{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T07:30:00Z","timestamp":1793259000656,"version":"4.5.0"},"reference-count":50,"publisher":"American Academy of Pediatrics (AAP)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2011,5,1]]},"abstract":"<jats:sec>\n                  <jats:title>OBJECTIVE:<\/jats:title>\n                  <jats:p>To determine whether the social environment surrounding lesbian, gay, and bisexual youth may contribute to their higher rates of suicide attempts, controlling for individual-level risk factors.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>METHODS:<\/jats:title>\n                  <jats:p>A total of 31 852 11th grade students (1413 [4.4%] lesbian, gay, and bisexual individuals) in Oregon completed the Oregon Healthy Teens survey in 2006\u20132008. We created a composite index of the social environment in 34 counties, including (1) the proportion of same-sex couples, (2) the proportion of registered Democrats, (3) the presence of gay-straight alliances in schools, and (4) school policies (nondiscrimination and antibullying) that specifically protected lesbian, gay, and bisexual students.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>RESULTS:<\/jats:title>\n                  <jats:p>Lesbian, gay, and bisexual youth were significantly more likely to attempt suicide in the previous 12 months, compared with heterosexuals (21.5% vs 4.2%). Among lesbian, gay, and bisexual youth, the risk of attempting suicide was 20% greater in unsupportive environments compared to supportive environments. A more supportive social environment was significantly associated with fewer suicide attempts, controlling for sociodemographic variables and multiple risk factors for suicide attempts, including depressive symptoms, binge drinking, peer victimization, and physical abuse by an adult (odds ratio: 0.97 [95% confidence interval: 0.96\u20130.99]).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>CONCLUSIONS:<\/jats:title>\n                  <jats:p>This study documents an association between an objective measure of the social environment and suicide attempts among lesbian, gay, and bisexual youth. The social environment appears to confer risk for suicide attempts over and above individual-level risk factors. These results have important implications for the development of policies and interventions to reduce sexual orientation\u2013related disparities in suicide attempts.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1542\/peds.2010-3020","type":"journal-article","created":{"date-parts":[[2011,4,19]],"date-time":"2011-04-19T03:31:46Z","timestamp":1303183906000},"page":"896-903","source":"Crossref","is-referenced-by-count":483,"title":["The Social Environment and Suicide Attempts in Lesbian, Gay, and Bisexual Youth"],"prefix":"10.1542","volume":"127","author":[{"given":"Mark L.","family":"Hatzenbuehler","sequence":"first","affiliation":[{"name":"Mailman School of Public Health, Columbia University, New York, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"417","published-online":{"date-parts":[[2011,5,1]]},"reference":[{"key":"2021121006561387500_B1","unstructured":"Rovzar\u2008C\n          . (2010, Sep\u200830). Tyler Clementi's suicide: more than cyber-bullying. New York Magazine. Daily Intel, Post 36. Available at: http:\/\/nymag.com\/daily\/intel\/2010\/09\/post_36.html. Accessed March 16, 2011"},{"key":"2021121006561387500_B2","unstructured":"Centers for Disease Control and Prevention, National Center for Injury Prevention and Control. Web-based Injury Statistics Query and Reporting System (WISQARS) [article online]. Available at: \/\/www.cdc.gov\/injury\/wisqars\/index.html. 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Psychiatry"},{"issue":"4","key":"2021121006561387500_B9","doi-asserted-by":"crossref","first-page":"1029","DOI":"10.1016\/j.healthplace.2009.05.003","article-title":"Mental health in sexual minorities: recent indicators, trends, and their relationships to place in North America and Europe","volume":"15","author":"Lewis","year":"2009","journal-title":"Health Place"},{"issue":"4","key":"2021121006561387500_B10","doi-asserted-by":"crossref","first-page":"668","DOI":"10.1093\/ije\/30.4.668","article-title":"Theories for social epidemiology in the 21st century: an ecosocial perspective","volume":"30","author":"Krieger","year":"2001","journal-title":"Int J Epidemiol"},{"issue":"5","key":"2021121006561387500_B11","doi-asserted-by":"crossref","first-page":"674","DOI":"10.1037\/0033-2909.129.5.674","article-title":"Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: conceptual issues and research evidence","volume":"129","author":"Meyer","year":"2003","journal-title":"Psychol Bull"},{"key":"2021121006561387500_B12","first-page":"3","article-title":"The sociology of mental health","volume-title":"Handbook of the Sociology of Mental Health","author":"Aneshensel","year":"1999"},{"issue":"5","key":"2021121006561387500_B13","doi-asserted-by":"crossref","first-page":"517","DOI":"10.1097\/00001648-200209000-00006","article-title":"Household firearm ownership and suicide rates in the United States","volume":"13","author":"Miller","year":"2002","journal-title":"Epidemiology"},{"issue":"1","key":"2021121006561387500_B14","doi-asserted-by":"crossref","first-page":"110","DOI":"10.2105\/AJPH.2007.123109","article-title":"Protective factors in the lives of bisexual adolescents in North America","volume":"99","author":"Saewyc","year":"2009","journal-title":"Am J Public Health"},{"issue":"2","key":"2021121006561387500_B15","doi-asserted-by":"crossref","first-page":"262","DOI":"10.2105\/AJPH.93.2.262","article-title":"Prejudice as stress: conceptual and measurement issues","volume":"93","author":"Meyer","year":"2003","journal-title":"Am J Public Health"},{"issue":"3","key":"2021121006561387500_B16","doi-asserted-by":"crossref","first-page":"109","DOI":"10.1080\/07448480209596338","article-title":"The association of campus resources for gay, lesbian, and bisexual students with college students' condom use","volume":"51","author":"Eisenberg","year":"2002","journal-title":"J Am Coll Health"},{"issue":"10","key":"2021121006561387500_B17","doi-asserted-by":"crossref","first-page":"1913","DOI":"10.1016\/S0277-9536(03)00057-1","article-title":"Social influences on substance-use behaviors of gay, lesbian, and bisexual college students: findings from a national study","volume":"57","author":"Eisenberg","year":"2003","journal-title":"Soc Sci 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Available at: www.dhs.state.or.us\/dhs\/ph\/chs\/youthsurvey\/ohteens\/2007\/county\/index.shtml. Accessed Aug 19, 2010"},{"issue":"2","key":"2021121006561387500_B25","first-page":"214","article-title":"New developments in the field: measuring community climate","volume":"6","author":"Oswald","year":"2010","journal-title":"J LGBT Fam Stud"},{"key":"2021121006561387500_B26","unstructured":"Community Marketing. CMI's gay & lesbian community survey [article online]. Available at: www.gaydemographics.org. Accessed March 16, 2011"},{"key":"2021121006561387500_B27","volume-title":"Census Snapshot: Oregon","author":"Romero","year":"2008"},{"key":"2021121006561387500_B28","unstructured":"Oregon Secretary of State Division of Elections [Web page]. Available at: www.sos.state.or.us\/elections\/votreg\/regpart.htm. Accessed Aug 19, 2010"},{"key":"2021121006561387500_B29","unstructured":"Gay and Lesbian Education Network [Web site]. www.glsen.org\/cgi-bin\/iowa\/all\/home\/index.html. Accessed Aug 19, 2010"},{"key":"2021121006561387500_B30","unstructured":"Oregon Department of Education [Web site]. www.ode.state.or.us. 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