Opportunities and Challenges for Previsit Screening for Sexual and Gender Identity Among Adolescents in Primary Care

Mehringer, Jamie E.; Dowshen, Nadia

doi:10.1016/j.jadohealth.2019.11.298

Cited by 3 publications

(1 citation statement)

References 9 publications

(8 reference statements)

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“…63 Sexual minority disparities in mental health symptoms, including depression, anxiety, and traumatic distress, have been found in pediatric primary care, 30 making it uniquely suited to identify at-risk sexual minority adolescents and connect them to appropriate resources and treatment. 64,65 The American Academy of Pediatrics recommends providing culturally sensitive office-based care for sexual minority youth, which includes taking a confidential psychosocial history by using a gender-neutral approach and following prevention and screening guidelines as outlined in Bright Futures. 33,66 To successfully implement these screening procedures, a behavioral health workforce embedded in the primary care setting could increase the capacity for culturally sensitive care and referral to treatment.…”

Section: Figurementioning

confidence: 99%

Sexual Minority Status and Age of Onset of Adolescent Suicide Ideation and Behavior

Luk

Haynie

et al. 2021

Pediatrics

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OBJECTIVES: To determine if sexual minority adolescents have earlier onset of suicidality and faster progressions from ideation to plan and attempt than heterosexual adolescents. METHODS: A population-based longitudinal cohort of 1771 adolescents participated in the NEXT Generation Health Study. Participants reported sexual minority status (defined by sexual attraction) in 2010-2011 and retrospectively reported age at onset of suicidality in 2015-2016.RESULTS: Sexual minority adolescents (5.8% of weighted sample) had higher lifetime risk of suicide ideation (26.1% vs 13.0%), plan (16.6% vs 5.4%), and attempt (12.0% vs 5.4%) than heterosexual adolescents. Survival analyses adjusted for demographic characteristics and depressive symptoms revealed positive associations of sexual minority status with time to first onset of suicide ideation (hazard ratio [HR] = 1.77; 95% confidence interval [CI] 1.03-3.06) and plan (HR = 2.69; 95% CI 1.30-5.56). The association between sexual minority status and age at onset of suicide attempt was stronger at age <15 (HR = 3.26; 95% CI 1.25-8.47) than age $15 (HR = 0.59; 95% CI 0.21-1.66). The association between sexual minority status and progression from ideation to plan was stronger in the same year of first ideation (HR = 2.01; 95% CI 1.07-3.77) than $1 year after first ideation (HR = 1.33; 95% CI 0.26-6.77).CONCLUSIONS: Sexual minority adolescents had earlier onset of suicidality and faster progression from suicide ideation to plan than heterosexual adolescents. The assessment of sexual minority status in routine pediatric care has the potential to inform suicide risk screening, management, and intervention efforts among early sexual minority adolescents.

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