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Open Access Special Issue

Differences in suicidal behavior in sexual and gender minority populations

  • Amir Knaani1,*,
  • Lucian Tatsa Laur1

1Department of Health and Well-Being, IDF Medical Corps, Israel Defense Forces, 5262000 Ramat Gan, Israel

DOI: 10.31083/jomh.2021.118 Vol.18,Issue 2,February 2022 pp.1-8

Submitted: 03 July 2021 Accepted: 26 August 2021

Published: 28 February 2022

(This article belongs to the Special Issue Do men and women differ when it comes to suicidal behavior?)

*Corresponding Author(s): Amir Knaani E-mail:


Suicide is a critical public-health issue that remains the leading cause of death among young adults aged 15 to 24. In lesbian, gay, bisexual, transgender and queer (LGBTQ) populations the risk of suicidal thoughts and actions is significantly higher. The effect of natal sex vs. gender identity has not been studied enough as yet. In this study the PubMed-database was searched systematically for articles on the association between gender/sex differences and suicidality. Included were: meta-analyses, systematic and narrative reviews, first-hand observational studies and qualitative studies, published prior to 1 January 2021. Twenty-nine publications were found relevant, the majority on self-harm and suicide attempts and only few on death by suicide. Sexual (29.68%-lifetime) and gender (46.65%) minorities seem more likely to die by suicide than heterosexual/cisgender (14.57%) people. At greatest risk are transgender (56.65%) and bisexual (41.47%) individuals. Most studies reported natal males to be more affected than natal females. The ``gender paradox in suicide'' does not exist among sex and gender minorities (SGMs), but differences in suicidal behavior exist between the various SGM groups. More research on suicidal behavior among these groups, especially longitudinal research, is necessary.


Lesbian, gay, bisexual, transgender, queer (LGBTQ); Gender-non-conforming; Sexual minorities; Gender minorities; Sexual orientation; Suicidal ideation; Suicide attempt; Suicide plan; Non-suicidal self-injury

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Amir Knaani,Lucian Tatsa Laur. Differences in suicidal behavior in sexual and gender minority populations. Journal of Men's Health. 2022. 18(2);1-8.


[1] Zalsman G, Hawton K, Wasserman D, van Heeringen K, Arensman E, Sarchiapone M, et al. Suicide prevention strategies revisited: 10-year systematic review. The Lancet Psychiatry. 2016; 3: 646–659.

[2] Turecki G, Brent DA. Suicide and suicidal behaviour. Lancet. 2016; 387: 1227–1239.

[3] Aranmolate R, Bogan DR, Hoard T, Mawson, AR. Suicide risk factors among LGBTQ youth. JSM Schizophrenia. 2017; 2: 1011.

[4] World Health Organization. Suicides in the world: Global Health Estimates (No. WHO/MSD/MER/19.3). 2019. Available at https: //

(Accessed: 2 September 2021).

[5] Hottes TS, Bogaert L, Rhodes AE, Brennan DJ, Gesink D. Lifetime Prevalence of Suicide Attempts among Sexual Minority Adults by Study Sampling Strategies: a Systematic Review and Meta-Analysis. American Journal of Public Health. 2016; 106: e1–e12.

[6] King M, Semlyen J, Tai SS, Killaspy H, Osborn D, Popelyuk D, et al. A systematic review of mental disorder, suicide, and deliberate self harm in lesbian, gay and bisexual people. BMC Psychiatry. 2008; 8: 70.

[7] Marshal MP, Dietz LJ, Friedman MS, Stall R, Smith HA, McGinley J, et al. Suicidality and Depression Disparities between Sexual Minority and Heterosexual Youth: a Meta-Analytic Review. Journal of Adolescent Health. 2011; 49: 115–123.

[8] Plöderl M, Tremblay P. Mental health of sexual minorities. a systematic review. International Review of Psychiatry. 2016; 27: 367–385.

[9] Haas AP, Eliason M, Mays VM, Mathy RM, Cochran SD, D’Augelli AR, et al. Suicide and suicide risk in lesbian, gay, bisexual, and transgender populations: review and recommendations. Journal of Homosexuality. 2011; 58: 10–51.

[10] Conron KJ, Goldberg SK, Halpern CT. Sexual orientation and sex differences in socioeconomic status: a population-based investigation in the National Longitudinal Study of Adolescent to Adult Health. Journal of Epidemiology and Community Health. 2018; 72: 1016–1026.

[11] Garofalo R, Wolf RC, Wissow LS, Woods ER, Goodman E. Sexual orientation and risk of suicide attempts among a representative sample of youth. Archives of Pediatrics & Adolescent Medicine. 1999; 153: 487–493.

[12] Pakula B, Shoveller J, Ratner PA, Carpiano R. Prevalence and Co-Occurrence of Heavy Drinking and Anxiety and Mood Disorders among Gay, Lesbian, Bisexual, and Heterosexual Canadians. American Journal of Public Health. 2016; 106: 1042–1048.

[13] Obedin-Maliver J, Goldsmith ES, Stewart L, White W, Tran E, Brenman S, et al. Lesbian, gay, bisexual, and transgender-related content in undergraduate medical education. Journal of the American Medical Association. 2011; 306: 971–977.

[14] Batejan KL, Jarvi SM, Swenson LP. Sexual orientation and non-suicidal self-injury: a meta-analytic review. Archives of Suicide Research. 2015; 19: 131–150.

[15] Jackman K, Honig J, Bockting W. Nonsuicidal self-injury among lesbian, gay, bisexual and transgender populations: an integrative review. Journal of Clinical Nursing. 2016; 25: 3438–3453.

[16] O’Brien KHM, Liu RT, Putney J, Burke TA, Aguinaldo L, Smalley KB, et al. Suicide and non-suicidal self-injury. LGBT Health: Meeting the Health Needs of Gender and Sexual Minorities (pp. 181–198). Springer: New York. 2017.

[17] Liu RT, Sheehan AE, Walsh RFL, Sanzari CM, Cheek SM, Hernandez EM. Prevalence and correlates of non-suicidal self-injury among lesbian, gay, bisexual, and transgender individuals: a systematic review and meta-analysis. Clinical Psychology Review. 2019; 74: 101783.

[18] Canetto SS, Sakinofsky I. The gender paradox in suicide. Suicide & Life-Threatening Behavior. 1998; 28: 1–23.

[19] Rhodes AE, Boyle MH, Bridge JA, Sinyor M, Links PS, Tonmyr L, et al. Antecedents and sex/gender differences in youth suicidal behavior. World Journal of Psychiatry. 2014; 4: 120–132.

[20] Herek GM, Norton AT, Allen TJ, Sims CL. Demographic, Psycho-logical, and Social Characteristics of Self-Identified Lesbian, Gay, and Bisexual Adults in a us Probability Sample. Sexuality Research & Social Policy. 2010; 7: 176–200.

[21] Katz-Wise SL, Hyde JS. Victimization experiences of lesbian, gay, and bisexual individuals: a meta-analysis. Journal of Sex Research. 2012; 49: 142–167.

[22] Savin-Williams RC, Diamond LM. Sexual identity trajectories among sexual-minority youths: gender comparisons. Archives of Sexual Behavior. 2000; 29: 607–627.

[23] Diamond LM, Butterworth M. Questioning Gender and Sexual Identity: Dynamic Links over Time. Sex Roles. 2008; 59: 365–376.

[24] Katz-Wise SL. Sexual fluidity in young adult women and men: associations with sexual orientation and sexual identity development. Psychology & Sexuality. 2015; 6: 189–208.

[25] Veenstra G. Race, gender, class, and sexual orientation: intersecting axes of inequality and self-rated health in Canada. International Journal for Equity in Health. 2011; 10: 3.

[26] van Anders SM. Beyond Sexual Orientation: Integrating Gender/Sex and Diverse Sexualities via Sexual Configurations Theory. Archives of Sexual Behavior. 2015; 44: 1177–1213.

[27] Salway T, Ross LE, Fehr CP, Burley J, Asadi S, Hawkins B, et al. A Systematic Review and Meta-Analysis of Disparities in the Prevalence of Suicide Ideation and Attempt among Bisexual Populations. Archives of Sexual Behavior. 2019; 48: 89–111.

[28] Haas AP, Eliason M, Mays VM, Mathy RM, Cochran SD, D’Augelli AR, et al. Suicide and suicide risk in lesbian, gay, bisexual, and transgender populations: review and recommendations. Journal of Homosexuality. 2010; 58: 10–51.

[29] Qin P, Agerbo E, Mortensen PB. Suicide risk in relation to socioe-conomic, demographic, psychiatric, and familial factors: a national register-based study of all suicides in Denmark, 1981–1997. The American Journal of Psychiatry. 2003; 160: 765–772.

[30] Mathy RM, Cochran SD, Olsen J, Mays VM. The association between relationship markers of sexual orientation and suicide: Denmark, 1990–2001. Social Psychiatry and Psychiatric Epidemiology. 2011; 46: 111–117.

[31] Frisch M, Simonsen J. Marriage, cohabitation and mortality in Denmark: national cohort study of 6.5 million persons followed for up to three decades (1982–2011). International Journal of Epidemiology. 2013; 42: 559–578.

[32] Robinson J, Cox G, Malone A, Williamson M, Baldwin G, Fletcher K, et al. A systematic review of school-based interventions aimed at preventing, treating, and responding to suicide- related behavior in young people. Crisis. 2013; 34: 164–182.

[33] Plöderl M, Wagenmakers E, Tremblay P, Ramsay R, Kralovec K, Fartacek C, et al. Suicide risk and sexual orientation: a critical review. Archives of Sexual Behavior. 2013; 42: 715–727.

[34] Cochran SD, Mays VM. Mortality risks among persons reporting same-sex sexual partners: evidence from the 2008 General Social Survey-National Death Index data set. American Journal of Public Health. 2015; 105: 358–364.

[35] Shaffer D, Fisher P, Hicks RH, Parides M, Gould M. Sexual orientation in adolescents who commit suicide. Suicide & Life-Threatening Behavior. 1995; 25 Suppl: 64–71.

[36] Renaud J, Berlim MT, Begolli M, McGirr A, Turecki G. Sexual orientation and gender identity in youth suicide victims: an exploratory study. Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie. 2010; 55: 29–34.

[37] Lyons BH, Walters ML, Jack SPD, Petrosky E, Blair JM, Ivey-Stephenson AZ. Suicides among Lesbian and Gay Male Individuals: Findings from the National Violent Death Reporting System. Ameri-can Journal of Preventive Medicine. 2019; 56: 512–521.

[38] Meyer IH. Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: conceptual issues and research evidence. Psychological Bulletin. 2003; 129: 674–697.

[39] Lick DJ, Durso LE, Johnson KL. Minority Stress and Physical Health among Sexual Minorities. Perspectives on Psychological Science. 2013; 8: 521–548.

[40] Office of the Surgeon General (US); National Action Alliance for Suicide Prevention (US). 2012 National Strategy for Suicide Preven-tion: Goals and Objectives for Action. A Report of the U.S. Surgeon General and of the National Action Alliance for Suicide Prevention. US Department of Health & Human Services (US): Washington, DC. 2012.

[41] Narang P, Sarai SK, Aldrin S, Lippmann S. Suicide Among Transgen-der and Gender-Nonconforming People. The Primary Care Compan-ion for CNS Disorders. 2018; 20: 18nr02273.

[42] Matarazzo BB, Barnes SM, Pease JL, Russell LM, Hanson JE, Soberay KA, et al. Suicide risk among lesbian, gay, bisexual, and transgender military personnel and veterans: what does the literature tell us?Suicide & Life-Threatening Behavior. 2014; 44: 200–217.

[43] Caputi TL, Smith D, Ayers JW. Suicide Risk Behaviors among Sexual Minority Adolescents in the United States, 2015. Journal of the American Medical Association. 2017; 318: 2349–2351.

[44] Annor FB, Clayton HB, Gilbert LK, Ivey-Stephenson AZ, Irving SM, David-Ferdon C, et al. Sexual Orientation Discordance and Nonfatal Suicidal Behaviors in US High School Students. American Journal of Preventive Medicine. 2018; 54: 530–538.

[45] Kann L, McManus T, Harris WA, Shanklin SL, Flint KH, Queen B, et al. Youth Risk Behavior Surveillance - United States, 2017. Morbidity and Mortality Weekly Report. Surveillance Summaries. 2018; 67: 1–114.

[46] O’Reilly LM, Pettersson E, Donahue K, Quinn PD, Klonsky ED, Lundström S, et al. Sexual orientation and adolescent suicide attempt and self‐harm: a co‐twin control study. Journal of Child Psychology and Psychiatry. 2021; 62: 834–841.

[47] Kuper LE, Adams N, Mustanski BS. Exploring Cross-Sectional Predictors of Suicide Ideation, Attempt, and Risk in a Large Online Sample of Transgender and Gender Nonconforming Youth and Young Adults. LGBT Health. 2018; 5: 391–400.

[48] Bagley C, Tremblay P. Suicidal behaviors in homosexual and bisexual males. Crisis. 1997; 18: 24–34.

[49] Chakraborty A, McManus S, Brugha TS, Bebbington P, King M. Mental health of the non-heterosexual population of England. The British Journal of Psychiatry. 2011; 198: 143–148.

[50] Cochran SD, Mays VM. Lifetime prevalence of suicide symptoms and affective disorders among men reporting same-sex sexual partners: results from NHANES III. American Journal of Public Health. 2000; 90: 573–578.

[51] Cochran SD, Mays VM, Alegria M, Ortega AN, Takeuchi D. Mental health and substance use disorders among Latino and Asian American lesbian, gay, and bisexual adults. Journal of Consulting and Clinical Psychology. 2007; 75: 785–794.

[52] de Graaf R, Sandfort TGM, ten Have M. Suicidality and sexual orientation: differences between men and women in a general population-based sample from the Netherlands. Archives of Sexual Behavior. 2006; 35: 253–262.

[53] Fergusson DM, Horwood LJ, Beautrais AL. Is sexual orientation related to mental health problems and suicidality in young people?Archives of General Psychiatry. 1999; 56: 876–880.

[54] Gilman SE, Cochran SD, Mays VM, Hughes M, Ostrow D, Kessler RC. Risk of psychiatric disorders among individuals reporting same-sex sexual partners in the National Comorbidity Survey. American Journal of Public Health. 2001; 91: 933–939.

[55] Herrell R, Goldberg J, True WR, Ramakrishnan V, Lyons M, Eisen S, et al. Sexual orientation and suicidality: a co-twin control study in adult men. Archives of General Psychiatry. 1999; 56: 867–874.

[56] Husky MM, Guignard R, Beck F, Michel G. Risk behaviors, suicidal ideation and suicide attempts in a nationally representative French sample. Journal of Affective Disorders. 2013; 151: 1059–1065.

[57] Lhomond B, Saurel-Cubizolles M. Violence against women and suicide risk: the neglected impact of same-sex sexual behaviour. Social Science & Medicine. 2006; 62: 2002–2013.

[58] Oswalt SB, Wyatt TJ. Sexual Orientation and Differences in Mental Health, Stress, and Academic Performance in a National Sample of U.S. College Students. Journal of Homosexuality. 2011; 58: 1255–1280.

[59] Pelts MD, Albright DL. An Exploratory Study of Student Service Members/Veterans’ Mental Health Characteristics by Sexual Orienta-tion. Journal of American College Health. 2015; 63: 508–512.

[60] Skegg K, Nada-Raja S, Dickson N, Paul C, Williams S. Sexual orientation and self-harm in men and women. The American Journal of Psychiatry. 2003; 160: 541–546.

[61] Wang L, Chiang S, Su L, Lin S, Chen C. Factors associated with drug-related psychiatric disorders and suicide attempts among illicit drug users in Taiwan. Substance Use & Misuse. 2012; 47: 1185–1188.

[62] Wichstrøm L, Hegna K. Sexual orientation and suicide attempt: a longitudinal study of the general Norwegian adolescent population. Journal of Abnormal Psychology. 2003; 112: 144–151.

[63] Blosnich J, Bossarte R. Drivers of disparity: differences in socially based risk factors of self-injurious and suicidal behaviors among sexual minority college students. Journal of American College Health. 2012; 60: 141–149.

[64] Kerr DL, Santurri L, Peters P. A comparison of lesbian, bisexual, and heterosexual college undergraduate women on selected mental health issues. Journal of American College Health. 2013; 61: 185–194.

[65] Lian Q, Zuo X, Lou C, Gao E, Cheng Y. Sexual orientation and risk factors for suicidal ideation and suicide attempts: a multi-centre cross-sectional study in three Asian cities. Journal of Epidemiology. 2015; 25: 155–161.

[66] McNair R, Kavanagh A, Agius P, Tong B. The mental health status of young adult and mid-life non-heterosexual Australian women. Australian and New Zealand Journal of Public Health. 2005; 29: 265–271.

[67] Reed E, Prado G, Matsumoto A, Amaro H. Alcohol and drug use and related consequences among gay, lesbian and bisexual college students: Role of experiencing violence, feeling safe on campus, and perceived stress. Addictive Behaviors. 2010; 35: 168–171.

[68] Fergusson D, Doucette S, Glass KC, Shapiro S, Healy D, Hebert P, et al. Association between suicide attempts and selective serotonin reuptake inhibitors: systematic review of randomised controlled trials. British Medical Journal. 2005; 330: 396.

[69] Button DM, O’Connell DJ, Gealt R. Sexual minority youth victimiza-tion and social support: the intersection of sexuality, gender, race, and victimization. Journal of Homosexuality. 2012; 59: 18–43.

[70] McMahon EM, Reulbach U, Keeley H, Perry IJ, Arensman E. Reprint of: bullying victimisation, self harm and associated factors in Irish adolescent boys. Social Science & Medicine. 2012; 74: 490–497.

[71] O’Connor RC, Rasmussen S, Hawton K. Predicting Deliberate Self-Harm in Adolescents: a Six Month Prospective Study. Suicide and Life-Threatening Behavior. 2009; 39: 364–375.

[72] O’Connor RC, Nock MK. The psychology of suicidal behaviour. The Lancet. Psychiatry. 2014; 1: 73–85.

[73] Remafedi G, French S, Story M, Resnick MD, Blum R. The relationship between suicide risk and sexual orientation: results of a population-based study. American Journal of Public Health. 1998; 88: 57–60.

[74] Almeida J, Johnson RM, Corliss HL, Molnar BE, Azrael D. Emotional Distress among LGBT Youth: the Influence of Perceived Discrimina-tion Based on Sexual Orientation. Journal of Youth and Adolescence. 2009; 38: 1001–1014.

[75] Bostwick WB, Meyer I, Aranda F, Russell S, Hughes T, Birkett M, et al. Mental health and suicidality among racially/ethnically diverse sexual minority youths. American Journal of Public Health. 2014; 104: 1129–1136.

[76] 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. the Journal of Pediatrics. 1998; 133: 113–118.

[77] Faulkner AH, Cranston K. Correlates of same-sex sexual behavior in a random sample of Massachusetts high school students. American Journal of Public Health. 1998; 88: 262–266.

[78] Hatzenbuehler ML. The social environment and suicide attempts in lesbian, gay, and bisexual youth. Pediatrics. 2011; 127: 896–903.

[79] Hatzenbuehler ML, Bellatorre A, Lee Y, Finch BK, Muennig P, Fiscella K. Structural stigma and all-cause mortality in sexual minority populations. Social Science & Medicine. 2014; 103: 33–41.

[80] Kann L, Olsen EO, McManus T, Kinchen S, Chyen D, Harris WA, et al. Sexual identity, sex of sexual contacts, and health-risk behaviors among students in grades 9-12–youth risk behavior surveillance, selected sites, United States, 2001–2009. Morbidity and Mortality Weekly Report. Surveillance Summaries. 2011; 60: 1–133.

[81] Olshen E, McVeigh KH, Wunsch-Hitzig RA, Rickert VI. Dating violence, sexual assault, and suicide attempts among urban teenagers. Archives of Pediatrics & Adolescent Medicine. 2007; 161: 539–545.

[82] Mustanski B, Birkett M, Greene GJ, Rosario M, Bostwick W, Everett BG. The Association between Sexual Orientation Identity and Behavior across Race/Ethnicity, Sex, and Age in a Probability Sample of High School Students. American Journal of Public Health. 2014; 104: 237–244.

[83] Saewyc EM, Skay CL, Hynds P, Pettingell S, Bearinger LH, Resnick MD, et al. Suicidal Ideation and Attempts in North American School-Based Surveys: are Bisexual Youth at Increasing Risk? Journal of LGBT Health Research. 2007; 3: 25–36.

[84] Taliaferro LA, Muehlenkamp JJ. Risk and Protective Factors that Distinguish Adolescents who Attempt Suicide from those who only Consider Suicide in the Past Year. Suicide and Life-Threatening Behavior. 2014; 44: 6–22.

[85] Zhao Y, Montoro R, Igartua K, Thombs BD. Suicidal Ideation and Attempt among Adolescents Reporting “Unsure” Sexual Identity or Heterosexual Identity Plus same-Sex Attraction or Behavior: Forgotten Groups? Journal of the American Academy of Child & Adolescent Psychiatry. 2010; 49: 104–113.

[86] Stone DM, Luo F, Ouyang L, Lippy C, Hertz MF, Crosby AE. Sexual orientation and suicide ideation, plans, attempts, and medically serious attempts: evidence from local Youth Risk Behavior Surveys, 2001–2009. American Journal of Public Health. 2014; 104: 262–271.

[87] Stone DM, Luo F, Lippy C, McIntosh WL. The Role of Social Connectedness and Sexual Orientation in the Prevention of Youth Suicide Ideation and Attempts among Sexually Active Adolescents. Suicide & Life-Threatening Behavior. 2015; 45: 415–430.

[88] Pinhey TK, Millman SR. Asian/Pacific Islander adolescent sexual orientation and suicide risk in Guam. American Journal of Public Health. 2004; 94: 1204–1206.

[89] Seil KS, Desai MM, Smith MV. Sexual orientation, adult connected-ness, substance use, and mental health outcomes among adolescents: findings from the 2009 New York City Youth Risk Behavior Survey. American Journal of Public Health. 2014; 104: 1950–1956.

[90] Lampinen TM, McGhee D, Martin I. Increased risk of “club” drug use among gay and bisexual high school students in British Columbia. Journal of Adolescent Health. 2006; 38: 458–461.

[91] Russell ST, Joyner K. Adolescent sexual orientation and suicide risk: evidence from a national study. American Journal of Public Health. 2001; 91: 1276–1281.

[92] Williams KA, Chapman MV. Comparing health and mental health needs, service use, and barriers to services among sexual minority youths and their peers. Health & Social Work. 2011; 36: 197–206.

[93] Fried LE, Williams S, Cabral H, Hacker K. Differences in risk factors for suicide attempts among 9th and 11th grade youth: a longitudinal perspective. The Journal of School Nursing. 2013; 29: 113–122.

[94] Nock MK, Borges G, Bromet EJ, Alonso J, Angermeyer M, Beautrais A, et al. Cross-national prevalence and risk factors for suicidal ideation, plans and attempts. The British Journal of Psychiatry. 2008; 192: 98–105.

[95] Persson TJ, Pfaus JG. Bisexuality and Mental Health: Future Research Directions. Journal of Bisexuality. 2015; 15: 82–98.

[96] Schick V, Dodge B. Introduction to the Special Issue: Bisexual Health: Unpacking the Paradox. Journal of Bisexuality. 2012; 12: 161–167.

[97] Weiss JT. GL vs. BT: The archaeology of biphobia and transphobia within the US gay and lesbian community. Journal of Bisexuality. 2003; 3: 25–55.

[98] Dyar C, Feinstein BA, Zimmerman AR, Newcomb ME, Mustanski B, Whitton SW. Dimensions of Sexual Orientation and Rates of Intimate Partner Violence among Young Sexual Minority Individuals Assigned Female at Birth: The Role of Perceived Partner Jealousy. Psychology of Violence. 2020; 10: 411–421.

[99] Gove WR. Sex, marital status and suicide. Journal of Health and Social Behavior. 1972; 13: 204–213.

[100] Thomeer MB, Umberson D, Pudrovska T. Marital Processes around Depression: a Gendered and Relational Perspective. Society and Mental Health. 2013; 3: 151–169.

[101] Ferlatte O, Salway T, Hankivsky O, Trussler T, Oliffe JL, Marchand R. Recent Suicide Attempts across Multiple Social Identities among Gay and Bisexual Men: an Intersectionality Analysis. Journal of Homosexuality. 2018; 65: 1507–1526.

[102] Brennan DJ, Ross LE, Dobinson C, Veldhuizen S, Steele LS. Men’s sexual orientation and health in Canada. Canadian Journal of Public Health. 2010; 101: 255–258.

[103] Steele LS, Ross LE, Dobinson C, Veldhuizen S, Tinmouth JM. Women’s sexual orientation and health: results from a Canadian population-based survey. Women & Health. 2009; 49: 353–367.

[104] Eisenberg ME, Resnick MD. Suicidality among gay, lesbian and bisexual youth: the role of protective factors. The Journal of Adolescent Health. 2006; 39: 662–668.

[105] Eisenberg ME, Gower AL, McMorris BJ, Rider GN, Shea G, Coleman E. Risk and Protective Factors in the Lives of Transgender/Gender Nonconforming Adolescents. The Journal of Adolescent Health. 2017; 61: 521–526.

[106] Ryan C, Huebner D, Diaz RM, Sanchez J. Family rejection as a predictor of negative health outcomes in white and Latino lesbian, gay, and bisexual young adults. Pediatrics. 2009; 123: 346–352.

[107] Raifman J, Moscoe E, Austin SB, McConnell M. Difference-in-Differences Analysis of the Association between State same-Sex Marriage Policies and Adolescent Suicide Attempts. JAMA Pediatrics. 2017; 171: 350–356.

[108] Perez-Brumer A, Day JK, Russell ST, Hatzenbuehler ML. Prevalence and Correlates of Suicidal Ideation among Transgender Youth in California: Findings from a Representative, Population-Based Sample of High School Students. Journal of the American Academy of Child and Adolescent Psychiatry. 2017; 56: 739–746.

[109] Grossman AH, D’Augelli AR. Transgender youth and life-threatening behaviors. Suicide & Life-Threatening Behavior. 2007; 37: 527–537.

[110] Scheim AI, Perez-Brumer AG, Bauer GR. Gender-concordant iden-tity documents and mental health among transgender adults in the USA: a cross-sectional study. The Lancet Public Health. 2020; 5: e196–e203.

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