Journal of the American Academy of Child & Adolescent Psychiatry
Volume 49, Issue 2 , Pages 104-113 , February 2010

Suicidal Ideation and Attempt Among Adolescents Reporting “Unsure” Sexual Identity or Heterosexual Identity Plus Same-Sex Attraction or Behavior: Forgotten Groups?

  • Yue Zhao, B.A.

      Affiliations

    • McGill University
    • Jewish General Hospital
  • ,
  • Richard Montoro, M.D.C.M., M.Sc., FRCPC

      Affiliations

    • McGill University
    • McGill University Sexual Identity Centre of the McGill University Health Centre, Montréal, Québec
  • ,
  • Karine Igartua, M.D.C.M., FRCPC

      Affiliations

    • McGill University
    • McGill University Sexual Identity Centre of the McGill University Health Centre, Montréal, Québec
  • ,
  • Brett D. Thombs, Ph.D.

      Affiliations

    • McGill University
    • Jewish General Hospital
    • Corresponding Author InformationCorrespondence to: Brett D. Thombs, Ph.D., Jewish General Hospital; 4333 Côte-Sainte-Catherine Road; Montréal, QC H3T 1E4

,Accepted 29 November 2009.

References 

  1. Hershberger SL, D'Augelli AR. The impact of victimization on the mental health and suicidality of lesbian, gay, and bisexual youths. Dev Psychol. 1995;31:65–74
  2. Remafedi G, French S, Story M, Resnick MD, Blum R. The relationship between suicide risk and sexual orientation: results of a population-based study. Am J Public Health. 1998;88:57–60
  3. Safren SA, Heimberg RG. Depression, hopelessness, suicidality, and related factors in sexual minority and heterosexual adolescents. J Consult Clin Psych. 1999;67:859–866
  4. Blake S, Ledsky R, Lehman T, Goodenow C, Sawyer R, Hack T. Preventing sexual risk behaviors among gay, lesbian, and bisexual adolescents: the benefits of gay-sensitive HIV instruction in schools. Am J Public Health. June 1, 2001;91:940–946
  5. Garofalo R, Wolf RC, Kessel S, Palfrey J, DuRant RH. The association between health risk behaviors and sexual orientation among a school-based sample of adolescents. Pediatrics. 1998;101:895–902
  6. Fergusson DM, Horwood LJ, Beautrais AL. Is sexual orientation related to mental health problems and suicidality in young people?. Arch Gen Psychiatry. 1999;56:876–880
  7. Sandfort TGM, de Graaf R, Bijl RV, Schnabel P. Same-sex sexual behavior and psychiatric disorders: findings from the Netherlands mental health survey and incidence study (NEMESIS). Arch Gen Psychiatry. 2001;58:85–91
  8. Strong SM, Williamson DA, Netemeyer RG, Geer JH. Eating disorder symptoms and concerns about body differ as a function of gender and sexual orientation. J Soc Clin Psychol. 2000;19:240–255
  9. DuRant RH, Krowchuk DP, Sinal SH. Victimization, use of violence, and drug use at school among male adolescents who engage in same-sex sexual behavior. J Pediatr. 1998;133:113–118
  10. Garofalo R, Wolf RC, Wissow LS, Woods ER, Goodman E. Sexual orientation and risk of suicide attempts among a representative sample of youth. Arch Pediatr Adolesc Med. 1999;153:487–493
  11. Remafedi G, Resnick M, Blum R, Harris L. Demography of sexual orientation in adolescents. Pediatrics. 1992;89:714–721
  12. Eisenberg ME, Resnick MD. Suicidality among gay, lesbian and bisexual youth: the role of protective factors. J Adolescent Health. 2006;39:662–668
  13. Noell JW, Ochs LM. Relationship of sexual orientation to substance use, suicidal ideation, suicide attempts, and other factors in a population of homeless adolescents. J Adolescent Health. 2001;29:31–36
  14. Russell ST, Joyner K. Adolescent sexual orientation and suicide risk: evidence from a national study. Am J Public Health. 2001;91:1276–1281
  15. Chung YB, Katayama M. Assessment of sexual orientation in lesbian/gay/bisexual studies. J Homosex. 1996;30:49–62
  16. Igartua K, Thombs DB, Burgos G, Montoro R. Concordance and discrepancy in sexual identity, attraction, and behaviour among adolescents. J Adolesc Health. 2009;45:602–608
  17. Savin-Williams RC. A critique of research on sexual-minority youths. J Adolesc. 2001;24:5–13
  18. Cochran SD, Sullivan JG, Mays VM. Prevalence of mental disorders, psychological distress, and mental health services use among lesbian, gay, and bisexual adults in the United States. J Consult Clin Psychiatry. 2003;71:53–61
  19. McCabe SE, Boyd C, Hughes TL, d'Arcy H. Sexual identity and substance use among undergraduate students. Substance Abuse. 2003;24:77–91
  20. Wichstrom L, Hegna K. Sexual orientation and suicide attempt: a longitudinal study of the general Norwegian adolescent population. J Abnorm Psychol. 2003;112:144–151
  21. Rosario M, Schrimshaw EW, Hunter J, Braun L. Sexual identity development among lesbian, gay, and bisexual youths: consistency and change over time. J Sex Res. 2006;43:46–58
  22. Cass VC. Homosexuality identity formation. J Homosex. 1979;4:219–235
  23. Brener ND, Collins JL, Kann L, Warren CW, Williams BI. Reliability of the Youth Risk Behavior Survey Questionnaire. Am J Epidemiol. 1995;141:575–580
  24. Hosmer DW, Lemeshow S. Applied Logistic Regression. 2nd ed.. New York: John Wiley & Sons; 2000;
  25. Statistics Canada. 2001 Community Profiles. Statistics Canada Catalogue [93F0053XIE]. 2002;
  26. Herek GM, Cogan JC, Gillis JR, Glunt EK. Correlates of internalized homophobia in a community sample of lesbians and gay men. J Gay Lesbian Med Assoc. 1998;2:17–26
  27. Mays VM, Cochran SD. Mental health correlates of perceived discrimination among lesbian, gay, and bisexual adults in the United States. Am J Public Health. 2001;91:1869–1876
  28. Herek GM, Cogan JC, Gillis JR, Glunt EK. Correlates of internalized homophobia in a community sample of lesbians and gay men. J Gay Lesbian Med Assoc. 1998;2:17–26

 This article is discussed in an editorial by Dr. Neal D. Ryan on page 89.

 This study was supported by funds from the McGill University Department of Psychiatry's One in Three Foundation awarded to Dr. Montoro.

 Disclosure: Ms. Zhao is supported by a Joseph-Armand Bombardier Canada Graduate Scholarship from the Social Science and Humanities Research Council of Canada. Dr. Thombs is supported by a New Investigator Award from the Canadian Institutes of Health Research and an Établissement de Jeunes Chercheurs award from the Fonds de la recherche en santé du Québec. Drs. Igartua and Montoro report no biomedical financial interests or potential conflicts of interest.

PII: S0890-8567(09)00016-1

doi: 10.1016/j.jaac.2009.11.003

Journal of the American Academy of Child & Adolescent Psychiatry
Volume 49, Issue 2 , Pages 104-113 , February 2010