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This study utilizes pooled data from the 2015\u20132019 National Survey on Drug Use and Health (NSDUH) to examine trends in suicidal ideation, planning, and attempts among Hispanic adults, stratified by sexual orientation identity. Our analysis reveals higher odds of suicidal behaviors among lesbian, gay, and bisexual (LGB) Hispanic individuals, particularly bisexual Hispanic adults, compared to their heterosexual peers. Significant associations were found between alcohol use and increased suicidal behaviors across all groups. These findings underscore the urgent need for culturally competent mental health services and targeted interventions that address the unique stressors faced by those with multiple marginalized identities. Addressing these disparities is crucial for effective suicide prevention strategies within Hispanic and, and particularly among those who are also LGB.<\/jats:p>","DOI":"10.1177\/15404153261419402","type":"journal-article","created":{"date-parts":[[2026,2,10]],"date-time":"2026-02-10T18:18:12Z","timestamp":1770747492000},"page":"222-228","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Trends in Suicidal Behaviors among Hispanic Individuals: Differences by Sexual Orientation, 2015\u20132019, USA"],"prefix":"10.1177","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-3951-0715","authenticated-orcid":false,"given":"R. 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