- Williams (2001, 3 Tables, USA Community / University samples), C-2. Clatts et al. (2005: New York, MSM, Venue Sample): Race, Attempted Suicide, Sexual Orientation), C-3. D'Augelli et al. (2005: New York), C-4. Kipke et al. (2007, LA Venue Sample, GB Males), C-5. Mustanski et al. (2010).  - D. Whitlock & Knox (2007, Cornell & Princeton Universities), D-2. University of Michigan's 2005/2007 "Healthy Minds Study", D-3. The USA Spring 2000 National College Health Assessment Survey: ACHA-NCHA, D-4. Smith (2006, NYU 2003 ACHA-NCHA results), D-5. Murphy (2007, University of Washington, Non-Random), D-6. 2009 National ACHA-NCHA Survey, Oswalt &Wyatt (2011).  D-7. College Life Study, Longitudinal, Wilcox et al. (2010, 2011-12 - E. Balsam et al. (2005: USA, GLB, Heterosexual Siblings), E-2. Ryan et al. (2009, Venue Sampling, GLB, SF), E-3. Meyer et al. (2008, Venue Sampling, NYC). - F. Friedman (2002: USA), F-2. Murphy (2007, University of Washington, Non-Random). - G. Paul et al. (2002: USA) - H. Hunt & Fish (2008 & 2008a). - I. Wichstrom & Hegna (2003: Noway), Sweden, National Public Health Survey (2005), 2005 & 2008 National Public Health Survey, Combined, Sweden, Ungdomsstyrelsen (2010). - J. Hegna et al. (1999) & Hegna and Wichstrom (2007a), Non-Random, GLB. J-2. Hanner (2002, Non-Random, Sweden), J-3. Quinn (2006, Non-Random, Central Europe). K. L’Enquête presse gay (2004). -  L. Ploderl & Fartacek (2005: Austria) L1. Ploderl & Fartacek (2009: Austria) - M. Fergusson et al. (2005, NZ Birth Cohort, as young adults). M-1. McNair et al. (2005, Australian Longitudinal Study on Women’s Health: ALSWH). - N-1. New Zealand Youth 2000 National Secondary School Youth Health Survey, N-2. New Zealand 2007 National Secondary School Youth Health Survey. N-3. New Zealand 2007 National Secondary School Youth Health Survey.  N-7. Australian National Survey of Mental Health and Wellbeing. O. Herrell et al. (1999: USA), O-2. Fergusson et al. (2005, NZ Birth Cohort, as young adults), O-3. McNair et al. (2005, Australian Longitudinal Study on Women’s Health: ALSWH). - P. Mathy (2002b: North America), P-2. Clements-Nolle et al. (2006: San Francisco), P-3. Whittle et al. (2007, UK, Internet Sample),  P-4. Whittle et al. (2008, Europe, Internet Sample), P-5. FHI Rapport (2005, Sweden Internet Sample)., P-6. Grant et al. (2010, American, Internet Sample, Some Pencil/Paper Surveys), P-7. Scandlon et al. (2010, Ontario, Canada: Internet, Pencil/Paper, or by Telephone with a Language Interpreter, Where Necessary for a Near-Random Sample).

The Alerts

Alert! There was a time, not long ago, when those in the 'helping' professions, including 'mental help' professionals, would have been best described as 'professionals' who were only seeking to help heterosexual people, with a major focus being on harming, as much as possible, non-heterosexual people such as gay, lesbian, bisexual individuals. This was done, for example, when 'mental health' professionals had decreed that homosexual individuals were all mentally disordered and were to be treated (harmed) accordingly. However, even if this 'mental disorder decree for homosexual people' was removed from the American DSM (Diagnostic and Statistical Manual of Mental Disorders) in 1973, the ICD (The International Statistical Classification of Diseases and Related Health Problems) in 1992, with China having done the same only in 2003 (Mental Disorder Redefined, Homosexuality Excluded), these outcomes did not mean that 'mental health' 'professionals' would suddenly / 'magically' become knowledgeable of homosexually oriented people and begin helping. As with racist groups, heterosexist and homophobic groups may take generations to end their abuses of the hated ones, with ongoing more insidious ways developed to continue harming the hated ones. For example, by 1994, ignoring sexual minority issues in American psychology and psychiatry research was the rule as illustrated in a paper titled “"I only read about myself on bathroom walls": the need for research on the mental health of lesbians and gay men” (Rothblum, 1994). By the late 1990s and the early 2000s, the same neglect had been reported in family therapy, psychology, community psychology and social work, as reported here (must scroll). The ongoing inherently harming ways of many / most(?) 'mental health' professionals - as related to sexual minority clients - was documented in New Zealand (Semp, 2006, 2007), and the same is likely happening throughout the western world.
Rothblum ED (1994). "I only read about myself on bathroom walls": the need for research on the mental health of lesbians and gay men. Journal of Consulting and Clinical Psychology, 62(2), 213-20. (PubMed Abstract) Full Text.

Semp, David (2007). A Public Silence: Sexual Orientation and Mental Health Services. Presentation, Mental Health Awareness Week, 2007: Mental Health Foundation of New Zealand. Word Download.

Semp, David (2006). A public silence : discursive practices surrounding homosexuality. PhD Thesis. The University of Auckland. Download Page. PDF Download: Front Pages. PDF Download: Whole Document.

Alert! Statistics New Zealand. (2008). Considering Sexual Orientation as a Potential Official Statistic: Discussion paper. Wellington: Statistics New Zealand. PDF Download - Download Page - Related. Sexual minority children, youth and adults are often at high risk for experiencing or having experienced a number of problems, including very serious ones such as having been abused, bullied and assaulted in schools and in their communities - including in their families (Corliss et al., 2002) - and experiencing related suicidality (Ryan et al., 2009). However, the majority of school surveys that inquire about youth health and problems do not solicit sexual orientation information (or the often related gender nonconformity information), thus avoiding to produce study results that would highlight sexual minority individuals to be at risk. As a result, related issues continue to be ignored as sexual minority students continue to be abused, silenced, harmed and ignored (to death? 1, 2, 3: must scroll, p. 23). Furthermore, almost all suicidality studies carried out in North America or elsewhere continue to exclude sexual orientation measures with few realizing that such omissions should be perceived as highly harmful unprofessional and unethical highly harmful conduct. Unfortunately, the AAS (American Association of Suicidology) has not forcefully spoken to this issue and its official publication - Suicide and Life-Threatening Behavior - has not implemented policies such as maybe refusing to publish suicidality studies that have not included "sexual orientation" measures, especially in youth and young adult studies. Tragically, the CDC also continues to make available an official version of The Youth Risk Behavior Survey that does not include "sexual orientation" measures, in spite of the fact that many adolescent school surveys in the past 14 years have revealed sexual orientation measures to be not only predictive of general suicidal behaviors (and related problems), but also to more strongly predict the most serious life-threatening suicidal behaviors... beginning in early adolescence. It is therefore not surprising that even the most academically successful sexual minority youth - university students - are likely to also be at greater risk for suicidality and related problems, compared to their heterosexual counterparts, with even greater risk maybe/likely existing for the lesser educated young adults who have been much neglected in suicidality research. To date, the highest suicidality risk has been reported for American sexual minority street youth who form about 20% of the street youth population. Their lifetime attempted suicide incidence is 62% (van Leeuwen et al., 2006). A special web page has been constructed for the studies related to the suicidality of street and homeless youth with a focus on the overrepresentation of both aboriginal and sexual minority individuals in these populations. Note: Nothing is known about suicidality issues for middle age to elder sexual sexual minority individuals because suicidality researchers have not included sexual minority measures in their studies.


Alert! Hatzenbuehler et al (2009) tested and retested (7 months later, same school year) Grade 6 to 8 mostly non-Hispanic Black and Hispanic/Latino students (68%) from 2 low SES middle schools in central Connecticut. On the following - Children’s Depression Inventory (CDI), Multidimensional Anxiety Scale for Children (MASC), Children’s Response Styles Questionnaire (CRSQ,  Rumination Subscale),  and Emotion Expression Scale for Children (EESC, Poor Emotional Awareness Subscale) - the 29 same-sex romantically attracted children scored higher (p < 0.05 to p < .01) than heterosexual students (n = 1042 at Time-1, and 825 at Time-2). Therefore, factors that may increase the risk for suicidality are higher for sexual minority children at a young age, this likely being implicated in their reported higher risk for suicidality from Grade 7 to 12 in other mostly random American studies. Little has been done to end the generally highly heterosexist, homophobic and homohating(?) nature of public or private K-12 schools where the word "gay" - as in "So Gay!" - has 'evolved' to designate anyone who is lacking in all ways, including intelligence (1, 2, 3, 4, 5, How 'gay' became children's insult of choice, BBC). "At risk" sexual minority children can expect little in term of help from teachers or school psychologists on the personal level and, especially, with respecting to changing the "traditional" nature of schools that have been highly harming and abusing of sexual minority children and youth. The North American Public School Situation: Gay teens 'terrorized' in Canada's schools N/A (2009, Study). Related: 1, 2, 3, 4, 5, 6.. - 2007 National School Climate Survey: Nearly 9 out of 10 LGBT Students Harassed.


Potter L, Silverman M, Connorton E, Posner M, Suicide Prevention Resource Center (2004). Promoting mental health and preventing suicide in college and university settings. Newton, MA: Education Development Center, Inc. Download: http://www.sprc.org/library/college_sp_whitepaper.pdf.
"Gay, Lesbian, Bisexual, and Transgender Students: ... There is no concrete information about suicide rates among gay, lesbian, and bisexual (GLB) college students and little to no information about efforts to promote their mental health or prevent suicide. There is even less information about the behavior and needs of transgender students, though we can assume they face somewhat similar risks...GLB students who transition from high school to higher education may bring some of the same suicidal behavior to their new environment. One study attempted to measure the suicidal risk among a small sample of GLB college students compared with a sample of their heterosexual peers (Westefeld, Maples, Buford, & Taylor, 2001). Researchers administered a paper and pencil assessment of suicidal risk called the College Student Reasons for Living Inventory (CSRLI). GLB students were more depressed, lonelier, and had fewer reasons for living than a control group of their peers, and depression and loneliness correlated positively with suicidal tendencies. In addition, GLB students in this study experienced prejudice and related issues (Westefeld et al., 2001). Many campuses are increasingly open to and supportive of inclusion of GLBT students, but homophobia remains a problem..."

Note: In 2004 (and to 2010), this was the best that the authors had to offer about the suicidality situation for GLBT young adults in American universities. Without doubt, suicidology researchers had been almost completely indifferent or even neglectful of the welfare of GLBT students by not ever producing research that would reveal whether or not GLBT students were - or were not - more at risk for attempting suicide than their heterosexual counterparts... as it was the case for GLBT adolescents in schools. Yet, there were many data sets available - that solicited both sexual orientation and suicidality/depression information - from which this possibility could have been explored. For example, from 2000 to 2008, the American College Health Association produced 18 data sets (2 per year) known as the National College Health Assessment surveys (ACHA-NCHA), but only the
2000 Spring Survey was reported on in 2005 (Leino & Kisch, 2005; Kisch et al., 2005) with associated GLBT information. However, nothing was reported about GLBT students being at risk for attempting suicide, even if only a trend existed given the possible low counts, by maybe a "risk" factor of "6" as one NYU report notes for the 2003 Spring Survey. Nonetheless, not being heterosexual was the second largest independent predictor (OR =  2.6) for university students having seriously considered suicide in the past year (1999-2000). Interestingly, many NCHA data sets have the counts required to do a GLBT "Attempted Suicide in the Past Year" analysis but all ACHA-NCHA Survey data reports do not mention possible "at risk" GLBT status so that, for example, if they are "at risk," initiatives to help GLB students could be implemented. Massachusetts, for example, does report the GLB "at risk" status when reporting the results of Youth Risk Behavior Surveys (2007: 4.4 times the risk for having attempted suicide in the past year). The same was done in Rhode Island (2007: GLBU students, 4.4 times the risk for having attempted suicide in the past year) and in Washington DC (2007 N/A: GLB students, 3.8 times the risk for having attempted suicide in the past year). Others have made the results available for others to disseminate and make public as it was done in Chicago (2005, GLB students, 3-4 times the risk for having attempted suicide in the past year) and in Vermont (2007: GLB students, 7 times the risk for having attempted suicide in the past year, with the results for 2005 also given: GLBQ students, 5 times the risk for having attempted suicide in the past year). In 2007, from another survey carried out at two universities in 2005 (Survey of College Mental Health and Well Being), Whitlock & Knox (2007) reported GLB students to be 4 times more at risk for a lifetime suicide attempt. Gay/lesbian, bisexual and questioning students also had, separately and as a group, the highest associations between lifetime self-injury and suicidality. The small-scale university classroom survey of males by Savin-Williams (2001) reported that about 50% of males were non-heterosexual, that 83% of males (5/6) reporting a true suicide attempt were non-heterosexual, and that the 3 males for whom medical care was associated with the suicide attempt were also non-heterosexual. The Murphy (2007) dissertation study highlighted the possibility that, in American universities, a high risk group for current suicidality - usually ignored by researchers - identify as "heterosexual" but also report some same-sex attraction or sexual behavior. All who report GLBT results from the ACHA-NCHA-like surveys - that solicits only "identity" sexual orientation information - should caveat their results accordingly. In the Murphy (2007) study, 50% (5/10) of the females who had attempted suicide in the past year were non-heterosexual and the two male suicide attempters were non-heterosexual.

The 2011 University GLB Student Alert!
It Gets Better Project. Does it Get Better for At Risk GLB College/University Students?
Why are GLBU students at greater risk for suicidality and deliberate self-injury in universities?

The sexual orientation related suicidality and deliberate self-injury results of the national American study of university and college students are tabled. The 2009 Fall ACHA-NCHA survey data (N = 27,454) was analyzed and reported on by
Oswalt &Wyatt (2011) for both males and females combined (64.1% female), age range: 18 to 49 years-old (84.5% 18 to 24 years-old), and only including students who identified as heterosexual (93.8%), gay or lesbian (1.9%), bisexual (2.9%), and those unsure about their sexual orientation (1.5%). Transgender individuals (0.1%) and others were removed from the analysis, including foreign students. On the basis of the given results, computations were carried out by the webpage author to produce additional results.

The Most Important Sexual Minority Suicidality Results Are:
Compared to Heterosexual Students, Gay/Lesbian Students Were at the Highest Risk for Having Attempted Suicide in the Past Year: OR (Odds Ratio): 4.6 (4.4% Incidence), Followed by a 3.7 OR for Bisexual Students (3.6%) and a 2.7 OR for those Unsure of Their Sexual Orientation (2.7%). One Percent (1.0%) of Heterosexual Students Reported Having Attempted Suicide in the Past Year: 2008/2009. Note: Sexual minority students accounted for about one in five university students (19.3%) attempting suicide in 2008/2009. This result replicates the 20% reported in the 4-year longitudinal "College Life Study" of American undergraduate students. [University students, however, are a special population originating from high school populations where sexual minority students were likely even "more at risk" compared to their heterosexual counterparts. This is reflected, for example, in the Rhode Island 2007 Youth Risk Behavior Survey results: sexual minority adolescents in varied ethic-'race' / sex categories accounted for 25% to 46% of suicide attempters in the same category. In the white category, sexual minority students accounted for 40.7% of white adolescents who attempted suicide during a one-year period.]

This "20%" proportion, however, is lower that the proportion of the total suicide attempters associated with sexual minority adolescents still in high school where "more at risk" sexual minority adolescents are likely located. In the Rhode Island 2007 Youth Risk Behavior Survey, for example, sexual minority adolescents in varied ethic-'race' / sex categories accounted for 25% to 46% of suicide attempters in varied categories. In the white category, sexual minority students accounted for 40.7% of suicide attempters in a one-year period."

Compared to Heterosexual Students, Bisexual Students Were at the Highest Risk for Having Attempted Suicide in their Lifetime: OR: 4.8 (25.3% Incidence) Followed by a 3.1 OR for Gay/Lesbian Students (18.0%) and a 2.2 OR for those Unsure of Their Sexual Orientation (13.6%). 6.6% of Heterosexual Students Reported Having Attempted Suicide in Their Lifetime. Note: The 3.1 OR for gay/lesbian students having attempted suicide in their lifetime somewhat replicates the 4.2 OR Reported by Whitlock & Knox (2007, university student sample) for gay/lesbian students.

"In the Past Year, 2008/2009, American Gay/Lesbian" Students Were the Most Likely to Attempted for the First Time in 2009 (24.4% of Lifetime GL suicide attempters), Followed by "Unsure" Students (19.8% of lifetime suicide attempters in the category) and About Equal Percentages for "Bisexual" (14.6% of lifetime Bisexual suicide attempters) and "Heterosexual" Students (15.1% of lifetime Heterosexual suicide attempters).
Comment: Given that the average student in the 2009 ACHA-NCHA study sample would have been at university for at least two years, it is likely that more that 25% of gay/lesbian lifetime suicide attempters attempted suicide "for the first time" only after they had enrolled in a university. This "attempted suicide" incidence has been reported to be high for sexual minority high school students (Youth Risk Behavior or similar surveys: Some results are given on this webpage), but significant numbers of sexual minority students maintaining high enough grade scores to permit them to go to universities will only attempt suicide for the first time after the arrive at university. Other high school sexual minority adolescents would likely not have the grades to permit them to go to a university, with their numbers being greatly overrepresented, for example, in the homeless population (See: Corliss HL, Goodenow CS, Nichols L, Austin SB (2011). High burden of homelessness among sexual-minority adolescents: findings from a representative Massachusetts high school sample. American Journal of Public Health, 101(9): 1683-9. Abstract. "Approximately 25% of lesbian/gay, 15% of bisexual, and 3% of exclusively heterosexual Massachusetts public high school students were homeless. Sexual-minority males and females had odds of reporting current homelessness that was between 4 and 13 times that of their exclusively heterosexual peers. Sexual-minority youths' greater likelihood of being homeless was driven by their increased risk of living separately from their parents or guardians..."). See: More on the overrepresentation of sexual minority youth in street youth populations and their high attempted suicide incidences.)  See an important caveat for the suicidality part of this study written immediately above "The 2011 University GLB Student Alert" section.

The Most Important Sexual Minority Deliberate Self-Injury Results Are:
Compared to Heterosexual Students, Bisexual Students Were at the Highest Risk for Deliberate Self-Injury in the Past Year: OR (Odds Ratio): 4.5 (17.1% Incidence), Followed by a 4.2 OR for Gay/Lesbian Students (16.3%) and a 3.7 OR for those Unsure of Their Sexual Orientation (14.7%). 4.4% of Heterosexual Students Reported Having Deliberately Self-Injured in the Past Year: 2008/2009. Note: Sexual minority students accounted for about one in five university students (19.7%) engaging in deliberate self-injury in 2008/2009. This result replicates the 21.3% reported in the 4-year longitudinal "College Life Study" of American undergraduate students.

Compared to Heterosexual Students, Bisexual Students Were at the Highest Risk for Deliberate Self-Injury in their Lifetime: OR: 4.7 (44.8% Incidence) Followed by a 2.6 OR for both Gay/Lesbian Students (31.4%) and Those Unsure of Their Sexual Orientation (31.4%). 14.8% of Heterosexual Students Reported Having Deliberately Self-Injured in Their Lifetime. Note: Whitlock & Knox (2007, university student sample) reported lifetime deliberate self-injury ORs to be 4.5 (45.2% incidence) for bisexual students, 2.8 (34.2% incidence) for students "questioning" their sexual orientation, and 1.3 (not statistically significant, 19.0% incidence) for gay/lesbian students.

"In the Past Year, 2008/2009, American Gay/Lesbian" Students Were the Most Likely to  Have Deliberately Self-Injured for the First Time (51.9% of them), Followed by "Unsure" Students (46.8% of them), "Bisexual" Students (38.2% of them), and "Heterosexual" Students (29.7% of them).
Comment: Given that the average student in the 2009 ACHA-NCHA study sample would have been at university for at least two years, it is likely that more that 51.9% of gay/lesbian self-injurers deliberately self-injured "for the first time" only after they had enrolled in a university. Therefore, it can be suggested that the great majority of gay/lesbian students in universities began engaging in deliberate self-injury only after they enrolled in university. The same would apply for students unsure about their sexual orientation.

Important Comment on the Oswalt &Wyatt (2011) Study of the 2009 Fall ACHA-NCHA Data Set:
All results should be generated separately for males and females. As is, because the sample is 64.1% female, and because female youth have often been reported to have higher incidences for both attempting suicide and deliberate self-injury than male youth, the combined results - as published - would more closely reflect the female situation. It is possible that, for example, the ORs for attempting suicide by sexual minority males (when compared to heterosexual males) are higher than those given in the male/female combined analyses, and lower for females (when compared to heterosexual females), as it has been the case in most sexual minority adolescent/youth studies reporting on attempting suicide. A similar situation may also apply for deliberate self-injury.


Final Comment: Given that the multiple replications of study results is important in science, all of the ACHA-NCHA survey data sets (there are many of them) should have the suicidality and deliberate self-injury results generated on the basis of sexual orientation and the results should be officially published. At the very least, these results could be placed on the web to possibly encourage researchers to further analyse the data and then have the results officially published after peer review. To date, these data sets have generally been ignored by youth suicidality researchers (mostly located in universities) for reasons that should be explored. It is possible that there have been great pressures to not explore or publish "at risk" suicidality and self-injury results for sexual minority university/college students so that - for a number of possible unsavory reasons - these problems will not be officially recognized and addressed. Also possible: the problem is mentioned but nothing is actually done to address it. These situations can only result in the maintenance of the likely ongoing high "at risk" - and possibly life-threatening - status for many sexual minority students in American universities.



Malley E, Posner M, Potter L, Suicide Prevention Resource Center (2008). Suicide risk and prevention for lesbian, gay, bisexual, and transgender youth. Newton, MA: Education Development Center, Inc. Prepared by the Suicide Prevention Resource Center for the Center for Mental Health Services Substance Abuse and Mental Health Services Administration U.S. Department of Health and Human Services. Download: http://www.sprc.org/library/SPRC_LGBT_Youth.pdf.
"The majority of literature reviews on LGB suicide attempts conclude that LGB youth have a significantly higher rate of attempting suicide than heterosexual youth. Furthermore, most suicide attempts among LGB people occur during adolescence and young adulthood (Kulkin, Chauvin, & Percle, 2000; Proctor & Groze, 1994; Remafedi et al., 1991). (The same holds true for people of all sexual orientations; national hospital data show self-harm rates are highest for youth age 15 through 19 years old (Centers for Disease Control and Prevention, 2007))."
Alert! It is sometimes believed that, compared to heterosexual individuals, sexual minority individuals are only more at risk for attempting suicide only during adolescence. However, a New Zealand birth cohort study reports that their "higher risk" for attempting suicide continues to exist between the ages of 21 to 26 years, at least for sexual minority males (Skegg et al., 2003), with a re-analysis by Fergusson et al. (2005) indicating that the higher risk applies for both sexual minority males and females. In the United States, for young adults ranging in age from 18 to 26 years in the National Longitudinal Study of Adolescent Health, Silenzio et al. (2007) reports that sexual minority males and females have remained more at risk for having attempted suicide in the past year, compared to their heterosexual counterpart (includes those reporting to be predominantly heterosexual): OR = 1.4<3.0<6.2, controlling for race, gender, and age. During adolescence for the same sample, Russell & Joyner (2001) report the "greater risk" factor to have been - OR = 2.48 (1.7, 3.6) - for sexual minority females, with an OR = 2.45 (1.5, 3.9) for sexual minority males, controlling for demographic factors.


Major Alert!


Are Homosexually Oriented Adolescents at Risk for Suicide?
Are Adolescents 'Teased' Because They Are Assumed to be Homosexual at Risk for Suicide?


Are Homosexually Oriented Adolescents at Risk for Suicide? - It is almost always reported on the basis of two psychological autopsy studies (Shaffer et al. 1995; Renaud et al. 2010) that homosexually oriented adolescents appear to not have been at greater risk for suicide, compared to heterosexual adolescents. At best, as related to these studies, Haas et al. (2011) offer the following:
"To date, psychological autopsy studies that have examined sexual orientation have used relatively small samples and have identified very few suicide decedents as having minority sexual orientation. In the New York study, 3 of 120 adolescent suicide decedents and none of a similar number of living community control subjects with whom the suicide victims were compared, were found to have a same-sex orientation (Shaffer et al., 1995). The Quebec study similarly identified same-sex orientation in 4 of 55 suicide adolescent suicide victims and none of the community control subjects (Renaud et al., 2010). Minority sexual orientation may have been underreported by key informants in these studies because they were not aware of, or chose to withhold this information (Renaud et al., 2010). In any case, conclusions based on the small numbers reported must be regarded as tentative."

In their conclusion, Shaffer et al. (1995) state: "This study shows a slight, but not significantly, higher rate of homosexual experience among teen suicides than controls." Renault et al. (2010) conclude with: "Our sample did not find same-sex sexual orientation and gender identity issues to be more prevalent among youth who die by suicide, ..." In both cases, statistical non-significance, as in p = or > 0.05 is deemed to mean: 'there is no difference' - or there is 'little difference' between the two groups. Concerning this, Gelman & Stern (2006) state: "As well, introductory courses regularly warn students about the perils of strict adherence to a particular threshold such as the 5% significance level. Similarly, most statisticians and many practitioners are familiar with the notion that automatic use of a binary significant/ nonsignificant decision rule encourages practitioners to ignore potentially important observed differences."

The Results for the
Shaffer et al. (1995) and Renaud et al. (2010) are given in a Table. At a later date the results of a more sophisticated statistical analysis of both studies individually and both studies meta-combined will be given here. Given the "low count" problem, however, both groups of researchers failed to consider the possibility that adolescents reported to have been apparently "teased for being effeminate" as noted by Shaffer et al. (1995) would also be at greater risk for suicidality and therefore maybe for suicide. This suicidality risk is made evident from the Seattle 1995 Youth risk behavior data and is reported on in a highlighted web page section titled:

Calculating the "Total Homosexuality Factor In Adolescent Suicidality" (Alternate Link)
Using the Seattle 1995 Youth Risk Behavior Survey


That is, many adolescents who would not be known or deemed to be homosexually oriented (including those self-identifying as heterosexual), but are targeted for 'teasing' because they are gender nonconformable - that is the most common indicator for suspecting that one is homosexually oriented - are at risk for greater suicidality - such as reporting to have attempted suicide in the past year - compared to those not targeted for such 'teasing'. It should also be noted that such 'teasing' is likely more akin to what was reported by other researchers as emphasized in the following media report of Canadian research:
 Gay teens 'terrorized' in Canada's schools N/A (2009, Study). Related: 1, 2, 3, 4, 5, 6. It must be noted that that most Canadian or American gay or bisexual identified teens in schools remain in the closet and that they are therefore harassed/abused/terrorized because they are "assumed" to be gay as opposed to "known" to be gay. As a result of this knowledge, the "at risk" category - as related to "Homosexuality Issues" - was expanded in both the Shaffer et al. (1995) and Renaud et al. (2010) to include those reported to have been 'teased' for gender non-conforming reasons. The result of this analysis are given in another Table and the results are as follows:

As a Group, Adolescents Deemed to be Homosexually Oriented and Adolescents
'Teased'/Abused/Terrorized Because Others Assumed Them to be Homosexual
Are Generally at risk for Suicide... More Likely So for Males.

Males and Females Combined: Shaffer et al. (1995), p = 0.008  - Renaud et al. (2010), p = 0.081
Males Only:
Shaffer et al. (1995), p = 0.008  - Renaud et al. (2010), p = 0.028
New Related Webpage


Gelman A, Stern H (2006). The Difference Between “Significant” and “Not Significant” is not Itself Statistically Significant. The American Statistician, 60(4): 328-331. Full Text.


Major Alert!

Are Homosexually Oriented / Queer Youth at Risk for Non-Suicidal Self-Injury?

Non-Suicidal Self-Injury:  The Cutting Edge: Non-Suicidal Self-Injury in Adolescence (By Janis Whitlock): "Indeed, the only demographic variable to be significantly linked to NSSI is sexual orientation. Sexual minorities appear to be at higher risk than their heterosexual peers. In fact, youth identifying as bisexual or questioning have been shown to be at significantly elevated risk for self-injury compared to both their heterosexual and homosexual peers (Whitlock, Eckenrode, et al., 2006; Whitlock, Muehlenkamp, et al., 2009). This is particularly true for females."

Non-Suicidal Self-Injury Has Been Linked to Suicidality in Youth, Including Sexual Minority Youth
(Whitlock & Knox, 2007: University Students, Tabled Results)

For Swedish Adolescent Students, those not being 100% Heterosexual Were Reported to be
At Greater Risk for Both Non-Suicidal Self-Injury (NSSSI)
[OR: 4.06, 1.95 - 8.47]
and Attempting Suicide [OR: 6.81, 3.70 - 12.55]
: Wichstrom (2009).

These Results Were Replicated in the Massachusetts MetroWest Survey of Adolescent Students.
Kessel-Schneider et al. (2011-2012) Report That Gay/Lesbian/Bisexual/Unsure Students are
More At Risk for NSSI (OR: 4.12, 3.42 - 4.96) & Attempting Suicide (OR: 5.17, 4.05 - 6.60) in the Past Year.


A Grade 8 Boy Reports on Bullying Since 1rst Grade & Self-Injury / Suicidality Since 2nd Grade (YouTube Video, 2011).
However, This Part of His Life Has Not Been Always Obvious, As Expected (YouTube Videos, 2011).

The Same Would Apply For Others In Similar Situations.


Non-Suicidal Self-Injury: Online Survey carried out by Finnbogason (2010) for a Master Dissertation Study of 385 Canadian aged 19 to 29 years. "The self-injury rate for the total sample (N = 385) was 40%. Of this, rates reported in the queer sample (n = 230) are 47% and 28% in the combined heterosexual sample (n = 155). This difference was statistically significant as calculated using chi-square with a Yates continuity correction; χ2 (1, n =385) = 12.60, p < .001, Φ = .19 (small effect size)."  Queer Sample: Male Homosexual:  n = 83 (22%), Male- Bisexual: n = 5 (1%), Female Homosexual: n = 80 (21%), Female Bisexual n = 40 (10%), Transgendered (female to male) all orientations combined: n = 5 (1%)  vs. Heterosexual Sample: Male Heterosexual: n = 56 (15%), Female Heterosexual: n = 99 (26%).







"Attempted Suicide" Results: Published Studies 1970-1983
Homosexually Oriented Males and Females

Study
Sample
GLB
(n)
Compa-
rison
Group (n)
Attempted Suicide
% (n / N),
Odd Ratio (95% CI)

p
Saghir et al., 1970a (F*)
Adults: Homophile Organization
Chicago & San Francisco
57
Homo-
Sexual
43
Hetero-
Sexual
23% (13 / 57) vs.
5% (2 / 43)
0.012
Saghir et al., 1970b (M*)
Adults
: Homophile Organization
Chicago & San Francisco
85
Homo-
Sexual

35
Hetero-
Sexual

7% (6 / 85) vs. 0% (0 / 35)
Note: 5 / 6 attempted
before age of 20 years
0.107
Roesler & Deisher, 1972 (M) - Age = 16-22 Years: Clinical: 48% = previous psychiatric care
60
Gay /
Bisexual
None 31%
--
Bell & Weinberg, 1978 (M, F)
Stratified Sampling:
1969, Bay Area, San Francisco
Predominantly Homosexual &
Predominantly Heterosexual
Mean Ages = 26 to 36 Years
Complete Tabulated Results
575 (M)
284 (M)
White Males, Lifetime
18.3% (105 / 575 vs.
3.2% (9 / 284)
OR = 6.8 (3.4, 13.7)
0.000
111 (M)
53 (M)
Black Males; Lifetime
19.8% (22 / 111) vs.
1.9% (1 / 53)
OR = 12.8 (1.7, 98.2)
0.002
229 (F)
101 (F)
White Females, Lifetime
25.3% (58 / 229) vs.
9.9% (10 / 101)
OR =
3.1 (1.5, 6.3)
0.001
64 (F)
38 (F)
Black Females, Lifetime
17.2% (11 / 64) vs.
18.4% (7 / 38)
0.874
575 (M)
284 (m)
White Males: To Age 20 Years - 9.4% (54 / 575) vs.
0.7% (2 / 284)
OR =
14.6 (3.5, 60.4)
0.000
Jay & Young, 1979 (M, F)
Survey Questionnaire National
USA
+5,000
Gay, Lesbian,
Bisexual
None
40% (M). 39% (F)
Attempters + those who only seriously considered suicide.
--
Harry, 1983a, Using
Bell & Weinberg, 1978.
Sample Data (1969)

Analysis of those who seriously considered suicide or
attempted suicide (combined) as related to gender non-
conformity (high/low rating, to age 17), sexual
orientation, and loner status (high/low rating).
* F = Female, M = Male



"Attempted Suicide" Results: Published Studies 1987-1991
Homosexually Oriented Males and Females

Study
Sample
GLB
(n)
Compa-
rison
Group (n)
Attempted Suicide
Incidences
% (n / N)
p
Remafedi, 1987 (M*)
Age = 15-19
29
None
34%
--
Bradford & Ryan, 1988, 1994. (F*)
Adults: 1984-85
National Volunteer Sample
1925
None
All: 19%, White: 16%
Latina: 28%
Black: 27%
--
Martin & Hetrick, 1988. (M, F)
Youth Receiving Social Services
New York

None
21%
--
Uribe & Harbeck, 1992. (M)
Gay High School Students (LA)

37
None
50%
--
Uribe & Harbeck, 1992. (F)
Lesbian High School Students (LA)
13
None
23%
--
Schneider et al., 1989. (M)
College & Community
Gay Rap Groups (LA)
106
None
23%
--
Remafedi et al., 1991.
Age = 14-21 Years: Volunteers: Gay Community. US Midwest & Pacific
Northwest. - Additional Results.
139
None
30%
58% of attempts = moderate to low chance of
rescuability.
--
* F = Female, M = Male




BEM: Femininity / Masculinity Categories & Suicidality
Gay And Bisexual Male Youth: Age 14 - 21 Years
Remafedi, Farrow & Deisher (1991)
Femininity / Masculinity
Categories
Feminine
Androgynous: 31%
Undifferentiated: 26%
Masculine
% of Males
in Category
23%
(31/137)
31% + 26% = 57%
(42/137) / (35/137)
20%
(28/137)
Attempted Suicide
Percent Incidence
48%
(15/31)
Androgynous = 26%, Undifferentiated = 34%
(23/77 = 30% ) 1
11%
(3/28) 2, 3
Attempted Suicide
Percent Incidence
Feminine = 48%, Androgynous = 26%, Undifferentiated = 34%
(38/108 = 35.2% )
11%
(3/28) 4
Bem Sex Role Inventory: Feminine: High F, Low M scores- Masculine: Low F, High M scores

Androgynous High F & M scores - Undifferentiated: Low F & M scores

Greater risk (95% Confidence Intervals) for attempting suicide: 1. "Feminine" Category vs. this Category - RR = .98<1.6<2.7 (χ2 = 3.3, p = .068); 2. "Feminine" Category vs. this Category - RR = 1.4<4.5<14.0 (χ2 = 9.8, p = .002); "Androgynous / Undifferentiated" Category vs. this Category - RR = .91<2.8<8.6 (χ2 = 4.0, p = .044); 4. "Feminine / Androgynous / Undifferentiated" Category vs. this Category - RR = 1.1<3.3<9.9 (χ2 = 6.3, p = .012).






North American Lifetime "Attempted Suicide" Incidences
Non-Random: GLB Community or GLB Services
Homosexually Oriented Youth: 1993 - 1999
Study
Sample
Size (N)
GLB
Compa-
rison
Group
Attempted
Suicide
% (n / N)
Sampling Information
Age

Hammelman
(1993)
48
28 (M*)
20 (F*)
None
29%
(14 / 48)
Iowa, USA: GLB Support Groups
College / Community: 96% White
Age = 15 - 32 Years
D'Augelli &
Hershberger
(1993)
194
142 (M)
52 (F)
None
42%
GLB Community Support
Groups, USA - Canada
Age: <= 21 Years
Proctor &
Groze (1994)
221
159 (M)
62 (F)
None
40.3%
(89 / 221)
GLB Community Groups
USA, Canada
Age <= 21 Years
Remafedi
(1994)

239 (M)
None
29.5%
(70 / 237)
GLB Community Sites, Appeals,
Advertisements, Referrals. USA
Age = 13 - 21 Years
Rotheram-
Borus et al.
(1994)
132 (M)
None
39%
(51 / 131)
Hispanic: 51%,  Black: 30%. White: 12%. Hetrick & Martin, New York
GLB Service Organization: 1988-91
Age = 14 - 19 Years
Waldo
et al.
(1998)

54
38  (M)
16 (F)
None
31.5%
(17 / 54)
US Rural University Setting
Organizations / Events
Age = 16 - 21 Years
Lehmann
et al.
(1998)

53 (F)
None
27%
Study Participants Contacted
by Lesbian Organization: USA
Age = 15 - 44 Years
Grossman
& Kerner
(1998)
58 (M)
None
26%
(15 / 58)
Volunteers, 1995: New York Drop-In: Hetrick-Martin Institute.
Mostly Black and Latino/a
Gay, Lesbian, Bisexual Identified
Mean Age: 17.6 Years, 14 - 21 Years
32 (F)
None
38%
(12 / 38)
Safren &
Heimberg
(1999)

56
29 (M)
27 (F)
48
21 (M)
27 (F)
30.9% (17 / 55)
vs.12.5%
(6 / 48)
USA: After-School Education or
Recreation; Job Training, YMCA
Age = 16 - 21 Years, About 36% White
All Attempters: OR = 3.1 (1.1, 8.8)
Attempters With Intent to Die
OR = 5.1 (1.1, 24.6)
17.9% (10 / 55)
vs. 4.2%
(2 / 48)
* M = Males - F = Females




North American Lifetime "Attempted Suicide" Incidences
Non-Random: GLB Community, GLB Services, Internet
or Other. - Homosexually Oriented Youth: 2000 - 2011
Study
Sample
Size (N)
GLB
Compa-
rison
Group
Attempted
Suicide
% (n / N)
Sampling Information
Age, Odd Ratio ((5%CI) - p

D'Augelli
et al. (2001)

350 (MF*)
None
34%
Lifetime
GLB Community Support
Groups, USA - Canada
Age: <= 21 Years
Savin-
Williams
(2001)

83 (F)
None
17%
(14 / 83)
41% Lesbian: True Attempters
See Table
73 (F)
  1 to 100%
Homosexual
79 (F)
100%
Heterosexual
10% (7 / 73)
vs. 8%
(6 / 79)
University Students: See Table
OR: 1.3 (0.41, 5.0), p = 0.661
52 (M)
1 to 100%
Homosexual

61 (M)
100%
Heterosexual
9%: (5 / 53)
vs. 2%
(1 / 61)
University Students: See Table
6.2 (0.71, 6.9),  p = 0.063
D'Augelli
(2002)
542
336 (M)
206 (F)
None
37%
36% (M)
39% (F)
Lifetime
D'Augelli & Hershberger (1993)
D'Augelli et al. (2001)
Combined - 75% White
Age = 15 - 21 Years
Remafedi
(2002)

254 (M)
None
33.5%
(85 / 254)
(4.7% in the
Past Year)
Volunteers: Popular Gay Venues in Major metropolitan area: Minneapolis/St. Paul, Minnesota. Criteria: Same-Sex Sex, Past Year. 85% White, 8.8% Black
Age: 15 - 25 Years
Carragher
& Rivers (2002)
203 (M) None
18.7%
(38 / 203)
Lifetime
American Volunteers: Gay Community
Mean Age: 25.3 Years, 18 to 30 Years
97% With Some University Education (13%), in College (13%), or with One or More University Degree (71%)
Carragher (1999)
Kephart
(2003)

33 (M)
19 (F)
None
36.5%
Lifetime
Volunteers from College GLBT Groups. Likely: Virginia Polytechnic Institute and State University. 88.5% Caucasian.
Sexual Orientation Ratings from 1 (100% Homosexua) to 7 (100% Heterosexual): 1 (n =14, 26.9%), 2 (n =23, 44.2%), 3 (n=5, 9.6%), 4 (n=6, 11.5%), 5 (n=4, 7.7%).
Age: 18 to 35 years, mean age: 21.4 years.
Rosario
et al.
(2005)
156 (MF)
80 (M)
76 (F)
None
All: 35.3%
(55 / 156)
17.9%
(28 / 156)
Med. Care
Volunteers: 3 GLB Community & 2 GLB Student organizations: New York, 1993-95
Latino: 37%, Black: 35%, White: 22%
Mean Age: 18.3 (SD: 1.6), 14-21 Years
D'Augelli
et al. (2005)
See Tabulated
Results

361
202 (M)
159 (F)
None
31.4%
(166 / 528)
True Attempts:
14.8%
(78 / 528)
Black (41%), Hispanic (29%),
White (27%), New York
GLB Service Organizations
Age = 15 - 19 Years
Clatts et. al.
(2005)
Additional
Results:
- Race -
- Sexual
Orientation
-
- Suicidality -
549
None 33.4%
Lifetime
Sampling: Popular Gay Venues, New York
26.7%
White: See Tabulated Information
Mean Age: 21.7 (SD: 2.9), 17 to 28 Years
320
None 26.6%
Never Homeless
249
None 42.2% Ever Homeless
166
None 41.8%
Previously Homeless
83
None
43.4%
Presently Homeless
Walls
et al.
(2008)
142
(MF)
None
57 / 142
40.1%
Lifetime
GLBT Youth Receiving Services at a Denver, Colorado GLBT Community Social Services Agency: "Rainbow Alley." Age Range: 14-21 Years, 82%: 16-19 Years. 29% White, 28% Bi/Multi-Racial, 20% Latino.
Moon
et al.
(2007)

77: Only
Same-Sex
Partners
None
21 / 77
27.3%
Lifetime
Volunteers (1999 & 2001): Receiving services at the Richmond Organization for Sexual Minority Youth, Richmond, Virginia.
Age Range: 14 to 21 Years
Sexually Bisexual Youth are more at risk for attempting suicide, compared to Sexually Homosexual Youth: OR: 1.2<4.4<15.8
27
Both-Sex
Partners
None
17 / 26
65.4%
Lifetime
Kipke
et al.
(2007)

526 (M)
None
All: 4%
White: 4%
Black: 5%
Latino: 4%
2005 Volunteer Venue Sample, Los Angeles, Age: 18 to 24 years. 95 (37%) Caucasian, 126 (24%) African American, and 205 (39%) Latino YMSM of Mexican descent. 74% Gay, 16% Bisexual.
Attempted Suicide: Past year

Speculated to not be "at risk" by comparing results with author generated national results for 18 year-old males in school: The CDC's Youth Risk Behavior Survey Data Set.
See Contested Conclusion in Table Below.
526 (M)
None
All: 2%
White: 1%
Black: 2%
Latino: 3%
Mustanski
et al.
(2010)
246
GLBT
None
31%,
Lifetime
6.5%,
Past Year
2007-08 non-random community sample of 246 ethnically diverse youths (57.3% African-American) aged 16 to 20 years living in the Chicago area: 90% GLB, 28% Bisexual, 49% Born Male, 8% Transgender.  Survey Instrument: Diagnostic Interview Schedule for Children (DISC) version 4.0. "First Time" use in study of GLBT adolescents. Additional Results: Table Below.
Outlaw
et al.
(2011)

363
84% Gay /
Homosexual,
Bisexual
Males
None
23%
Lifetime
79 / [338 to 349?]
Washington, DC. Multisite Cohort recruited from 2006-2009 for a Cohort Study. All HIV Positive. All Racial/Ethnic Minority. African American (67%), Latino (21%), Multiravial (12%), N = 363. Mean age: 20.4 Years.
Attempted Suicide Incidence if age of sexual debut was less than age of 16: 29%
Attempted Suicide Incidence if age of sexual debut was at theage of 16 or older: 18%
Data Intake: Interview Format
House,
et al.
(2011)

Internet
Sample
Males
n = 524
None
17.7%
Lifetime
Males: Gay (n = 465), Bisexual (n = 42),
Other (n = 17)
Lifetime Self-Harm: 10.3%
Females
n = 438
None
26.7%
Lifetime
Females: Lesbian (n = 335),
Bisexual (n = 91), Other (n= 12)
Lifetime Self-Harm: 30.4%
Transgender
n = 164
None
34.8%
Lifetime
Transgender: Heterosexual (n = 42), Gay / Lesbian (n = 26), Bisexual (n= 65),
Other (n = 31)
Lifetime Self-Harm: 29.9%
Langhinrichsen-
Rohling
et al.
(2011)

Same-Sex
n = 33
M/F
2.3% of
Study
Sample
Opposite-Sex
n = 1,212
M/F
19% vs.
7%
Lifetime
* RR: 2.6
p = 0.029
Same-Sex Attraction: 39% Girls, 79& African American, 12% Caucasian
Opposite-Sex Attraction: 48% Girls, 48% African American, 40% Caucasian
Both-Sex
n = 167
M/F
12% of
Study
Sample

Opposite-Sex
n = 1,212
M/F
23% vs.
7%
Lifetime
* RR: 3.2
p = 0.000
Both-Sex Attraction: 64% Girls, 48.5% African American, 36% Caucasian
Note: Results also given on lifetime and recent suicidal ideation.
* RR (Risk Ratios) and p-value (Fisher, 2-tailed) Calculated by Webpage Author from data derived from given percentages and n's, and calcukated n's.
Sample Composition: "[R]ecruited from three locations that varied in their risk profile (a socioeconomic and ethnically diverse urban high school, an Early Warning Truancy Program for youth with excessive absences from school, and a youth center that is the entry point for the juvenile justice system) but were located within the same urban area."
Fisher
et al.
(2011)

Gay, Lesbian, Bisexual, Transgender, Queer
N = 770
None
All:
18.2%,
Lifetime.

Transgender:
37%
Lowest
Income:
40%
Highest
Income:
7%
Nebraska: Omaha Metro (68%), Loncoln Metro (20%) & Surrounding Area (12%): 60% male, 37% Female, 3% 'Other', 12% Transgender. Ages: 19 to 70 years, most (64%) 19 to 39 years. Having attempting suicide not related to education, age, race / ethnicity, or geographic location, but related to income, gender (higher for females), and transgender status.
* M = Males - F = Females





The Savin-Williams 2001 Study 1: Sexual Minority Women
"Attempting Suicide" Criteria *
Categories
University
Students
n = 72
Community Support Groups
n = 11
All
N = 83
% White
90%: 65 / 72 **
64%: 7 / 11
86.7%: 72 / 83
% Lesbian
Identified
35%: 23 / 72
82%: 8 / 11
41%: 31 / 83
% Reporting
Attempt(s)
19%: 14 / 72
45%: 5 / 11 23%: 19 / 83
% True Suicide
Attempters
12%: 9 / 72
45%: 5 / 11 17%: 14 / 83
% False Suicide
Attempters
7%: 5 / 72
0.0%: 0 / 11 6%: 5 / 83
% of Suicide
Attempters = False
38% : 5 / 14
0.0%: 0 / 5 26%: 5 / 19

Sample:
USA Volunteers with nonheterosexual sexual identity, Mean Age: 21.9 Years, 18 to 25 Years.

*Criteria for Determining False Suicide Attempters: If their "Suicide Attempt(s) was described as one of the following: 1. Thought seriously about it. - 2. Had a plan but did not carry it out. - 3. Had a method but did not carry it out.
** Counts not given. Estimated from given percentages.



The Savin-Williams 2001 Study 2
Sexual Minority
Female University Students
"Attempting Suicide" Criteria *
Categories
Kinsey Rating 1
"1 to 7"
n = 73
Kinsey Rating 1
"0"
n = 79
Odd Ratios 2
(95%CI), p
(Fisher Exact, 2-sided)
% Reporting
Attempt(s)
22%: 16 / 73 3 11%: 9 / 79
2.2 (0.83, 5.8)
p = 0.124
[One-sided: p = 0.063]
% True Suicide
Attempters
10%: 7 / 73
8%: 6 / 79
1.3 (0.36, 4.6)
p = 0.775
% Suicide Attempters
Medical Care Received

3%: 2 / 73
3%:  2 / 79
1.1 (0.11, 11.1)
p = 1.000
[One-sided: p = 0.660]
% False Suicide
Attempters
12%: 9 / 73
4%: 3 / 79
3.6 (0.94, 13.9)
p = 0.071
[One-sided: p = 0.049]
% of Suicide
Attempters = False
56% : 9 / 16
33%: 3 / 9
2.6 (0.36, 20.1)
p = 0.411
[One-sided: p = 0.248]
Sample: USA Volunteers Taking Introductory University Courses (Human Development, Sexuality), Mean Age: 20.2 Years, 17 to 25 Years.
*Criteria for Determining False Suicide Attempters: If their "Suicide Attempt(s) was described as one of the following:
1. Thought seriously about it. - 2. Had a plan but did not carry it out. - 3. Had a method but did not carry it out.

1. Kinsey Ratings: "0" = "exclusively heterosexual". "1 to 7" = "slightly" to "exclusively homosexual".
2. Odds ratios are calculated from estimated counts.
3. Counts not given. Estimated from given percentages.



The Savin-Williams 2001 Study 2
Sexual Minority
Male University Students
"Attempting Suicide" Criteria *
Categories
Kinsey Rating 1
"1 to 7"
n = 53
Kinsey Rating 1
"0"
n = 61
Odd Ratios 2
(95%CI), p
(Fisher Exact, 2-sided)
% Reporting
Attempt(s)
23%: 12 / 53 3
2%: 1 / 61
17.6 (2.2, 375.5)
p = 0.001
% True Suicide
Attempters
9%: 5 / 53
2%: 1 / 61
6.2 (0.67, 146.3)
p = 0.095
[One-sided: p = 0.074]
% Suicide Attempters
Medical Care Received

6%: 3 / 53
0.0%:  0 / 61
p = 0.097
[One-sided: p = 0.097]
% False Suicide
Attempters
13%: 7 / 53
0.0%: 0 / 61
p = 0.004
% of Suicide
Attempters = False
58% : 7 / 12
0.0%: 0 / 1
p = 0.462
[One-sided: p = 0.462]
Sample: USA Volunteers Taking Introductory University Courses (Human Development, Sexuality), Mean Age: 20.2 Years, 17 to 25 Years.
*Criteria for Determining False Suicide Attempters: If their "Suicide Attempt(s) was described as one of the following:
1. Thought seriously about it. - 2. Had a plan but did not carry it out. - 3. Had a method but did not carry it out.

1. Kinsey Ratings: "0" = "exclusively heterosexual". "1 to 7" = "slightly" to "exclusively homosexual".
2. Odds ratios are calculated from estimated counts.
3. Counts not given. Estimated from given percentages.
Note: Given that 5 of the 6 true suicide attempters were non-heterosexual and that the 3 suicide attempters who received medical attention were all non-heterosexual males, this result should maybe have caused a major alert to be sounded at the counseling services of the university where the study sample was taken.




Mustanski et al. (2010): GLBT Chicago Adolescents
Categories
Attempted
Suicide,
Lifetime
Possible
Comparison: 1
Chicago Cohorts
Age: 15-20 Years
Attempted
Suicide,
Past Year
Possible
Comparison: 2
Chicago Cohorts
Age: 15-20 Years
Possible
Comparison: 3
Chicago YRBS
Age: Mostly 14-18
All, N = 246
90% GLB
Age: 16-20 Years
31.0%
Cohort 12: 2.9%
Cohort 15: 6.4%
Average: 4.6%,
Lifetime
6.5%
Cohort 12: 1.5%
Cohort 15: 1.1%
Average: 1.3%,
Past Year
2003 & 2005
Chicago YRBS
Average: 31%,
Past Year
Born Male: 121
25.8%
See: 4
3.3%


Born Female: 125
36.0%

9.6%


Transgender: 20
45.0%

10.0%


Lesbian/Gay: 151
34.0%

7.3%


Bisexual: 70
21.4%

4.3%


African-American: 141
31.2%

6.4%


White: 34
28.1%

3.1%


Latino/Latina: 28
32.1%

7.1%


Mustanski et al (2010) Study: 2007-08 non-random community sample of 246 ethnically diverse youths aged 16 to 20 years.  Survey Instrument: Diagnostic Interview Schedule for Children (DISC) version 4.0.
1, 2: Project on Human Development in Chicago Neighborhoods (PHDCN): Suicide Interview, Wave 3, 2000-2002: Unweighted Results for cohort 12 (Age: 15-17 Years, N = 545) & Cohort 15 (Age: 18-20 Years, N = 436) available online. Survey Instrument: Diagnostic Interview Schedule for Children (DISC) version 4.0. Cohorts are likely to be near-random. As a rough estimate from 2 studies having used the same survey  instrument, it would appear that GLB Chicago adolescents have been at much greater risk for Lifetime Suicide Attempts (31% vs. 4.6%), OR: 9.3. - Also at greater risk for having Attempted Suicide, Past Year: (6.5% vs. 1.3%), OR: 5.3.

3. The GLB average incidence for "Attempted Suicide, Past Year" was calculated for the 2003 (32%) and 2005 (30
) Chicago Youth Risk Behavior Surveys (YRBS, Pencil & Paper): 31% (Chicago GLB YRBS results are given on a separate web page). Methodologies are much different, the long suspected proposition being that YRBS produce greatly over-estimated GLB "Attempted Suicide" Results for adolescents. Question to Ask: Are YRBS Heterosexual adolescents' "Attempted Suicide, Past Year"incidences similarly over-estimated? The answer is likely "Yes" given the following... The Chicago Cohorts 2000-2002 results (1.3% Attempted Suicide Incidence, Past Year) for all Chicago adolescents of all sexual orientations (about 95% heterosexual), and the CDC reported 2001 YRBS incidence for all Chicago students was 11.8%, suggests that the YRBS "Attempted Suicide, Past Year) results for all students are inflated by about a "9.1-times factor" (11.8 / 1.3) when compared to the 1.3% Chicago cohorts estimate. Furthermore, If we compare the Chicago GLB YRBS results (31%, attempted suicide, past year) with the Mustanksi et al (2010) GLB results (6.5%), we can estimate that the GLB YRBS are only inflated by a factor of 4.8-times (31.0 / 6.5), the suggestion being that Heterosexual adolescents are more likely - maybe by a 2-times factor - to report 'false' suicide attempts (such as a 'near attempt' reported to be a suicide attempt), compared to GLB adolescents. If so, this would also mean that all "Attempted Suicide, Past Year" ORs (GLB vs. Heterosexual) reported or published for YRBS studies have been underestimated. This proposition is also consonant with the report/observation that GLB individuals, and especially males, have been generally more at risk for the more serious suicidal behaviors, compared to their heterosexual counterparts. See related webpage.

4. Paul et al. (2002) reports - for a four-city USA random sample of Gay/Bisexual men (N = 2,881) that included Chicago - the following "Lifetime Attempted Suicide" incidence to the age of 24 years for GB men divided in 4 birth cohorts: ≤25 y in 1970 (3%), 25 y in 1971–1980 (8%), 25 y in 1981–1990 (8%), 25 y after 1990 (11%) - p = 0.001, with little difference in suicidality rates for the major 'race' groups. The suggestion is that GB male youth suicidality had been increasing over the years and, if the Mustanski et al (2010) results for GB males is used as an indicator, it is possible that the Lifetime GB Male Youth Attempted Suicide incidence may have doubled from 1985-95 (11% to age 24), to 2007 for the Chicago GB males in the Mustanski et al. (2010) study aged 16 to 20 years, or to the average age of 18 Years: 25.8%. Noting here that the
Paul et al. (2002) also used a structured interview format containing multiple suicidality questions. Noting also that the Paul et al. (2002) "Lifetime Attempted Suicide" results for the "25 years-old after 1990" cohort would be less than 11% it it had been given to the age of 18 years. This proposition and the possible reasons for this increase in GB male suicidality over the years is available in Tremblay P, Ramsay R (2004). The Changing Social Construction of Western Male Homosexuality: Associations With Worsening Youth Suicide problems. Updated Paper.




Suicidality of 2005 Venue Sampled Gay/Bisexual in Kipke et al. (2007) Study
Comparison Issues/Problems With CDC's 2005
National Youth Risk Behavior Survey Results

Categories
% Incidence
Attempted Suicide,
Past Year
% Incidence, Attempted Suicide,
Received Medical Attention,
Past Year
Kipke et al. (2007) Results: Using YRBS Style Questions
For 18 to 24-Year-Old Males
20 / 526 = 3.8%
Given as 4% 1
10 / 526 = 1.9%
Given as 2%
1
Kipke et al. Generated  National YRBS Results, 2005: 18 Year-Old Part of Sample: N = 1046
56 / 1046 = 5.35
Given as 6% 2
16 / 1046 = 1.53%
Given as 2% 2
Note: As stated by authors, it looks like GB males are not at greater risk for suicidality, or they are at lesser risk, thus warranting further investigation. The CDC does not generate and report YRBS results based on age, but only based on high school grade level. On average, the oldest male students - those closest in age to the males in the Kipke et al. (2007) sample - would be in Grade 12.
CDC (2006) Results, 2005 YRBS, Males,  Grade 9
6.8%
2.1%
CDC (2006) Results, 2005 YRBS, Males,  Grade 10
7.3%
2.2%
CDC (2006) Results, 2005 YRBS, Males,  Grade 11 4.5%
1.4%
CDC (2006) Results, 2005 YRBS, Males,  Grade 12 4.3%
1.0%
CDC (2006) Results, 2005 YRBS, Males,  Grades 9-12 6.0%
1.8%
Note: It appears like GB males, compared to Grade 12 males nationally, may have twice the risk of an attempted suicide associated with having received medical attention. Also: Why is the generated national "attempted suicide" incidence for 18-year-old males by Kipke et al (2007) almost as high as it is for males in grades 9 and 10? And almost 50% higher than that generated by the CDC for males in grades 11 and 12 in 2005?
Note: The CDC Grades 9-12 national male "attempted suicide" incidences are obtained from widely varying results ranging from a high incidence of 12.7% in North Carolina, to a low of 2.8% in New Hampshire, and from a high of 14.2% in a city such as New Orleans to a low of 2.1% in Los Angeles, where the Kipke sample was taken. Thus explaining why researchers should always compare their results with those of a similar sample taken at least in the same city and also in the same year (because changes often occur from year to year) with a similar survey instrument! Or else, what will be concluded in terms of relative risk will likely be meaningless, at best; or it may be manipulative, as in maybe also being 'politically' motivated, at its worse.
CDC (2006) Results, 2005 YRBS, Males,
Grade 9-12, Los Angeles
2.1%
1.2%
Not Available, But 'Roughly' Estimated for Grades 11-12 Males in the Los Angeles 2005 Youth Risk Behavior Survey. This was done using, as a guide, the relative incidences in the above national "attempted suicide" incidences for males.
2.1% X (4.3 / 6.0 = 0.73)
1.5%
1.2% X (1.25 / 1.8% = 0.69)
0.83
Note: As a rule, the two "attempted suicide" incidences for males decrease significantly from Grades 9-10 to Grades 11-12, and the incidences likely continue to decrease to let's say the mean age of 20 (being another 3 years older, on average), or for males ranging in age from 18 to 24 years, as in the Kipke et al. sample. Therefore, for males aged 18 to 24 years living in Los Angeles in 2005, the "attempted suicide" incidences may have been yet another third less than for the above estimate for Grades 11-12 males in LA.
Estimated Incidences of 18-24-year-old males in LA in 2005.
These figures also include the likely overrepresented suicidality of gay/bisexual males in the sample studied. Therefore, the incidences would be even lower for heterosexual males only.
1.0%
0.56%
Meaning?  Possible? Likely? 3
If so, similar to Silenzio et al (2007) results given in Table  for young adults aged 18 to 26 years. Also similar to Whitlock & Knox (2007) result for mostly undergraduate
students at two universities: Table.
Kipke et al. GB Males:
4-Times More at Risk.
Kipke et al. GB Males:
Almost 4-Times The Risk

1. Possible Non-Responders to the Question.

2.Discrepancy is likely the result of non-responders to the "Attempted Suicide" question.
3. Kipke et al (2007): "While not a perfect comparison given the younger age of the YRBSS respondents and the fact that not all HYM data could be compared to this national sample, these comparisons do suggest that YMSM may not be at much greater risk for negative health outcomes associated with diet, weight, physical activity, and suicide, although they may be at increased risk for exposure to STIs and HIV infection."



Men Who Have Sex With Men (MSM): New York
Age: 17 to 28 Years - Mean: 21.7 Years:
'Race'/Ethnicity
Categories
All MSM
Males **
** Ever
Homeless
Never
Homeless
Previously
Homeless
Currently
Homeless
N's
Percent
569
100%
249
43.8%
320
56.2%
166
29.2%
83
14.7%
Age: Mean, (SD)
21.7 (2.9)

21.8 (2.9) 21.6 (2.9)
21.4 (2.9)
White, % Category,
% White,
n's*
26.7%
100%
152
16.5%
27.0%
41 : 111
34.7%
73.0%
111 : 41
20.5%
22.4%
34 : 118
8.4%
4.6%
7 : 145
Black, % of Category,
% Black,
n's*
OR (95%CI): vs. White
p ***
22.7%
100%
129


24.1%
46.5%
60 : 69
2.4 (1.4, 3.9)
0.0006
21.6%
53.5%
69 : 60


22.9%
29.4%
38 : 91
1.4 (0.85, 2.5)
0.175
26.5%
17.1%
22 : 107
4.3 (1.7, 10.3)
0.0006
Hispanic, % of Category,
% Hispanic,
n's*
OR (95%CI): vs. White
p ***
40.4%
100%
230


50.2%
54.3%
125 : 105
3.2 (2.1, 5.0)
0.0000
32.8%
45.7%
105 : 125


48.8%
35.2%
81 : 149
1.9 (1.2, 3.0)
0.007
53.0%
19.1%
44 : 186
4.9 (2.1, 11.2)
0.0000
Others, % of Category,
% Others,
n's*
OR (95%CI): vs. White
p ***
10.2%
100%
58


9.2%
39.6%
23 : 35
1.8 (0.94, 3.4)
0.074
10.9%
60.4%
35 : 23


7.8%
22.4%
13 : 45
1.0 (0.48, 2.1)
0.994
12.0%
17.2%
10 : 48
4.3 (1.6, 12.0)
0.003
*** Statistics
4 'Races': Chi Square

28.7
0.001
28.7
0.000
8.8
0.05
16.9
0.001
Data Source: Clatts et. al. (2005)
* The n's are not given. Estimated from given percentages in Homeless Categories
n's = Yes : No - within each 'Race'/Ethnic category
Assuming that all study participants responded to the questions asked.
** Generally not given. Calculated from other data.
*** Odd Ratios and Significance calculated by web page author.



Men Who Have Sex With Men (MSM): New York
Sexual Orientation Categories
Categories
All MSM
Males **
** Ever
Homeless
Never
Homeless
Previously
Homeless
Currently
Homeless
N's
Percent
569
100%
249
43.8%
320
56.2%
166
29.2%
83
14.7%
Age: Mean, (SD)
21.7 (2.9)

21.8 (2.9) 21.6 (2.9)
21.4 (2.9)
Gay, % of Category
% of Gay Males
n's*
63.4%
100%
361
49.4%
34.1%
123 : 238
74.4%
65.9%
238 : 123
56.0%
25.8%
93 : 268
36.1%
8.3%
 30 : 331
Bisexual, % of Category
% of Bisexual Males
n's*
OR (95%CI): vs. Gay
p ***
23.9%
100%
136


31.3%
57.4%
78 : 58
2.6 (1.7, 3.9)
0.0000
17.8%
42.6%
58 : 78


29.5%
36.0%
49 : 87
1.6 (1.1, 2.5)
0.024
34.9%
21.3%
 29 : 107
3.0 (1.7, 5.2)
0.0000
Hetero..., % of Category
% of Heterosexual Males
n's*
OR (95%CI): vs. Gay
p ***
7.2%
100%
41


12.0%
73.2%
  30 : 11
5.3 (2.6, 10.9)
0.000
3.4%
28.8%
 11 : 30


7.2%
29.3%
 12 : 29
1.2 (0.58, 2.4)
0.628
21.7%
43.9%
 18 : 23
8.6 (4,2, 17.8)
0.0000
Other, % of Category,
% of "Other" Males,
n's*
OR (95%CI): vs. Gay
p ***
5.6%
100%
32


7.2%
56.3%
18 : 14
2.5 (1.2, 5.2)
0.012
4.4%
43.8%
14 : 18


7.2%
37.5%
12 : 20
1.7 (0.81, 3.7)
0.150
7.2%
18.8%
 6 : 26
2.5 (0.97, 6.7)
0.0497
Total
100%
570
100%
249
100%
321
99.9%
166
99.9%
83
*** Statistics
4 Sex Orientations
 Chi Square

40.4
0.001
40.4
0.001
6.2
0.20
45.2
0.001
Trans..., % of Category
% of Transgender Males
n's*
OR (95%CI): vs. Gay
p ***
8.8%
100%
50


11.6%
58.0%
29 : 21
2.7 (1.5, 4.9)
0.001
6.6%
42.0%
21 : 29


7.8%
26.0%
13 : 37
1.0 (0.52, 2.0)
0.971
19.3%
32.0%
16 : 36
4.9 (2.4, 9.8)
0.0000
Data Source: Clatts et. al. (2005)
* The n's are not given. Estimated from given percentages in Homeless Categories
n's = Yes : No - within each Sexual Orientation category
Assuming that all study participants responded to the questions asked.
** Generally not given. Calculated from other data.
*** Odd Ratios and Significance calculated by web page author.
Transgender compared to Gay,
but some transgender identified MSMs may also have identified as gay.



Men Who Have Sex With Men (MSM): New York
Age: 17 to 28 Years - Mean: 21.7 Years:
'Race'/Ethnicity
Categories
All MSM
Males **
** Ever
Homeless
Never
Homeless
Previously
Homeless
Currently
Homeless
N's
Percent
569
100%
249
43.8%
320
56.2%
166
29.2%
83
14.7%
Age: Mean, (SD)
21.7 (2.9)

21.8 (2.9) 21.6 (2.9)
21.4 (2.9)
Attempted Suicide: %
% of Suicide Attempters
* n's: Attempters : Non-Att
OR: vs. Never Homeless
p ***
33.4%
100%
190 : 379


42.2%
55.3%
105 : 144
2.0 (1.4, 2.9)
0.0000
26.6%
44.7%
85 : 235


41.8%
36.3%
69 : 97
2.0 (1.3, 2.9)
0.0007
43.4%
19.9%
36 : 47
2.1 (1.3, 3.5)
0.0029
% Attempters =
Multiple Attempters

46.8% **
54.3% **
37.6%
53.6%
55.6%
Multiple S. Attempters: %
% of Multiple Attempters
* n's
OR: vs. Never Homeless
p ***

15.6%
100%
89 : 480


22.9%
64.0%
57 : 192
2.7 (1.7, 4.3)
0.0000
10.0%
36.0%
32 : 288


22.4%
41.6%
37 : 129
2.6 (1.5, 4.3)
0.0002
24.1%
22.5%
20 : 63
2.9 (1.5, 5.3)
0.0006
% Attempters = Attempted,
Sex Orientation (S.O.) Reason

34.7% **
33.3% **
36.2%
32.4%
36.4%
S.O. Suicide Attempters: %
% of S.O. Attempters
* n's
OR: vs. Never Homeless
p ***
11.6%
100%
66 : 503


14.1%
53.0%
35 : 214
1.5 (0.91, 2.6)
0.106
9.6%
47.0%
31 : 289


13.5%
33.3%
22 : 144
1.4 (0.80, 2.5)
0.232
15.8%
19..7%
13 : 70
1.7 (0.86, 3.5)
0.120
Data Source: Clatts et. al. (2005)
* The n's are not given. Estimated from given percentages in Homeless Categories
n's = Yes : No - within Attempted Suicide category
Assuming that all study participants responded to the questions asked.
** Generally not given. Calculated from other data.
*** Odd Ratios and Significance calculated by web page author.



The D'Augelli et al. 2005 Study of New York GLB Youth
"Attempting Suicide" Criteria

All Reporting Having
Attempting Suicide
Suicide
Attempters
n's
Category Described
Attempt: Serious / Not Serious
Intent To Die
All Youths Reporting to Have
Attempted Suicide:
166 / 528 (31.4%)

Those Deemed to Have
Attempted Suicide:
78 / 528 (14.8%)

Those Deemed to Have
Attempted Suicide in Final
Study Sample (Data Complete):
61 / 361 (16.9%)
Removed As
Suicide
Attempters *
28
Report or Indication of
Having Attempted Suicide
60
Removed As
Suicide
Attempters
30
Not Serious, No Intent to Die
23
Serious, No Intent to Die
7
No Information Given
78
Deemed To Be
Real Suicide
Attempters
21
Not Serious, Intent to Die
25
Serious, Intent to Die
22
Very Serious, Intent to Die, with
7 Having No Intent to Die
* 19 were removed because "attempting suicide" was reported in questionnaire, but not in interview.
9 were removed because "attempting suicide" was only threatened, but not done



American Lifetime "Attempted Suicide" Incidences
Non-Random: GLB Community, GLB Services
Homosexually Oriented Adults: 1994 - 2011
Study
Sample
Size (N)
GLB
Compa-
rison
Group
Attempted
Suicide
% (n / N)
Sampling Information
Age
Odd Ratios (95%CI)
Perez & Torres
(2011)

(F)
305

None
18.4%
Lifetime
305 Latina LGBTQQ participants in Chicago, 13-60 years old. Sexual Identity: 50% lesbian/gay/homosexual, 8.8% bisexual, 6.5% queer, 1% straight or heterosexual, 4.5% uncertain/questioning, and 9.7% do not use labels to identify themselves.
Ryan
et al.
(2009)
114 (M)
110 (F)
107 White
117 Latino
None
Range For Groups:
27.3-
54.8%,
Lifetime
All:
40.6%
Volunteer Sample from 249 GLB Venues, San Francisco. Age Range: 21-25 Years, Mean age: 22.8 Years. Sample Criteria: GLB Self-Identified and having come out to at least one parent/guardian in adolescence.
Additional Results: Table Below, including
Family Rejection effects.
O'Donnell
et al.
(2011)

193 (M)
195 (F)
388 (MF)
132 - White
128 - Black
128 - Latino
18 to 59
Years-Old
None
17.0%, Lifetime
Suicide Attempt, All.
White: 9.1%
Latino/a: 22.7%
Black: 19.5%
Volunteers, 2004-05 at 274 Project Stride (Stress, Identity, Mental Health) Venues, New York City. Same Sample Used by Meyer et al (2008) Study (Below).
Conclusion: Mental Disorders not generally preceeding suicide attempts. Discrimination associations proposed for Black's and Latinos/a's Excess Suicidality.
Meyer
et al.
(2008)
193 (M)
195 (F)
388 (MF)
132 - White
128 - Black
128 - Latino
18 to 59
Years-Old

None
8.4%, Lifetime
Serious Suicide
Attempt
68.8%, One or More Mental Disorder, Lifetime
Volunteers, 2004-05 at 274 Project Stride (Stress, Identity, and Mental Health) Venues, New York City.
Information to determine "serious suicide attempts" was obtained via the computer- assisted personal interview (Version 19) of the WHO World Mental Health Survey: the Composite International Diagnostic Interview. See Table Below for Variable Results.
Walter
et al.
(2008)

244 (M*)
None
59 / 241
24.5%
Lifetime
*244 mostly male sexual minority American Indians from a volunteer multi-city sample (includes 10 female-to-male transsexual individuals)
Koh &
Ross
(2006)

524 (F)
Lesbian
637 (F)
Hetero-
sexual
16.7%
(85 / 510) vs.
10.2% (63/617)
Lifetime
USA Volunteers: Inpatients at General Health Care Sites, Lesbian Health Clinics.
Mean Ages: 36-41, SDs: 9 to 13 Years
81% to 85% Caucasian. ORs calculated from counts estimated from given data.
Lesbian vs. Hetero. : OR = 1.4 (1.006, 2.0)
Bisexual vs. Hetero.: OR =
2.4 (1.5, 3.8)
143 (F)
Bisexual
637 (F)
Hetero-
sexual
21.3%
(30 / 141)vs
10.2% (63/617)
Lifetime
Balsam
et al. (2005a)

445 (MF)
None
28.9% USA Military Veterans, Internet Sample
N = 445, Age = 19 - 83 Year
64.7% male, 27.2% female, 8.1% self-
identified as transgender or “other.”
87.6% White, 88.7% Lesbian or Gay
Balsam
et al. (2005)
Estimates:
Additional
Results

264 (M*)
185 (M)
11.4% vs
3.3%
OR = 3.8 (1.6, 9.4) - To Age 17 years
264 (M)
185 (M)
10.6% vs.
3.3%
OR = 3.5 (1.4, 8.7) - Age 18 + Years
457 (F)
358 (F)
9.8% vs.
6.2%
OR =  1.6 (0.95, 2.7) - To Age 17 years
457 (F)
348 9F)
8.7% vs.
4.4%
OR =  2.1 (1.1, 3.8) - Age 18 + Years
Roberts
et al.
(2004)

1,139 (F)
None
19.5%
Lifetime
Volunteers, Via Outreach: 1997-2000. Sample From 44 American States. Mean Age = 40 Years (Approx) .
Age Range = 15-55+ Years
For 146 / 225 Suicide Attempters,
First Attempt Occurred <= 18 Years
Matthews
et al.
(2002)

Hughes
et al.
(2000)
550 (F)
Lesbian /
Bisexual
279 (F)
Hetero-
sexual
22% (91 / 414)
vs. 13%
(22 / 169)
Lifetime
p < 0.01

OR = 1.9 (1.2, 3.1): An Estimate.

Volunteers, Lesbian Communities, in Three Large American Cities: 1992-96. Mean Age: 43 Years
Most Suicide Attempts: 15 to 29 Years
OR = 1.9 (1.2, 3.1): An Estimate.

Age 15-19, Attempted Suicide:
12% vs 6%, p < 0.05
Age: 20-29, Attempted Suicide:
12% vs. 5%,
p < 0.05
Differences for older lesbian participants are not statistically significant.
McBee-
Strayer
& Rogers
(2002)
162 (MF)
85 (M)
75 (F)
None
36.4%
Lifetime
USA Volunteers: GLB Organizations & Snowballing. - Mean Age: 37.1. (SD: 12.0), 18 to 64 Years
Attempters: 23.4% (Ambivalence) +
13.0% (Intent to Die) = 36.4%
D'Augelli &
Grossman
(2001)
Grossman et al.
(2001)
416
295 (M)
121 (F)
None
12.5%
(52 / 416)
Lifetime
Volunteers Obtained Via Community Organizations: Many American States, and Ontario, Canada: 1997-98.
Age = 60 - 91 Years,
Mean: 68.5 Years, SD: 5.8 Years
Most Attempted Suicide Between ages 22 to 59 years.
Morris
et al.
(2001)

2,401 (F)
Mostly
Lesbian/Gay
None
21.5%, Lifetime
About 52% of them attempted suicide two or more times.
On Suicidality Scale: Native Americans More at Risk.
Volunteers: National Lesbian Wellness Survey
Average Age: 36 Years. Range: 15-83 Years.
White (75%, N=1,809), African American (10%, N=231), Latina (7%, N=173), Native American (4%, N=85), and Asian American/Pacific Islander, (3%, N=63), with 1% (N=40) indicated "other".
75% with a one or more college degrees.
Sorensen &
Roberts
(1997)

1,633 (F)
None
18%
Lifetime
USA Volunteers, Via Outreach: 1987. Median Age = 32. Years. Age Range = 16 - 82 Years. 46% of Suicide Attempts Occurred Between Ages or 13 to 18 Years
Bradford
& Ryan
(1988, 1994)
1,925 (F)
None
All: 19%, Lifetime
White: 16%
Latina: 28%
Black: 27%
National American Volunteer Snowball
Sample Taken in 1984-85.
Age = 17 - 80 Years
80% Between Ages of 25 - 44 Years
* M = Males - F = Females



 224 American White and Latino Young Adults, 21 to 25 Years Old
GLB Identified & Out to At Least One Parent / Guardian in Adolescence
Suicidality and Depression: Effects of Family Rejection 1
Categories /
Variables
4
Rejection
Scale Score
OR 2

Rejection
Level

Mode-
rate
Rejec-
tion
OR
High
Rejec-
tion
OR
Low
Mode-
rate
High
Depression, Current
CES-D > 16
2.21
(1.62–3.01)
22.4%
44.6%
63.5% 2.92
 (1.42–6.00)
5.94
(2.86–12.34)
Suicide Ideation,
Past 6 Months
2.13
(1.53–2.95
11.8%
21.6%
43.2% 2.12
(0.86–5.18)
5.64
(2.42–13.14)
Attempted
Suicide, Ever
3.09
(2.18–4.37)
19.7%
35.1%
67.6% 2.29
(1.08–4.83)
8.35
(3.90–17.85)

Categories /
Variables 4

All
Males
Females
Effects
Statistically
Significant
White
Latino
White
Latino
N's
224
52
62
55
55
-
Mean Age, Years
At Survey Time
22.8
22.9
22.9
23.1
22.6
None
Come Out, Parent(s)
Mean Age, Years
15.8
15.2
15.8
16.2
16.1
None
Depression, Current
CES-D > 16
43.3%
44.2%
58.1%
41.8%
27.3%
GxE 3
Suicide Ideation,
Past 6 Months
25.4%
25.0%
35.5%
27.3%
12.7%
GxE 3
Attempted
Suicide, Ever
40.6%
44.2%
54.8%
34.5%
27.3%
None
1. The selection process for this study creates an unknown: What are the possible effects on GLB self-identified adolescents if, during adolescence, they did not come out to at least one parent or guardian? Study by Ryan et al. (2009).
2. All ORs, 95% Confidence Intervals
3. GxE: GxE indicates gender-by-ethnicity interaction, p < 0.05
4. At risk results also given in the paper for substance abuse and taking sexual risks.

Note: A comprehensive view of the GLBT suicidality situation in the study sample would be achieved via an "attempted suicide" logistic regression analysis that would include, in addition to "family rejection" as possible independent predictor variables, the following "at risk" associated variables solicited from the study participants and reported in the following papers: Toomey at al. (2010) [Gender Nonconformity & School Victimization] and Russell et al. (2011) [School  Victimization as most related to suicidality]. Another paper reported the suicidality of the study participants but focused on the protective nature of family acceptance: Ryan et al. (2010).



Gay, Lesbian, Bisexual Adults, and Their Siblings
"Attempted Suicide" Incidences / Risks
Homosexual/Bisexual vs. Heterosexual
Sexual Orientation »
Hetero-
sexual
Bisexual
Homosexual
Homosexual
& Bisexual *
Men

Counts in Categories 185
38
226
264
Attempted Suicide
< 18 Years
** Odd Ratios (95%CI)
3.3% 17.1%
5.6 (1.7, 18.4)
10.5%
3.5 (1.4, 8.9)
11.4%
3.8 (1.6, 9.4)
Attempted Suicide
18 + Years
** Odd Ratios (95%CI)
3.3%
11.4%
3.4 (0.94, 13.1)
10.5%
3.5 (1.4, 8.9)
10.6%
3.5 (1.4, 8.7)
Lifetime
?
?
?
?
Women

Counts in Categories 348
125
332
457
Attempted Suicide
< 18 Years
** Odd Ratios (95%CI)
6.2%
17.4%
3.2 (1.7, 5.9)
7.0%
1.1 (0.60, 2.0)
9.8%
1.6 (0.95, 2.7)
Attempted Suicide
18 + Years
** Odd Ratios (95%CI)
4.4%
10.7%
2.6 (1.2, 5.6)
7.9%
1.9 (0.98, 3.6)
8.7%
2.1 (1.1, 3.8)
Lifetime ?
?
?
?
Data Source: Balsam et al. (2005)
GLB Sampling via Magazine/Web Advertisement. Their Siblings: via mail.
Mean Ages For Groups: 31.6-39.3 Years (SDs: 10.3-11.7 Years). 91.7% European American
* Data For Combined Homosexual & Bisexual Groups Not Given. Estimated From Given Percentages.
** Odds Ratio Calculated From Estimated Counts, Assuming No Non-Responders to Questions.
The actual Odds Ratio Would be a Little Less.




Lifetime Serious Suicide Attempts & Mental Disorders
White, Black & Latino/a Gay, Lesbian & Bisexual Adults in New York City

Categories *
Any Anxiety
Disorder
Any Mood
Disorder
Any Substance
Use Disorder
Any
Disorder
Serious
Suicide Attempt
All, N = 388
44.3%
30.7%
38.4%
69.8%
8.3%
Male, n = 193
43.0%
26.4%
36.8%
65.3%
9.3%
Female, n = 195
45.6%
34.9%
40.0%
74.4%
7.2%
White, n = 132
47.0%
38.6%
41.7%
76.5%
4.6%
Black, n = 128
36.7%
21.9%
30.5%
60.2%
7.0%
Latino/a,  n = 128
49.2%
31.3%
43.0%
72.7%
13.3%
Lesbian/Gay, n = 318
43.7%
30.2%
35.5%
68.2%
7.9%
Bisexual, n = 70
47.1%
32.9%
51.4%
77.1%
10.0%
18 - 29 Years, n = 172
46.5%
29.1%
35.5%
69.8%
8.7%
30 - 44 Years, n = 171
43.9%
25.7%
39.8%
67.8%
5.9%
45 - 59 Years, n = 45
37.8%
55.6%
44.4%
77.8%
15.6%

Data Source: Meyer et al. (2008) - * Lifetime Incidences (Percent: %) for All Categories
Information to determine "mental disorders" & "serious suicide attempts" was obtained via the computer- assisted personal interview (Version 19) of the WHO World Mental Health Survey: the Composite International Diagnostic Interview.




Canadian Lifetime "Attempted Suicide" Incidences
Non-Random: GLB Community or GLB Services
Homosexually Oriented Adults: AIDS/HIV Cohort Studies
Study
Sample
Size (N)
GLB
Compa-
rison
Group
Attempted
Suicide
Incidence
Sampling Information
Age
Botnick
et al.
(2002)

345
** MSM
None
19.4%
(67 / 345)
Lifetime
Vancouver, British Columbia - 1998
Subsample: Vanguard AIDS/HIV Cohort
Men (Age = 18 to 30 Years) Identified as Gay / Bisexual, or Having Sex With Men
Otis
(2000)

629
msm
None
36.1%
Lifetime
Montreal, Canada - 1999
Subsample: Omega AIDS/HIV Cohort
Men (Mean Age = 32 Years)
Identified as Gay / Bisexual, or Having Sex With Men
* M = Males - F = Females - MSM: Men Who Have Sex With Men




Lifetime "Self Harm / Attempted Suicide" Incidences
Non-Random GLB Study Populations:
United Kingdom
Study
Sample
Size (N)
GLB
Compa-
rison
Group
Self Harm /
Attempted
Suicide
% (n / N)
Sampling Information
Age
Comments
Rivers
(2000)
116 (MF*)
92 (M)
None
37.1% (43 / 116)
Self Harm /
Suicide Attempt(s)
Lifetime
Volunteers: Advertising in GLB Community Venues. Follow-up Questionnaire to 190 United Kingdom Participants in a Previous Study. Mean Age = 28 Years, 16 to 54 Years
Men: 16 to 54 years, Women: 16 to 44 Years
Age Range Information: Rivers (2004)
Cant
(2002)

85
(MF)
None
32%
Attempted Suicide
35%
Self-Harm
The Metro Centre in Greenwich that is accessed by some young lesbian, gay and bisexual people from Lambeth, Southwark and Lewisham. Data collected on 85 youth registered there from October 2001 to April 2002: 85 young people.
Carragher
& Rivers (2002)
93 (M)
None
33.7% (29 / 86)
Self Harm /
Suicide Attempt(s)
Lifetime
Male Part of Rivers (2000) UK Sample.
Mean Age = 28 Years, SD: 9.0 Years
Age Range:
16 to 54 Years
Webb &
Wright (2001)
1145
(MF)
None
Attempted S.
18.3% (210 / 1145)
Lifetime
90% Living in Brighton & Hove. Women: significantly more likely than men to have self-harmed. No significant differences for attempting suicide. Serious thoughts of suicide, ever: declines from 53.1% to 21.6%, from age group 16-25, to age group 65+
Age = 16 - 65+

Self Harm: 10.6%
(121 / 1145)
Lifetime
Hutchison
et al.
(2003)
95 (M)
None
Self Harm: 28.4%
(27 / 95)
Lifetime
Volunteers: Gay Venues (Edinburgh, Scotland)
Age = 15 - 26 Years
Self Harm = No Intent To Die
42% of Suicide Attempters: Repeat Attempters
Compared to National Male Statistics:
Self Harm: 5.6 Times More likely
Attempted Suicide: 6.7 Times More Likely
Attempted S.
27.4% (26 / 95)
Lifetime
King
et al.
(2003)*
&
Warner
et al.
(2004)*
656 (M)
Gay
505 (M)
Hetero-
sexual
Self Harm**
25%
vs. 13.5%
Snowball Sampling (England, Wales): Gay / Lesbian Venues, Publications, Advertisements,
Followed by Recruitment: Friends, etc.
Mean Age = 36.4 Years
Self-Harm: Lifetime
84 (M)
Bisexual
505 (M)
Hetero-
sexual

Self Harm**
27%
vs. 13.5%
Snowball Sampling (As Above)
Mean Age = 35.5 Years
430 (F)
Lesbian
588 (F)
Hetero-
sexual

Self Harm**
31%
vs. 16.5%
Snowball Sampling (As Above)
Mean Age = 34.2 Years
111 (F)
Bisexual
588 (F)
Hetero-
sexual

Self Harm**
33%
vs. 16.5%
Snowball Sampling (As Above)
Mean Age = 29.8 Years
Cull et al.
(2006)

44
GLBT
Homeless
Youth
None
Attempted
Suicide:
> 66.7%
Lifetime
Volunteer: GLBT Presently/Past Homeless in Brighton and Hove, England - Age = 16 - 25 Years. 'Nearly all reported a history of mental health problems or substance misuse. Half reported alcohol or substance misuse. Over two thirds had a history of attempting suicide.'
Meads
et al.
(2007)

449 (F)
93.5%
LGB
Identified
None
31.3%
Attempted
Suicide, Lifetime

Volunteer: Measure for Measure 1 Study (2002)
Commissioned by the West Midlands
South Strategic Health Authority
166 (F)
77%
LGB
Identified

None
20.0%
Attempted
Suicide, Lifetime

Volunteer: Measure for Measure 2 Study (2005)
Commissioned by the West Midlands
South Strategic Health Authority
Hunt &
Fish
(2008)

5,053 (F)
81%
Lesbian
Identified
None
5.0%
Attempted Suicide,
Past Year
England: Volunteer Sample: Online & Pencil/Paper - 82% White British. Age Range: 14 to 84 Years. - Attempted Suicide Incidence Range, in the Past Year, in 10 Regions: 3.5% to 7.4%. See Table Below.
Self-Harm, With No Intention of Killing Self, in the Past Year: Incidence Range: 15.9% to 22.9%, in 10 Regions. See Table Below.
Results Similar for Wales:
See Table Below.
None
20.0%
Self-Harm,
Past Year
Hunt &
Fish
(2008a)
510 (F)
77.8%
Lesbian
Identified

None
4.8%
Attempted Suicide,
Past Year
Scotland: Volunteer Sample: Online & Pencil/Paper - Age Range: 15 to 72 years.
Attempted Suicide Incidence Range, in the Past Year, in 10 Regions: 1.1% to 10.2%. See Table Below.
Self-Harm, With No Intention of Killing Self, in the Past Year: Incidence Range: 14.6% to 39.1%, in 10 Regions. See Table Below.

None
20.8%
Self-Harm,
Past Year
** Described as "Self Harm" in 2003 Paper, but as "Attempted Suicide" in 2004 Paper.
* M = Males - F = Females



Attempted Suicide & Self-Harm: Lesbian & Bisexual Women in United Kingdom
"Prescription For Change" Studies by Hunt & Fish (2008 & 2008a)
Categories /
Strategic Health Authority (SHA)
N's
%
Lesbian *
% Bisexual
Women *
% Attempted
Suicide,
Past Year
% Self-Harm,
No Death Intent
Past year
All England
5,043
80.9%
15.7%
5.0%
20.0%
East of England
415
81.2%
17.6% 7.4%
22.2%
East Midlands
377
82.5%
14.9% 4.2%
17.3%
London
1,330
79.9%
15.7% 3.5%
18.1%
North East
224
79.9%
16.5% 6.4%
22.6%
North West
638
81.3%
15.4% 5.1%
22.0%
South Central
369
78.3%
17.9% 4.9%
23.5%
South East Coast
449
81.1%
15.1% 5.8%
19.0%
South West
376
82.4%
14.4% 5.6%
22.9%
West Midlands
425
81.6%
15.8% 5.2%
15.9%
Yorkshire & Humber
418
82.2%
14.2% 4.6%
19.7%
England (SHA unknown)
22
86.4%
13.6% 31.8%
45.5%
All Wales
267
81.3%
16.1% 6.4%
22.7%
South East (Wales)
135
80.7%
16.3% 4.5%
20.3%
Mid & West (Wales)
81
80.2%
17.3% 11.1%
24.7%
North Wales 51
84.3%
13.7% 3.9%
26.0%
Scotland
510
77.8%
18.2%
4.8%
20.6%
Greater Glasgow & Clyde
157
81.5%
15.9%
5.2%
14.6%
Lothian
149
73.8%
20.8%
3.4%
17.6%
Other Areas
204
74.0% to 81.8%
15.9% to 21.2%
1.1% to 10.2%
19.5% to 39.1%

* Those not Identifying as Lesbian or Bisexual are Classified as "Other".  Study Commentary: "One in five lesbian and bisexual women have deliberately harmed themselves in the last year, compared to 0.4 per cent of the general population. Half of women under the age of 20 have self-harmed compared to one in fifteen of teenagers generally. Five per cent have attempted to take their life in the last year and sixteen per cent of women under the age of 20 have attempted to take their life. ChildLine estimate that 0.12 per cent of people under 18 have attempted suicide."




Lifetime "Self Harm / Attempted Suicide" Incidences
Non-Random GLB Study Populations: Ireland
Study Sample
Size (N)
GLB
Compa-
rison
Group
Self Harm /
Attempted
Suicide
% (n / N)
Sampling Information
Age
Comments
Carolan & Redmond
(2003)
362
232 (M)
130 (F
None
Self Harm
26.2%
(95 / 362)
Volunteers: Questionnaire promoted  through youth, community and gay organisations, and online.  Northern Ireland
Age = <= 25 Years
Self-Harm / Attempted Suicide: Lifetime
Attempted S.
28.7%
(104 / 362)
McNamee
(2006)
190 (M)
93.4%
Gay
Bisexual
Identified
None
27.1%
Attempted
Suicide
30.7%
Self-Harmed
Volunteers: Northern Ireland
Mean Age: 20.6 Years, 15 to 25 Years
60% Live in Belfast or Derry/Londonderry.

Self-Harm / Attempted Suicide: Lifetime
CCL
(2006)

107 (F)
85%
Lesbian
Identified
None
14.2%
Attempted
Suicide
23.8%
Self-Harmed
Volunteers: Cork Region,  Northern Ireland
Age: 8.5% (< 23 years),  45% (23-49 Years), 44% (. 49 Years)
Self-Harm / Attempted Suicide: Lifetime
Mayock
et al.
(2009)

Internet
Sample

Age Range:
14-73 years
Mean Age:
30.5 Years
Ireland
Residents:
90%*
Male
n = 707
None 105 / 707
14.8%
Attempted Suicide in Past 12 months, 6 months, 30 days:
1.6% (n = 11), 1.0% (7), 0.42% (3), respectively
Female
n = 377
None 89 / 377
23.6%
Attempted Suicide in Past 12 months, 6 months, 30 days:
3.7% (n = 14), 2.4% (9), 0.79% (3), respectively
Other
n = 22
None 3 / 22
13.6%
Attempted Suicide in Past 12 months, 6 months, 30 days:
0.0% (n = 0), 0.0% (0), 0.0% (0). respectively
All
n = 1,110
None 197 / 1,110
17.7%
Attempted Suicide in Past 12 months, 6 months, 30 days:
2.3% (n = 25), 1.4% (16), 0.54 (6),  respectively
Trans-
gender
n = 46
None
12 / 46
26.1%
Attempted Suicide in Past 12 months, 6 months, 30 days:
6.5% (n = 3), 6.5% (3), 0.0% (9), respectively
Interview Sample
n = 22
None
13 / 22
59.1%
Qualitative Part of the Study.
For Above Quantitative Study: First suicide attempts were Very Much (12%), Very (35%) and Somewhat (25%) related to LGBT Identification
* Over 90% were residents in the Republic of Ireland. 4% were living in Northern Ireland.



Adolescent School Surveys: Random or Near-Random
"Attempted Suicide" Risk: Same-Sex Sexual
Orientation/Identity vs. Heterosexual Identity
Published American Studies
Study Sexual
Minority
Others Attempted
Suicide
% (n / N)
Sampling Information
Grade - Age
OR, (95% CI) Comments
Remafedi
et. al
(1998)


178 (M*)
Homo/Bi
Sexual
168 (M)
Heterosexual
Matched
28.1% vs.
4.2% RR: 6.8
Lifetime
Adolescent Health Survey
Minnesota,1987
N = 36,254. Grades 7 to 12
Sexual Minority / Others =
Self-Identification
Males: OR = 7.1 (3.1, 16.5)
Females: OR - 1.5 (0.81, 2.8) ns

166 (F*)
Homo/Bi
Sexual

145 (F)
Heterosexual
Matched

20.5% vs.
14.5% RR: 1.4 ns. Lifetime
Garofalo
et. al
(1999)




129 (MF)
GLBN
3,236 (MF)
Heterosexual
31.0% vs.
9.1%
RR: 3.4
In The Past
12 Months
*** YRBS Massachusetts, 1995. N = 3,365 - GLBN: Self-Identified as Gay, Lesbian, Bisexual or 'Not Sure' of Sexual Orientation: OR = 2.28 (1.4, 3.4)
With Control Variables
? (M)
GLBN
? (M)
Heterosexual
** 41.6% vs.
6.4% RR: 6.5
12 Months
OR = 3.74 (1.9, 7.3)
With Control Variables
Attempted Suicide: Past 12 Months
? (F)
GLBN
? (F)
Heterosexual
** 27.1% vs.
13.4% RR: 2.0
Past 12 Months
OR = 1.42 (0.65, 3.1) ns
With Control Variables
Attempted Suicide: Past 12 Months
? (MF)
Same-Sex
Sex, Ever
? (MF)
No Same-Sex
Sex, Ever
30.6% vs.
9.2% RR: 3.3
Past 12 Months
OR: Not Given
Attempted Suicide: Past 12 Months
Bontempo
& D'Augelli
(2002)

196 (M)
GBUS
4,416 (M)
Heterosexual
20.4% vs.
1.2% RR: 17.0
Past 12 Month
1995 Massachusetts & Vermont: YRBSs, Combined: Grade 9 to 12. - Gay, Lesbian, Bisexual, Unsure Identity and/or Same-Sex Sex Reported: GLBUS.
Attempted Suicide 4 or More Times
In Past 12 Months - Statistical Significance for RRs:
p < 0.001
119 (F)
LBUS
4,457 (F)
Heterosexual
10.8% vs.
1.4% RR: 7.7
12 Months
Olshen
et al.
(2007)

8080
New York
City High
School
Students
> = 14 Years
51% Female,
40.1%
Hispanic,
36.0% Black, 16.0% Asian/other,
 7.9%
white
(F)
GLBU (All)
(F)
Heterosexual
?
Past 12 Months
2005 Youth Risk Behavior Survey: See Table Below For More Related Information.
3.7 (2.4-5.9)
(F)
GLBU (All)
(F)
Heterosexual
?
Past 12 Months
2.45 (1.31-4.56)
Model Controls with Associated ORs: Dating violence (1.6), Feeling sad or hopeless (3.6), Disordered eating (1.8), Unsafe at school (1.9), Physical fighting (1.6), Binge drinking (1.9).

(M)
GBU (All)
(M)
Heterosexual
?
Past 12 Months
9.0 (5.3-15.3)
(M)
GBU (All)
(M)
Heterosexual
?
Past 12 Months
3.44 (1.88-6.32)
Model Controls with Associated ORs: Sexual assault (3.9),  Feeling sad or hopeless (4.3), Disordered eating (2.6),  Drug use (2.3), Carried a gun (4.3).
Farley
et al.
(2008)

GLBU
(MF)
Heterosexual
(MF)
31% vs. 8%
Past 12 Months
New York City: 2007 Youth Risk Behavior Survey. - See More Results: Table Below.
RR: 3.9
Other
Studies

Sexual minority suicidality results from many other large scale adolescent surveys - especially Youth Risk Behavior Surveys - have been reported in non-peer-reviewed venues such as reports and web pages. Some of these results are given on another Web Page and show that, generally, sexual minority adolescents are at increasing risk for the more serious suicide behavior, compared to other adolescents. Summaries of suicidality results for adolescent school surveys are located here.
** Not Given. Estimated Made From Given Data. "RR" = Risk Ratio. "OR" = Odds Ratio
All RRs or ORs are Statistically Significant, Except for "ns" = Not Statistically Significant.
* M = Males - F = Females - *** YRBS = Youth Risk Behavior Survey




New York City 2007 Youth Risk Behavior Survey; Grades 9 to 12
Suicidality, Past Year: Non-Heterosexual vs. Heterosexual 1
Categories /
Variables
Heterosexual
% Incidence
GLBU
% Incidence
Risk
Ratio 2
Seriously Considered
Suicide
14%
37%
2.6
Planned Suicide
10%
29%
2.9
Attempted Suicide
8%
31%
3.9
Injured, Poisoned, or
Overdosed in an Attempt
2%
9%
4.5

Data Source: Farley et al (2008)

Results are reported to be similar in three New York City neighborhoods with high rates of illness and premature death: East and Central Harlem, Bedford-Stuyvesant and Bushwick, and the South Bronx. See Noyes et al. (2008).

1. Males & Females analysed together, but differences possible/expected. All 'Race' groups analyzed together, but differences possible/expected. All Non-Heterosexual Students (GLBU = Gay, Lesbian, Bisexual, Unsure) analyzed together, but differences are possible/expected. See result for NYC 2005 YRBS.
2. The counts are not given for populations or incidences. It is therefore not possible to calculate confidence intervals and statistical significance values. However, it can be assumed that differences are statistically significant.



2005 Youth Risk Behavior Survey: New York City High Schools
"Attempted Suicide" Risk: Same-Sex Sexual
Orientation/Identity/Behavior vs. Others

Study Sexual
Minority
Others Attempted
Suicide
% (n / N)
Sampling Information
Grade - Age
OR, (95% CI) Comments
Olshen
et al.
(2007)

N = 8080
14 years and older
51% Female,
40.1% Hispanic,
36.0% black,
16.0% Asian/other,
 7.9% white
(F)
Gay/Lesbian
(F)
Heterosexual
?
Past 12 Months
0.9 (0.3-2.6)
(F)
Bisexual
(F)
Heterosexual
?
Past 12 Months
5.3 (2.9-9.8)
(F)
Unsure
(F)
Heterosexual
?
Past 12 Months
2.4 (1.1-5.4)
(F)
GLBU (All)
(F)
Heterosexual
?
Past 12 Months
3.7 (2.4-5.9)
(F)
GLBU (All)
(F)
Heterosexual
?
Past 12 Months
2.45 (1.31-4.56)
Model Controls with Associated ORs: Dating violence (1.6), Feeling sad or hopeless (3.6), Disordered eating (1.8), Unsafe at school (1.9), Physical fighting (1.6), Binge drinking (1.9).
(M)
Gay
(M)
Heterosexual
?
Past 12 Months
6.2 (1.7-22.7)
(M)
Bisexual
(M)
Heterosexual
?
Past 12 Months
12.8 (6.5-25.3)
(M)
Unsure
(M)
Heterosexual
?
Past 12 Months
6.8 (3.3-13.9)
(M)
GBU (All)
(M)
Heterosexual
?
Past 12 Months
9.0 (5.3-15.3)
(M)
GBU (All)
(M)
Heterosexual
?
Past 12 Months
3.44 (1.88-6.32)
Model Controls with Associated ORs: Sexual assault (3.9),  Feeling sad or hopeless (4.3), Disordered eating (2.6),  Drug use (2.3), Carried a gun (4.3).
Egan
et al.
(2007)
N = 7,103
GB or Same-Sex
Intercourse (M)
Gay = 118
Bisexual = 101

Others (m)
3,538

-
Those who were missing behavior and
identity were excluded (N=374).
"Significant differences were found between groups in reported tobacco, alcohol, and other drug use. Overall trends show that lesbian/gay/bisexual (LGB) youth were more likely to report ever using substances and increased alcohol use (days drank, binge drinking, age first used). Lesbian/bisexual girls and bisexual boys reported increased tobacco use (age first used, last 30-days, quantity). These data suggest that NYC LGB youth may face significantly greater risk for substance use than heterosexuals..."

LB or Same-Sex
Intercourse (F)
Lesbian = 132
Bisexual = 290
Others
3,565

-
Pathela (2008)
See the Powerpoint Presentation for the associations between same-sex behavior and sexual identity and other sex related life events in the New York City 2005 Youth Risk Behavior Survey. .

** Not Given. Estimate Made From Given Data. "RR" = Risk Ratio. "OR" = Odds Ratio
All RRs or ORs are Statistically Significant, Except for "ns" = Not Statistically Significant.
* M = Males - F = Females - *** YRBS = Youth Risk Behavior Survey




The Dane County [Wisconsin] Youth Assessment
Sexual Minority Suicidality 1
Categories
Hetero-
Sexual
n=12,559
Gay/
Lesbian
n = 90
Bi-
sexual
n = 331
Trans-
gender
n = 72
Questi-
oning
n = 217
GLB-
TQ 2
n = 654
Suicide Ideation: Past 30 Days, have you seriously thought about killing yourself?
Yes
8.1% 3
14.5%
OR: 1.9
p = 0.397
41.4%
OR: 8.0
p < 0.001
6.1%
OR: 0.74
p = 0.424
28.1%
OR: 4.4
p < 0.001
25.9%
OR: 4.0
p < 0.001
Rare/
Sometimes
7.7%
14.0%
OR: 1.9
p = 0.030
35.8%
OR: 6.7
p < 0.001
4.1%
OR: 0.51
p = 0.228
25.5%
OR: 4.1
p < 0.001
23.1%
OR: 3.6
p < 0.001
GLLAMM
ORs 4
Reference
Category
OR: 1.4
p = 0.261
OR: 6.8
p < 0.001
OR: 0.35
p = 0.056
OR: 3.5
p < 0.001
5 Not
Generated
All The
Time
0.4%
0.5%
OR: 1.2
p = 0.754
5.6%
OR: 14.8
p < 0.001
2.0%
OR: 5.1
p = 0.046
2.6%
OR: 6.6
p < 0.001
2.8%
OR: 7.2
p < 0.001
GLLAMM
ORs
4
Reference
Category
OR: 0.69
p = 0.726
OR: 17.8
p < 0.001
OR: 2.8
p = 0.187
OR: 5.6
p < 0.001
5 Not
Generated
Attempted Suicide: Past 12 Months, have you attempted to kill yourself?
Yes
2.4% 3 6.6%
OR: 2.9
p = 0.094
16.8%
OR: 8.2
p < 0.001
2.7%
OR: 1.1
p = 0.895
9.9%
OR: 4.5
p < 0.001
9.2%
OR: 4.1
p < 0.001
One
Time
1.8%
5.1%
OR: 2.9
p = 0.005
9.8%
OR: 5.9
p < 0.001
0.7%
OR: 0.38
p = 0.429
8.2%
OR: 4.9
p < 0.001
6.2%
OR: 3.6
p < 0.001
GLLAMM
ORs
4
Reference
Category
OR: 2.2
p = 0.044
OR: 5.9
p < 0.001
OR: 0.24
p = 0.261
OR: 4.0
p < 0.001
5 Not
Generated
More Than
Once
0.6%
1.6%
OR: 2.7
p = 0.305
7.0%
OR: 12.5
p < 0.001
2.0%
OR: 3.4
p = 0.156
1.7%
OR: 2.9
p = 0.036
3.0%
OR: 5.1
p < 0.001
GLLAMM
ORs
4
Reference
Category
OR: 1.6
p = 0.637
OR: 12.2
p < 0.001
OR: 2.1
p = 0.422
OR: 2.2
p = 0.159
5 Not
Generated

Data Source: Robinson & Espelage (2011) (2011a)
1. Anonymous survey (collected via SurveyMonkey in 2008–2009) from a total of 13,213 students (n = 3,826 middle school [Grades 7–8]; n = 9,387 high school [Grades 9–12]) in 30 schools in Dane County, Wisconsin. The response rate was very high, ranging from 90% to 95% across the 30 schools. The DCYA data set contains a total of 17,366 student
responses. About 4,000 were removed for a number of reasons.
2. The Total for Gay/Lesbian, Bisexual, Transsexual and Questionning is 710 and exceeds the total given for GLBTQ (654). This happened because sexual minority students could choose more than one sexual minority descriptive. This means that a study participant can be present/counted in more than one calculation column.
3. All percentage incidences and Statistical Significances are given by the study authors. The 2X2 ORs (Odds Ratios) were calcuated by the webpage author from the given percentages. They are therefore near-correct estimations.
All ORs are comparisons with Heterosexual results (the reference category).
4. GLLAMM: Generalized Linear Latent and Mixed Model. Predictors are given as Beta values that were converted to ORs by the webpage author. All ORs are comparisons with Heterosexual results (the reference category). Statistical Significances are given by study authors. The models also have Middle School vs. High School, and Females vs Males as control variables. In all categories, females report more suicidality than males (differences are moslty statistically significant), and middle school students report less suicidality that high school students, but differences are not statiscally significant.
5. Given the results for the GLLAMM ORs in the subcategories, as related to the corresponding 2X2 ORs (Immediately Above), it is likely that, if the
GLLAMM ORs for the GLBTQ category had been generated, they would be a little less than the 2X2 ORs (Immediately Above), with the statistical significance being about the same.
6. The
GLLAMM ORs are likely not as accurate as the 2X2 ORs, given that some sexual minority individuals are counted in more that one sexual minority category.





American Youth Risk Behavior Surveys: 2003 to 2011
Suicidality & Other Survey Results

Categories /
Information
Sources
Location, Year
Sample Size
Attempted Suicide,
Past Year, %

Related Information:
Percentages For GLBU
Odd Ratios (OR), 95% CI
Other Related Suicidality Results
Sexual
Minority
Hetero-
sexual
Benbow
(2005)
Sullivan &
Valles (2006)

Chicago 2003 YRBS:
968 students in 23
public high schools.
Grades 9-12
GLB 1
32%
RR = 2.9 2
Hetero-
sexual

11%
GLB = 6.3%, 7.3% M, 4.7% F. 3
GLB = 7.3% Black, 5.8% Hispanic. 4.9% White. Same-Sex Sex = 2.3%, 1.6% M, 2.9% F. Depression:
GLB vs. Heterosexual: 52% vs. 31%
Horn
(2008)
Horn
(2007)
Chicago 2005 YRBS:
941 students in 23
public high schools.
Grades 9-12

GL: 27.3%
B: 33.3%
RR: 3.6-4.4
Hetero-
sexual

7.5%
GLB = 4.2%. Unsure = 2.5% - GLB or Same-Sex Sex = 8.8% - African Americans (52.6%), Latino (26.8%), White (9.5%), Asian (3.2%) and other (7.9%).
Plan Suicide, Past year: 33.3% (GL), 35.0% (B)
vs. 9.7% (Heterosexual). RR: 3.4-3.6

VDH
(200_)
Outright
Vermont
(200_)
VDH (2006)
Vermont 2005 YRBS:
9,207-9,214 students
replied to sexual
orientation questions.
All Students Surveyed:
9,342 from High /
Middle Schools
Same-Sex
Sex: 42%
GL: 32%
B: 31%
Unsure: 18%
RR: 3.6-6.4
Opposite-
Sex Sex: 9%

Hetero-
sexual:
5%
Results Not Weighted. GL = 1.0%, B = 3.2%,
Unsure = 3.0%, Same-Sex Sex = 2.6%
Same-Sex-Sex. Females: Only With Females (0%), With Males & Females (2%). Males: Only With Males (0%), With Males & Females (1%). Results for many more "At Risk" behaviors are given in referenced document.
Total Survey: 31,617 eighth to twelfth grade students in 146 schools representing 59 supervisory unions.
Outright
Vermont
(200_)
VDH (2008)
Vermont 2007 YRBS:
8,364 students:
replied to sexual
orientation questions.
High / Middle Schools.
Census for Vermont:
95.3% White,
non Hispanic.
GL: 27%
B: 11%
Unsure: 15%, RR: 2.8-6.8
Hetero-
sexual
4%
All: GL = 1.1%, B = 3.4%, Unsure = 2.8%
Males:
GL = 1%, B = 2%, Unsure = 2%
Females: L = 1%, B = 5%, Unsure = 3%
Same-Sex-Sex. Females: Only With Females (1%), With Males & Females (3%). Males: Only With Males (1%), With Males & Females (2%).
Total Survey: 28,918 eighth to twelfth grade students in 144 schools representing 60 supervisory unions.
MCGLBTY
(2003)
Massachusetts
2003 YRBS:
3,624 Students,
Grade 9 - 12

GLB
40.4%
RR: 7.2
p < 0.05
Hetero-
sexual
7.2%
GLB = 3.5%.
 GLB or had Same-Sex Sex = 6.0%
Attempted Suicide, Required Medical
Attention: 18.3% vs. 2.2%, RR: 8.3,
p < 0.05
MCGLBTY
(2005)
Massachusetts
2005 YRBS:
3,522 Students,
Grade 9 - 12
GLB
24.8%
RR: 4.4
p < 0.05
Hetero-
sexual

5.7%
GLB = 3.7%.
 GLB or Had Same-Sex Sex = 6.4%
Attempted Suicide, Required Medical
Attention: 8.2% vs. 2.2%, RR: 3.7,
p < 0.05
MCGLBTY
(2007)
MDESE
(2008)

Massachusetts
2007 YRBS:
3,131 Students,
Grade 9 - 12
GLB
29.1%
RR: 4.5
p < 0.05
Hetero-
sexual
6.4%
GLB = 5.4%.
 GLB or Had Same-Sex Sex = 9.2%
Attempted Suicide, Required Medical
Attention: 12.1% vs. 2.2%, RR: 5.5,
p < 0.05
White (72.8%), Hispanic/Latino (14.5%), African American (6.8%), Asian (3.1%), Others (2.9%).
Boulder
County Public
Health
(2005)
Boulder, St. Vrain
School Districts: 2003
Youth Risk Behavior
Survey.
1,960 Students
Grade 9 - 12
GLBU
44.0%
RR: 3.3
Hetero-
sexual

13.5%
5.6% GLBU Gay, Lesbian, Bisexual + Unsure.
White (81.2, 74.3%), Hispanic/Latino (10.9, 21.6%), Asian (5.4, 2.6%), Black (1.8, 0.9%), Native
American (0.7. 0.7%).

Additional Suicidality Results.
Boulder
County Public
Health
(2006)
Boulder, St. Vrain
School Districts: 2005
Youth Risk Behavior
Survey.
2,956 Students
Grade 9 - 12
GLBU
23.6%
RR: 3.7
Hetero-
sexual

6.3%
0.07% Gay/Lesbian, 3.6% Bisexual, 2.2% Unsure.
White (72.1%), Hispanic/Latino (17.3%), Asian (4.1%), Black (1.6%), Native American (1.3%).
Seriously consider suicide: 45.9% (GLBU) vs.
15.0% (Heterosexual), RR: 3.1
Additional Suicidality Results.
Boulder
County Public
Health
(2008)
Boulder, St. Vrain
School Districts: 2007
Youth Risk Behavior
Survey.
2,106 Students
Grade 9 - 12
GLBU
23.0%
Past year
RR: 3.2

Hetero-
sexual

7.2%
89.0% Heterosexual, 1.5% Gay/Lesbian, 3.7% Bisexual, 2.3% Unsure, 2.3% None of The Above.
White (74.0%), Other ? (13.5%), Others ?
Seriously consider suicide: 49.7% (GLBU) vs.
14.1% (Heterosexual), RR: 3.5

Additional Suicidality Results.
Boulder
County Public
Health
(2010)
Boulder, St. Vrain
School Districts: 2009
Youth Risk Behavior
Survey.
2,106 Students
Grade 9 - 12
GLBU
20.3%
RR: 4.8
Hetero-
sexual

4.2%
90.7% Heterosexual, 9.3% GLBU.

Additional Suicidality Results.
Jiang
et al.
(2010)

Basic Results
RIDHESE
(2009):

At Risk for
27 of 30
"At Risk"
Behaviors

Rhode Island
2007 Youth
Risk Behavior
Survey.
2,210 Students
Grade 9 - 12

GLBU
31.0%
Hetero-
sexual
6.6%
Odds Ratio, No Controls:
6.4, p < 0.001
Odds Ratio, Many Controls:
3.5 (2.4, 5.2)
p < 0.001
See Table Below for
More Suicidality Results.
See Another Table for
"Attempted Suicide" Results Based on Sex Ethnicity.
DCPS
(2008)
Washington DC 2007
Youth
Risk Behavior. Survey. 1,783 Students: 1,532 replied to sexual orientation question.
1,523
replied to
same-sex sex question.

GLB
32.6%
RR:
3.8
Hetero-
sexual
8.6%
Males: G (3.0%), B (4.1%), Not Sure (3.0%). Females:
L (3.6%), B (6.3%), Not Sure (3.3%). Results likely
weighted. Raw Counts given and give slightly different
percentage results.
Females report same-sex sex with females only (5.2%) and Males/Females (3.6%). Males report lifetime same-sex sex with Males only (4.9%) and Males/Females (2.0%). Demographics: African American (82.0%), Hispanic/Latino (10.8), White (5.4%),
Asian/PI (1.6%), Others (0.2%)
WDPI (2008)
Crabe (2008)
GSASS
(2009)

Wisconsin 2007 Youth Risk Behavior. Survey.  2,094 Students
Grade 9 - 12,
56 Schools

Same-Sex
Sex, Lifetime
RR: 3.7
?
Females report lifetime same-sex sex with females only (1.6%) and Males/Females (5.4%). Males report lifetime same-sex sex with males only (2.0%) and Males/Females (1.6%). Greater risk for having attempted suicide in the past year is reported to be 3.7-times, but comparison group not stated. Could be "all others" or "only those who reported lifetime opposite-sex".
Census: White, non Hispanic (
85.4%), African American (6.0%), Hispanic / Latino (4.9%), Other (3.7%).
SFUSD
(2008)
ETRA
(2008b)

ETRA
(2008a)
San Francisco 2007 Youth Risk Behavior. Survey.
2,587 Students
Grade 9 - 12,
14 Schools

GLB
16%
RR: 3.3
Hetero-
sexual
5%
LGBQ (11%): Males (10%), Females (13%). Gay/ Lesbian (1.8%), Bisexual (3.7%), Not Sure (5.8%).
Transgender Demographics: All (1%), American Indian (20%), Hawaiian/PI (4%), Multiracial (4%), African American (3%), Chinese (1%), Filipino (1%), Other Asian (2%), Hispanic / Latino (0.4%), White (2%).
School Demographics: Chinese (36%), Hispanic/Latino (19%), African American (12%), Filipino (6%), Other Non-White (13%), Multiracial (2%), White (9%).
Hatzenbuehler
(2011)

Oregon Healthy
Teen Study
2006-2008
Grade 11
: Random
Combined
Lesbian or Gay

19.60%

RR: 4.6
p < 0.001
Hetero-
Sexual

4.21%
Reported Identities:
Heterosexual, n=30,439,
60.8% Male
Lesbian or Gay, n = 301, 49.5% Male
Bisexual, n = 1,112, 25.0% Male
72.8% to 73.5% White
Attempted Suicide, Past Year
RR: Risk Ratios Calculated by Webpage Author. Statistical Significance given by Study Author.
Given ORs, Unadjusted:
Lesbian/Gay vs. Heterosexual:
OR: 5.99 [95% CI: 4.48–8.04]
Bisexual
vs. Heterosexual:
6.60 [95% CI: 5.67–7.70]
Given ORs, Adjusted:
Lesbian/Gay vs. Heterosexual:
OR: 3.48 [95% CI: 2.33–5.20]
Bisexual
vs. Heterosexual:
2.82 [95% CI: 2.32–3.42]

Bisexual

22.03%

RR: 5.2
p < 0.001
Hetero-
Sexual

4.21%
Shields
et al.
(2011)

2009 San Francisco
Youth Risk Behavior Survey. Grade 9-12
N = 2,154
Gay, Lesbian &
Bisexual

23%
Hetero-
sexual


8%
Weighted, No Control Variables:
OR (Odd Ratio): 3.6
p < .05
OR, Weighted, 5 Control Variables
OR (Odd Ratio): 2.2
[95% CI: 1.2–4.2]
OR Results also given for Depression & Making a Suicide Plan, with GLB Students being more at risk.
Kessel-Schneider
et al.
(2011-2012)

Massachussett's 2008
MetroWest Adolescent Health Survey:
High Schools
Gay, Lesbian,
Bisexual &
Unsure
n = 1,261
? %
OR:
5.17
(4.05, 6.60)
Hetero-
sexual

n =
18,795
? %
OR - Odds Ratio - Calculated using many control variables.
See Table Below for additional results:
Depression, Non-Suicidal Self-Injury,  Suicide Ideation & Attempting Suicide Requiring Medical Treatment.
All for Past One Year Period.

1.
GLBUQ = Gay, lesbian, Bisexual, Unsure, Questioning. - 2. Risk Ratio. - 3. M = Males - F = Females





Rhode Island 2007 Youth Risk Behavior Survey
Sexual Orientation Results
Categories
Hetero-
sexual
n = 1,954
%, 95%CI
1
Gay, Lesbian
Bisexual, Unsure
n = 225
%, 95%CI 1
Odds Ratio
No
Controls 2
Odds Ratio
  Using Many
Controls
1
Sad, Hopeless
for 2 Weeks
20.8 (18.3, 23.4)
50.3 (41.9, 58.7)
OR: 3.8
p < 0.001
2.4 (1.7, 3.5)
p < 0.001
Considered
Suicide
9.6 (8.5, 10.7)
33.5 (21.6, 45.3)
OR: 5.2
p
< 0.001
2.7 (1.6, 4.5)
p < 0.001
Planned
Suicide
9.7 (8.6, 10.8)
26.8 (17.4, 36.2)
OR: 3.4
p < 0.001
2.0 (1.2, 3.4)
p < 0.05
Attempted
Suicide
6.6 (5.5, 7.8)
31.0 (22.5, 39.4)
OR: 6.4
p < 0.001
3.5 (2.4, 5.2)
p < 0.001
Attempted,
Received
Medical Care
3.1 (2.0, 4.1)
10.5 (6.8, 14.2)
OR: 3.7
p < 0.001
2.0 (1.1, 3.5)
p < 0.05

Data Source: Jiang et al. (2010)
1. Reported by Study Authors.
2. Statistical Significance Given by Study Authors. Odds Ratios Calculated by Webpage Author From Given Weighted Percentages.




Rhode Island 2007 Youth Risk Behavior Survey
Sexual Orientation Related "Attempted Suicide" Results


Categories
n's
% Attempted
Suicide: All
in Category
% Attempted
Suicide:
Heterosexual
% Attempted
Suicide:
GLBU
% Attempters
in Category =
GLBU
All
Students *
1,874
177 / 1,874 =
9.4%
115 / 1,685 =
6.8%
62 / 189 =
32.8%, RR: 4.8
OR: 6.7 (4.6, 9.7)
p < 0.000
62 / 177 =
35.0%
White
Students *
1,182
86 / 1,182 =
7.3%
51 / 1,066 =
4.7%
35 / 106 =
33.0%. RR: 7.0
OR: 9.8 (5.8, 16.5)
p < 0.000
35 / 86 =
40.7%
Students
Of Color **
692
91 / 692 =
13.1%
64 / 609 =
10.5%
27 / 83 =
32.5%, RR: 3.1
OR: 4.1 (2.3, 7.2)
p < 0.000
27 / 91 =
29.7%
All
Males *
888
72 / 888 =
8.1%
49 / 810 =
6.0%
23 / 78 =
29.5%, RR: 4.9
OR: 6.5 (3.5, 11.8)
p < 0.000
23 / 72 =
31.4%
White
Males *
549
30 / 549 =
5.5%
21 / 514 =
4.1%
9 / 35 =
25.7%, RR: 6.3
OR: 8.1 (3.1, 21.0)
p < 0.000
9 / 30 =
30.0%

Males Of
Color **
339
42 / 339 =
12.4%
28 / 296 =
9.5%
14 / 43 =
32.6%, RR: 3.4
OR: 4.6 (2.0, 10.4)
p < 0.000
14 / 42 =
33.3%
All
Females *
981
104 / 981 =
10.6%
66 / 872 =
7.6%
38 / 109 =
34.9%, RR: 4.6
OR: 6.5 (4.0, 10.7)
p < 0.000
38 / 104 =
36.5%
White
Females *
633
56 / 633 =
8.8%
30 / 562 =
5.3%
26 / 71 =
36.6%, RR: 6.9
OR: 10.2 (5.3, 19.6)
p < 0.000
26 / 56 =
46.4%
Females Of
Color **
348
48 / 348 =
13.8%
36 / 310 =
11.6%
12 / 38 =
31.6%, RR: 2.7
OR: 3.5 (1.5, 8.0)
p = 0.002
12 / 48 =
25.0%

Data Source: Tremblay (2009)
: Unweighted Results Generated Online From the Data Set.


Odds Ratio (OR) Estimates Calculated by Web Page Author Using the Given Not Weighted Counts: http://statpages.org/ctab2x2.html

* Exact Counts / Results. ** Approximate Counts / Results: A Few Additional Counts.




Massachussett's 2008 MetroWest Adolescent Health Survey: High Schools
Sexual Minority Depression, Non-Suicidal Self-Injury & Suicidality

Categories
Hetero-
sexual

n = 18,795
93.7%
Gay, Lesbian
Bisexual &
Unsure
n = 1,261
6.3%
* Odds Ratios:
Compared to
Heterosexual
Students
Depression **
? %
? % 2.36 (1.97, 2.83)
Seriously Considered
Suicide: Suicide Ideation
? % ? % 3.43 (2.83, 4.16)
Non-Suicidal Self-Injury
NSSI
? % ? % 4.12 (3.42, 4.96)
Attempted
Suicide
? % ? % 5.17 (4.05, 6.60)
Attempted Suicide,
Medical Treatment
? % ? % 5.34 (3.69, 7.74)
Data Source: Kessel-Schneider et al. (2011-2012)
* All Adjusted Odds Ratios: Controlling With Many Variables.
** All Variables for Past One Year Period.




Adolescent Public School Surveys: Random / Near-Random
"Attempted Suicide" Risk: Same-Sex Sexual Behavior,
Sexual Fantasies or Romantic Attraction vs.
Opposite-Sex Behavior, Attraction, Fantasies

Study Sexual
Minority
Others Attempted
Suicide
% (n / N)
Sampling Information
Grade - Age
OR, (95% CI) Comments
Eisenberg
&
Resnick (2006)

402 (M*)
Same-Sex
Partners
1,135 (M)
Only Opposite
Sex Partners
29.0% vs. 12.6%
RR: 2.3
Lifetime
2004 Minnesota Student Survey
N = 21, 927. Grades 9 & 12
Sex Partners: In The Past Year
Males: OR = 2.5 (2.1, 3.0)
Females: OR = 2.6 (2.2, 3.2)
ORs: Controlling for Demography
409 (F*)
Same-Sex
Partners

2,559 (F)
Only Opposite
Sex Partners

52.4% vs. 24.8%
RR: 2.1
Lifetime
Pinhey &
Millman
(2004)

? 24 (M)
Gay, Bisexual
? 650 (M)
? 44.0% vs.
? 14.5%
2001Guam Youth Risk Behavior Survey (YRBS): Grade 9 to 12, 2.9% White
Males, OR = 5.0 (2.1, 11.8)
Females, OR = 2.6 (1.2, 6.0)
Unadjusted ORs: No Controls
Other Results & Estimate (?) Problems

? 25 (F)
Lesbian, Bisexual
? 682 (M)
? 52.0% vs.
? 27.4%
Robin
et al.
(2002)

585 (MF)
Same-Sex
Partners,
Ever

6,873 (MF)
Opposite Sex
Partner,
Only
** 32.0% vs.
11.9%
RR: 2.7
12 Months
1995 & 1997 Vermont YRBSs, Combined: Grade 9 to 12
OR = 4.0 (2.9, 5.6), With Controls
228 (MF)
Same-Sex
Partners, Ever

3,948 (MF)
Opposite Sex
Partner, Only

** 36.5% vs.
12.4% - RR: 2.9
12 Months
1995 & 1997 Massachusetts YRBSs, Combined: Grade 9 to 12
OR = 4.9 (2.8, 8.7), With Controls
585 (MF)
Same-Sex
Partners, Ever
6,873 (MF)
Opposite Sex
Partner, Only
** 17.8% vs.
4.5% - RR: 3.9
Medical Care
Attempted Suicide Resulting in
Having Received Medical Care
Past 12 Months (Vermont)
OR = 4.8 (2.9, 8.0), With Controls
228 (MF)
Same-Sex
Partners, Ever
3,948 (MF)
Opposite Sex
Partner, Only
** 20.5% vs.
4.5% - RR: 4.6
Medical Care
Attempted Suicide Resulting in
Having Received Medical Care
Past 12 Months (Massachusetts)
OR = 5.0 (2.7, 9.3), With Controls
Russell &
Joyner
(2001)

453 (M)
Same-Sex
RA/Re
5,233 (M)
5.0% vs.
2.0%
RR: 2.5
12 Months
National Longitudinal Survey
of Adolescent Health (1994-95)
Same-Sex RA (
Romantic Attraction) /Re (Relationships)
Males - OR = 2.45 (1.5, 3.9)
Females - OR = 2.48 (1.7, 3.6)
ORs: Controlling for Demography

414 (F)
Same-Sex
RA/Re

5,840 (F)
12.2% vs.
5.0%
RR: 2.4
12 Months
Faulkner
& Cranston
(1998)

105 (MF)
Same-Sex
Partners,
Ever

1,563 (MF)
Opposite Sex
Partner,
Only

27.5% vs. 13.4%
RR: 2.0
1993 Massachusetts YRBS: Grade 9 to 12 - RR's Are Significant, p < 0.05
All Suicide Attempts &
Attempt(s) With Associated
Medical Care Occurred During The
Last 12  Months

20.0% vs. 4.7%
RR: 4.3 - Medical Care Related
Barney
(2003)

65 (M)
Same-Sex Sex
Fantasies Only
4,254 (M)
Opposite-Sex
Sex Fantasies
Only
23.2%
vs.
11.1%
RR: 2.1
1988 Adolescent Health Survey: Grade 7 to 12 -USA Indian/Alaka Native Reservations. RR: p < 0.01
Additional Results
Other
Studies

Sexual minority suicidality results from many other large scale adolescent surveys - especially Youth Risk Behavior Surveys - have been reported in non-peer-reviewed venues such as reports and web pages. Some of these results are given on another Web Page and show that, generally, sexual minority adolescents are at increasing risk for the more serious suicide behavior, compared to other adolescents. Summaries of suicidality results for adolescent school surveys are located here.
** Not Given. Estimate Made From Given Data. "RR" = Risk Ratio. "OR" = Odds Ratio
All RRs or ORs are Statistically Significant, Except for "ns" = Not Statistically Significant.
* M = Males - F = Females



2001 Guam Youth Risk Behavior Survey Suicidality Results
Gay, Lesbian, Bisexual vs. Other Adolescents
Pinhey & Millman (2004) Study
Categories
N's
All
N's 1
Respon-
ders
Attempted
Suicide
Odds Ratios, (95%CI)
Unadjusted / Adjusted
All (Ethnicities)
1,381
?
?

All Males
674 ?
14.5%

Males: Gay
& Bisexual
24 2
?
44.0% 3
Greater Risk for Attempting Suicide:
Gay/Bisexual Males vs. Other Males
OR = 2.45 (1.5, 3.9), No Controls
OR = 5.1 (1.6, 15.5), 8 Control Variables
Males, Others
650 2 ?
14.5% 3
All Females
707 2 ?
28.2%

Females: Lesbian
& Bisexual
25 2 ?
52.0% 3 Greater Risk for Attempting Suicide:
Lesbian & Bisexual Females vs.
Other Females
OR = 2.48 (1.7, 3.6), No Controls
OR = 2.2 (0.84, 5.6), 8 Control Variables, ns

Females, Others
682 2 ?
27.4% 3
1. The number for students who responded to both the "sexual orientation" and "attempted suicide"  questions are not given.
2. Estimated from given proportion of student population that gay/bisexual (3.5% of males) and lesbian/bisexual (3.5% of females). Nonresponders likely and numbers may be less.
3. Estimated using given Ns (assuming no nonresponders) for population/subpopulation and numbers of attempters by using a a 2X2 Computation Table. That is, placing varying number estimates in 2X2 table to produce ORs for males and females (Attempted Suicide Risk, Sexual Minority vs. others, for each sex) that are as close as possible to the given ORs, without controls having been used to generate them.
Ethnicity: 'Self-reported ethnicity consists of Chamorros (53.3% of the sample), Filipinos (25.9%), Asians (5.9%), Micronesians (7.2%), whites (2.9%), and other ethnicities (4.8%). The Asian category includes Chinese, Japanese, Vietnamese, and Korean respondents. The Micronesian category includes Chuukese, Yapese, Korean, Pohnpeian, and Palauan respondents. The ‘‘other ethnicity’’ category includes African Americans, Hispanics, and other Pacific Islanders.' (Pinhey & Brown, 2005)



1988 Adolescent Health Survey: Grade 7 to 12
USA Indian / Alaska Native Reservations

Sexual
Fantasies
Opposite-
Sex Only
Same-Sex
Only
Both-
Sex
Lifetime Attempted Suicide
Incidence, Males
11.7%
(n = 515)
25.0%
(n = 17)
10.9%
(n = 21)
Lifetime Attempted Suicide.
Incidence, Females
25.2%
(n = 925)
15.1%
(n = 14)
16.8%
(n = 83)
Data Supplied by Borowski et al. (1999). Analysis for Same- vs. Opposite Sex Fantasies Males carried out by Barney (2003) who gives the "Sexual Fantasy" question: “When you think or daydream about sex, do you think about males, females, or both?”

Note: Bisexual males not at risk. Homosexual/Bisexual Females at Lesser Risk than Heterosexual Females. But replication studies never carried out since 1988.





"Attempted Suicide" Risk: Random Samples, North America
Homosexually vs. Heterosexually Oriented Adults
Study
Sample
Size (N)
GLB
Compa-
rison
Group
Attempted
Suicide
% (n / N)
Sampling Information
Age
Odds Ratio (95% CI)
Bagley &
Tremblay
(1997)

82 (M*)
Homosexual,
or Bisexual
or Same-Sex Sex, Past 6 Months
668 (M)
Heterosexual,
With No
Same-Sex Sex,
Past 6 Months
6.1%
(5 / 82)
vs. 0.45%
(3 / 668)
Lifetime
Calgary, Alberta, Canada
Stratified Random Sample: 1992
Lifetime Attempted Suicide (Serious)
Males, 18 to 27 years
OR = 14.4 (3.4, 61.4)
Cochran
& Mays
(2000)

78 (M)
Reporting
Lifetime
Male Sex
Partner(s)
3,214 (M)
Reporting
Only Lifetime
Female Sex
Partners
19.3%
vs.
3.6%
(Weighted)
Lifetime
USA: NHANES III Survey: 1988/94
Complex, multistage USA sample, civilian noninstitutionalized population.
Subsample: Men, 17 to 39 Years
OR = 6.45 (2.7, 15.2)
OR = 5.36 (2.2, 13.0), With
Demographic Control Variables
Gilman
et al.
(2001)

74 (M)
Reporting
Male
Sex Partner(s)
Past 5 Years
2,310 (M)
Reporting
Only Female
Sex Partner(s)
Past 5 Years

(Weighted)
Lifetime
National Comorbidity Survey: 1992
Complex, multistage USA sample.
Age = 15 to 54 Years.

OR = 2.4 (1.0, 5.8), With
Demographic Control Variables
51 (F*)
Reporting
Female
Sex Partner(s)
Past 5 Years

2,475 (F)
Reporting
Only Male
Sex Partner(s)
Past 5 Years

(Weighted)
Lifetime
National Comorbidity Survey: 1992
Complex, multistage USA sample.
Age = 15 to 54 Years.
OR = 1.5 (0.7, 3.4), With
Demographic Control Variables
Paul
et al.
(2002)
Additional
Results

2,881 (M*)
93%  Mostly Gay,
Homosexual or Bisexual
Identified
MSM: Men Who Have Sex With Men
None
12%:
Lifetime
8%:
Before Age
of 25 Years
Random (Telephone): New York, Chicago, Los Angeles, San Francisco.
Age Range: 18 to 70+ Years
75% of males first attempted suicide
before the age of 25 years.
Cochran
et al. (2007)
N =
4,649
> = 18 Years
Latino &
Asian. National
Household
NLAAS
Survey

84 (M): GB Identified or Same-Sex Sex, Past year
1,982
8.0% vs. 2.3%
Lifetime
RR = 3.5
0.86<3.37<13.21
Weighted, With Controls, ns
84 (M) 1,982
2.4% vs. 0.3
Past Year
RR = 8
1.63<6.43<25.36
Weighted, With Controls
161 (F) LB Identified or Same-Sex Sex, Past year 2,271
8.5% vs. 5.2%
Lifetime
RR = 1.6
0.79<1.71<3.71
Weighted, With Controls,  ns
161 (F) 2,271
2.4 vs. 0.6
Past Year
RR = 4
0.84<4.98<29.33
Weighted, With Controls, ns
Silenzio
et al.
(2007)
GLB
176 (M)
271 (F)
Heterosexual & Mostly Heterosexual
Identified
6,535 (M)
7,207 (F)
4.9%
vs.
1.6%
Past Year
National Longitudinal Study of Adolescent Health: 14,322 (MF). GLB = bisexual, mostly homosexual, or exclusively homosexual identified.
Age = 18 to 26 years.
Attempted suicide in the past 12 months. OR: 1.4<3.0<6.2,
controlling for race, gender, and age.
Steele
et al.
(2009)
Women
Homosexual
N = 354, 0.57%
Bisexual
N = 424, 0.69%
Heterosexual
N = 60,937,
98.4%
Homosexual
29.5% vs.9.6%
OR: 3.9
Bisexual
45.4% vs. 9.6%
OR : 5.9
Canadian Community Health Survey: cycle 2.1, 2003 national population-based survey designed to gather health data on a representative sample of over 135,000 Canadians.
Women in Analysis: N = 61,715
, 18-59 Years
Men in Analysis: 49,901, 18-59 Years
Only Suicidality Question asked: ‘‘Have you ever seriously considered committing suicide or taking your own life?’’ Unadjusted Odds Ratios Given. See Adjusted Odds Ratios: Table Below.
Brennan
et al.
(2010)
Men
Homosexual
1.3%
Bisexual
0.6%
Heterosexual
98.1%
Homosexual
25.2% vs. 7.4%
OR : 4.2
Bisexual
34.8% vs. 7.4%
OR : 6.7
VanKim & Padilla (2010) (M) (F)
Gay / Lesbian
Attempted, Yes, n = 13
(M) (F)
Heterosexual
Attempted, Yes,
n = 263
23.7% vs.
5.3%
OR: 5.5
New Mexico: The 2006 Behavioral Risk Factor Surveillance System Survey.
See Two Tables Below: For Results, Males & Females, Separated. Also See Results for Depression and Suicide Ideation, Gay/Lesbian & Bisexual, and also Separated by Sex.

(M) (F)
Bisexual
Attempted, Yes, n = 11
(M) (F)
Heterosexual
Attempted, Yes,
n = 263
22.7% vs.
5.3%
OR: 5.2
Bolton & Sareen
(2011)

Men
Gay: 1.31%
Heterosexual
97.65%

9.8% vs. 2.1%
OR:
2.3<4.4<8.6
National Epidemiologic Survey on Alcohol and Related Conditions, Wave 2 (Canada, 2004-2005): Men (N = 14.481) & Women (N = 19,896).
Reported Odds Ratios, Using Demographic Control Variables
.
More Results: Tables Below: Men. Women.
Bisexual: 0.56%
10.0% vs. 2.1%
OR:
1.9<4.4<10.3
Unsure: 0.48%
8.5% vs. 2.1%
OR:
1.2<3.4<9.3
Bolton & Sareen
(2011)

Women
Lesbian: 0.73%
Heterosexual:
97.95%
10.9% vs. 4.2%
OR:
1.6<3.0<5.5
Bisexual: 0.81%
24.4% vs. 4.2%
OR:
3.7<5.9<9.3
Unsure: 0.51%
9.9% vs. 4.2%
OR:
0.7<2.3<7.3
* M = Males - F = Females -- ** RR = Risk Ratio, Estimated - "ns" = Not Statistically Significant




National Canadian Community Health Survey (2003)
Results for "Seriously Considered Suicide," Lifetime
Study
Homo-
sexual
Bisexual
Hetero-
sexual
Homosexual
vs.
Hetero-
sexual *
Bisexual
vs.
Hetero-
sexual *
Study Information
Steele
et al.
(2009)
Women
Homosexual
N = 354, 0.7%
Bisexual
N = 424, 0.9%
Heterosexual
N = 60,937
29.5% vs.
9.6%
OR 1:
3.9
OR 2:
1.9<3.5<6.6
45.4% vs.
9.6%
OR 1:
7.8
OR 2:
3.0<5.9<11.8
Canadian Community Health Survey: cycle 2.1, a 2003 national population-based survey designed to gather health data on a representative sample of over 135,000 Canadians.
Women in Study: N = 61,715
, 18-59 Years. In OR Analysis: 23,729.
Men in Study: 49,901, 18-59 Years
Only Suicidality Question asked: ‘‘Have you ever seriously considered committing suicide or taking your own life?’’
Brennan
et al.
(2010)
Men
Homosexual
1.3%
Bisexual
0.6%
Heterosexual
98.1%
25.2% vs.
7.4%
OR 1:
4.2
OR 2:
2.1<4.1<8.0
34.8% vs.
7.4%
OR 1:
6.7
OR 2:
2.1<6.3<19.1


* For Having Seriously Considered Suicide in Lifetime.
1. Basic OR (Odd Ratio) Calculated by Webpage Author, Using Given Percentages, Unadjusted
2. Given Odd Ratio, With 95% Confidence Intervals, Using Contol Variables

Sexual Orientation Question: Do you consider yourself to be: 1. ... heterosexual? (sexual relations with people of the opposite sex) - 2. ... homosexual, that is lesbian or gay? (sexual relations with people of your own sex) - 3. ... bisexual? (sexual relations with people of both sexes)

Comment: As a rule in studies, homosexually oriented individuals have been at greater risk for the more serious suicidal behaviors, with ORs being about 1.5 to 7.0 for "seriously considering suicide" and OR being about 2 to 14 for "having attempted suicide, with such outcomes differences especially applying for males. See Related Webpage.
It is therefore possible, and especially for homosexually oriented men, that - had "attempted suicide" information been solicited in the study, the ORs for Homosexual / Bisexual men having attempted suicide, compared to Heterosexual men, would have been greater than those noted above for 'had seriously considered suicide in their lifetime'.






National Epidemiologic Survey on Alcohol and Related Conditions, Wave 2 (Canada, 2004-2005): Men
Categories
Hetero-
sexual
Gay
Bisex-
ual
Not
Sure
Study
Information
N
14,109
190
81
101
Survey Response Rate = 70.2%
For Wave 2
Survey, Wave 1 : 2001-2001.

Demographic Variables:
age, marital status, education, household income, race/ethnicity,
region of residence,
and urban/city.
Mental Disorders, Lifetime:
Mood & Anxiety Disorders,
Any Substance Use Disorder,
Any Cluster A or C personality
disorder, Any Cluster B personality disorder, and
Schizophrenia, psychotic
illness, or episode
% of Total = 14.481 **
97.4%
1.3%
0.56%
0.70%
Attempted Suicide,
Lifetime / 95% CI,

Not Adjusted
2.1%
1.8–2.5
9.8% *
5.7–16.4
10.0% *
4.9–19.4
8.5% *
3.5–19.4
Odd Ratios, Not
Adjusted **
Reference
Category
5.1 *
5.2 *
4.3 *
Odd Ratios, Adjusted for
Demographic Variables
Reference
Category
4.4 *
2.3–8.6
4.4 *
1.9–10.3
3.4 *
1.2–9.3
Odd Ratios, Adjusted for
Demographic Variables &
Mental Disorders, 96% CI
Reference
Category
2.27 ns
(0.99–5.21)
2.92 *
(1.12–7.63)
1.55 ns
(0.51–4.68)

Data Source: Bolton &
Sareen (2011)
* Statistically Significant. - ns: Not Statistically Significant
Calculated by Web Page Author






National Epidemiologic Survey on Alcohol and Related Conditions, Wave 2 (Canada, 2004-2005): Women
Categories
Hetero-
sexual
Lesbian
Bisex-
ual
Not
Sure
S