{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T10:00:56Z","timestamp":1790848856883,"version":"4.1.0"},"reference-count":60,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"unspecified","delay-in-days":273,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"funder":[{"DOI":"10.13039\/501100004836","name":"Danmarks Frie Forskningsfond","doi-asserted-by":"publisher","award":["10.46540\/2099-00009B"],"award-info":[{"award-number":["10.46540\/2099-00009B"]}],"id":[{"id":"10.13039\/501100004836","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Epidemiol Psychiatr Sci"],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S2045796026100997_sec1a\">\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>Sexual minority adolescents consistently exhibit a higher prevalence of suicidality compared with their heterosexual peers. This study aims to decompose the disparity in suicidal ideation by quantifying the extent to which it is attributable\u00a0to differences in exposure to risk and protective factors between heterosexual and sexual minority adolescents, as opposed to differences in their responses to these factors. In addition, this study addresses the limited evidence from Chinese contexts by examining these mechanisms among adolescents in Hong Kong.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S2045796026100997_sec2b\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Data were extracted from a population-based survey conducted among local secondary school students in Hong Kong in 2021, encompassing 6883 adolescents. Logistic regression examined the factors associated with suicidal ideation. Decomposition analysis assessed the contribution of these factors to disparities in suicidal ideation between heterosexual and sexual minority adolescents, as well as disparities between sexual minority boys and girls.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S2045796026100997_sec3c\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Body dissatisfaction, cyberbullying, sexual harassment, perceptions of family life and academic performance were associated with suicidal ideation among adolescents, irrespective of their sex or sexual orientation. Approximately 31%\u201345% of the disparities in suicidal ideation were driven by differences in their exposure to risk and protective factors, and 55%\u201369% were driven by differences in how these factors relate to suicidal ideation and potentially unobserved characteristics. Among these factors, perceptions of family life played the most substantial role. Sex-specific patterns were also observed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S2045796026100997_sec4d\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The higher prevalence of suicidal ideation among Chinese sexual minority adolescents appears to reflect both their greater exposure to stress and lower levels of support, as well as their distinct responses to these factors. Family-related factors are crucial for understanding this disparity. The observed sex differences emphasize the necessity for more nuanced approaches to addressing the varied experiences of sexual minority adolescents in Chinese societies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s2045796026100997","type":"journal-article","created":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T09:52:44Z","timestamp":1790848364000},"source":"Crossref","is-referenced-by-count":0,"title":["Decomposing sexual orientation disparities in suicidal ideation among Chinese adolescents"],"prefix":"10.1017","volume":"35","author":[{"given":"Zixu","family":"Li","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/02zhqgq86","id-type":"ROR","asserted-by":"publisher"}],"name":"The University of Hong Kong"},{"name":"The University of Hong Kong"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mengni","family":"Chen","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/035b05819","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Copenhagen"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1596-4120","authenticated-orcid":false,"given":"Paul S.F.","family":"Yip","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/02zhqgq86","id-type":"ROR","asserted-by":"publisher"}],"name":"The University of Hong Kong"},{"name":"The University of Hong Kong"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2026,10,1]]},"reference":[{"key":"S2045796026100997_ref30","doi-asserted-by":"publisher","DOI":"10.1016\/j.biopsych.2014.08.013"},{"key":"S2045796026100997_ref14","doi-asserted-by":"publisher","DOI":"10.1037\/0033-2909.122.1.5"},{"key":"S2045796026100997_ref51","doi-asserted-by":"publisher","DOI":"10.1057\/978-1-137-55634-9_5"},{"key":"S2045796026100997_ref9","unstructured":"Census and Statistics Department, Hong Kong Special Administrative Region (2022) 2021 population census: Main tables. https:\/\/www.census2021.gov.hk\/en\/main_tables.html (accessed 8 July 2026 )."},{"key":"S2045796026100997_ref47","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23116"},{"key":"S2045796026100997_ref35","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2025.01.005"},{"key":"S2045796026100997_ref7","doi-asserted-by":"publisher","DOI":"10.2307\/144855"},{"key":"S2045796026100997_ref34","doi-asserted-by":"publisher","DOI":"10.1007\/s10802-018-00511-4"},{"key":"S2045796026100997_ref46","doi-asserted-by":"publisher","DOI":"10.1089\/lgbt.2019.0285"},{"key":"S2045796026100997_ref49","doi-asserted-by":"publisher","DOI":"10.1080\/19419899.2019.1690031"},{"key":"S2045796026100997_ref52","doi-asserted-by":"publisher","DOI":"10.1037\/cou0000535"},{"key":"S2045796026100997_ref2","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2022.18746"},{"key":"S2045796026100997_ref22","doi-asserted-by":"publisher","DOI":"10.1037\/a0016441"},{"key":"S2045796026100997_ref19","doi-asserted-by":"publisher","DOI":"10.1016\/j.copsyc.2023.101579"},{"key":"S2045796026100997_ref43","unstructured":"OECD (2022) PISA 2022 Database. 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