Although some studies have examined factors associated with suicidal behaviors, few studies have examined the intersection of sexual orientation and race/ethnicity on suicidal behaviors among adolescents. The objective of this study is to examine the intersection of sexual orientation and race/ethnicity on suicidal ideation and suicide attempt. We hypothesized that controlling for the effects of known risk factors for suicidal behaviors, there will be an interaction effect between sexual orientation and race/ethnicity on suicidal behaviors. Data for this study came from the 2017 Youth Risk Behavior Surveillance System. A sample of 13,697 adolescents aged 14-18 years (51.8% female) was analyzed using binary logistic regression. Of the 13,697 adolescents, 17.7% reported suicidal ideation and 7.7% made at least one suicide attempt during the past 12 months. In the multivariate logistic regression models, non-White sexual minority adolescents are less likely to report suicidal ideation. However, Hispanic lesbian/gay adolescents had 1.71 times higher odds of making a suicide attempt. Odds of suicide attempt are 1.2 times higher for Black or African American bisexual adolescents and American Indian/Native Hawaiian/Pacific Islander bisexual adolescents had 2.44 times higher odds of making a suicide attempt. Other significant predictors of suicidal behaviors include a history of sexual assault, a victim of bullying, depression, cigarette smoking, misuse of prescription pain medication, and illicit drug use. The findings of the present study extend past research on the intersection of sexual orientation and race/ethnicity on mental health problems among adolescents including suicidal behaviors.

中文翻译：

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检查种族/族裔和性取向在青少年中的自杀意念和自杀未遂之间的交集：2017年青年风险行为调查的结果。

尽管一些研究检查了与自杀行为相关的因素，但很少有研究检查青少年自杀行为的性取向和种族/民族的交集。这项研究的目的是研究自杀意念和自杀未遂之间的性取向和种族/种族的交集。我们假设控制自杀行为的已知危险因素的影响，性取向和种族/种族之间的相互作用将对自杀行为产生影响。这项研究的数据来自2017年青少年风险行为监测系统。使用二元logistic回归分析了13697名14-18岁的青少年（女性为51.8％）的样本。在13697名青少年中，有17.7％的人有自杀念头，而7名有自杀意念。在过去的12个月中，有7％的人至少自杀了一次。在多元逻辑回归模型中，非白人性少数青少年报告自杀意念的可能性较小。但是，西班牙裔女同性恋/同性恋青少年自杀未遂的几率高1.71倍。黑人或非洲裔美国双性恋青少年的自杀未遂几率高1.2倍，而美洲印第安人/美国本地人夏威夷/太平洋岛民的双性恋青少年自杀未遂的几率高2.44倍。其他自杀行为的重要预测指标包括性侵犯史，欺凌，抑郁，抽烟，滥用处方止痛药和非法药物的受害者。