An Examination of the Patterns of Lesbian, Gay, Bisexual, and Questioning Youth Suicidal Thoughts and Attempts and State-Level LGBQ+ Equality

Lesbian, gay, bisexual, and queer (LGBQ) youth report higher rates of suicidal thoughts and behaviors (STBs) than their peers. Using minority stress and socioecological theories, this study examined how state-level factors impact these disparities. Using Generalized Estimating Equations with secondary data, state equality index (SEI) scores were used to predict STBs among LGBQ youth. LGBQ youth in states with high SEI scores reported fewer STBs. Sadness, hopelessness, and bullying were positively associated with suicidal thoughts among LGBQ youth. Findings highlight the need for public health approaches to prevention that also create safe and affirming environments for LGBQ youth.