Association of Disability and Sexual Orientation with Suicidal Ideation

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What is the name of the study?

Application of an intersectional framework to understanding the association of disability and sexual orientation with suicidal ideation among Oregon Teens

What was the goal of this study?

The goal of this study was to look at how disability and sexual orientation together relate to suicidal ideation.

What did we find?

Heterosexual (also known as straight) teenagers without a disability had the lowest risk of suicidal ideation. The people at the highest risk of suicidal ideation were LGB teens with disabilities. This was higher than both LGB teens without a disability and heterosexual teenagers with a disability.

What did we learn?

Being both LGB and disabled increases the risk of suicidal ideation beyond either identity by itself. When together, disability and minority sexual orientation may make it more likely that teens will be treated badly by others. Bad experiences could increase the risk of suicide.

Why is this important?

There are ways to make places where teens live, learn and interact with others better for LGB teens and disabled teens. For example, public health efforts and school-based interventions could help lower the risk of suicidal ideation. These could especially help teens who have both of those identities.

Who are the authors of the study?

César Higgins Tejera, M.D., M.P.H., M.S.,1 Willi Horner-Johnson, Ph.D.,1 and Elena M. Andresen, Ph.D.2

Authors are from OHSU: 1. Institute on Development and Disability, 2. OHSU-PSU School of Public Health

Who participated in the study?

Key Words:

Sexual orientation: describes being sexually or romantically drawn to persons of the same, or different, sex or gender

LGB persons: lesbian, gay, or bisexual people

Suicidal ideation: wanting to take your own life or thinking about suicide

Article Citation

Higgins Tejera, C., Horner-Johnson, W., & Andresen, E. M. (2019). Application of an intersectional framework to understanding the association of disability and sexual orientation with suicidal ideation among Oregon Teens, Disability and Health Journal, 12(4), 557-563. https://doi.org/10.1016/j.dhjo.2019.05.006

Gender No Disability/Straight (7,278 people) Disability/Straight (2,191 people) No Disability/LGB (429 people) Disability/LGB (497 people)
Female 47.7% 59.1% 62.3% 69.7%
Male 52.3% 40.9% 37.7% 30.3%

Race/Ethnicity No Disability/Straight (7,278 people) Disability/Straight (2,191 people) No Disability/LGB (429 people) Disability/LGB (497 people)
White, non-Hispanics 66.4% 59.6% 67.0% 62.7%
Hispanics, & non-Whites 33.6% 40.4% 33.0% 37.3%

Family Affluence Scale No Disability/Straight (7,278 people) Disability/Straight (2,191 people) No Disability/LGB (429 people) Disability/LGB (497 people)
Low 8.6% 12.9% 11.8% 16.0%
Medium 34.6% 38.5% 40.9% 45.2%
High 56.8% 48.7% 47.3% 38.8%

Experiencing Abuse No Disability/Straight (7,278 people) Disability/Straight (2,191 people) No Disability/LGB (429 people) Disability/LGB (497 people)
No 94.6% 85.9% 86.4% 72.6%
Yes 5.4% 14.1% 13.4% 27.4%

Being Bullied No Disability/Straight (7,278 people) Disability/Straight (2,191 people) No Disability/LGB (429 people) Disability/LGB (497 people)
No 86.0% 69.5% 70.7% 48.7%
Yes 14.0% 30.5% 29.3% 51.3%

Unmet Mental Care Needs No Disability/Straight (7,278 people) Disability/Straight (2,191 people) No Disability/LGB (429 people) Disability/LGB (497 people)
No 90.7% 65.1% 71.4% 46.0%
Yes 9.3% 34.9% 28.6% 54.0%

Suicidal Ideation No Disability/Straight (7,278 people) Disability/Straight (2,191 people) No Disability/LGB (429 people) Disability/LGB (497 people)
No 91.4% 72.4% 72.7% 43.7%
Yes 8.6% 27.6% 27.3% 56.3%

For more details about study participants, please see the full text article.