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Examining Profiles of Latinx Sexual Minority Adolescents Associated with Suicide Risk

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Abstract

Few studies have focused on within-group heterogeneity about specific factors that make lesbian, gay, or bisexual (LGB) Latinx adolescents at greater odds than other LGB adolescents for suicide We take a unique mixture-modeling approach by creating profiles of Latinx LGB adolescents based on suicide risk factors used in previous investigations (bullying, alcohol, sleep, social media, and poor grades). We use these profiles in a logistic regression to investigate suicidality A sample of 686 LGB, Latinx adolescents were used in a latent profile analysis yielding four distinct profiles. Class 4 represented the highest risk, with high rates of bullying, alcohol, poor grades, and use of electronics, while class 3 represented the lowest risk with low rates of bullying and alcohol Results speak to the need to address suicidal ideation through multiple factors, noting the strong association that both bullying and alcohol have with suicidal ideation.

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References

  1. Canino G, Roberts RE. Suicidal behavior among Latin youth. Suicide Life Threat Behav. 2001;31(Supplement to Issue 1):122–31.

    Article  PubMed  Google Scholar 

  2. Ford-Paz RE, Reinhard C, Kuebbeler A, Contreras R, Sánchez B. Culturally tailored depression/suicide prevention in Latino youth: community perspectives. J Behav Health Serv Res. 2015;42(4):519–33.

    Article  PubMed  Google Scholar 

  3. Mueller AS, James W, Abrutyn S, Levin ML. Suicide ideation and bullying among US adolescents: examining the intersections of sexual orientation, gender, and race/ethnicity. Am J Public Health. 2015;105(5):980–5.

    Article  PubMed  PubMed Central  Google Scholar 

  4. Twenge JM, Joiner TE, Rogers ML, Martin GN. Increases in depressive symptoms, suicide-related outcomes, and suicide rates among US adolescents after 2010 and links to increased new media screen time. Clin Psychol Sci. 2018;6(1):3–17.

    Article  Google Scholar 

  5. Becerra D, Castillo J, Silva Arciniega MR, Ghosn Naddy MB, Nguyen V. Increased immigration enforcement and perceived discrimination among Latino immigrants. J Sociol Soc Welf. 2018;45:39.

    Google Scholar 

  6. Madubata I, Spivey LA, Alvarez GM, Neblett EW, Prinstein MJ. Forms of racial/ethnic discrimination and suicidal ideation: a prospective examination of African American and Latinx Youth. J Clin Child Adolesc Psychol. 2019;53:1–9.

    Google Scholar 

  7. 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. Am J Public Health. 2014;104(6):1129–36.

    Article  PubMed  PubMed Central  Google Scholar 

  8. D’Augelli AR, Grossman AH, Salter NP, Vasey JJ, Starks MT, Sinclair KO. Predicting the suicide attempts of lesbian, gay, and bisexual youth. Suicide Life Threat Behav. 2005;35(6):646–60.

    Article  PubMed  Google Scholar 

  9. Johns MM, Lowry R, Rasberry CN, Dunville R, Robin L, Pampati S, et al. Violence victimization, substance use, and suicide risk among sexual minority high school students—United States, 2015–2017. Morb Mortal Wkly Rep. 2018;67(43):1211.

    Article  Google Scholar 

  10. Hatzenbuehler ML. The social environment and suicide attempts in lesbian, gay, and bisexual youth. Pediatrics. 2011;127(5):896–903.

    Article  PubMed  PubMed Central  Google Scholar 

  11. Mustanski BS, Garofalo R, Emerson EM. Mental health disorders, psychological distress, and suicidality in a diverse sample of lesbian, gay, bisexual, and transgender youths. Am J Public Health. 2010;100(12):2426–32.

    Article  PubMed  PubMed Central  Google Scholar 

  12. 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(1):346–52.

    Article  PubMed  Google Scholar 

  13. Bregman HR, Malik NM, Page MJ, Makynen E, Lindahl KM. Identity profiles in lesbian, gay, and bisexual youth: the role of family influences. J Youth Adolesc. 2013;42(3):417–30.

    Article  PubMed  Google Scholar 

  14. Peña JB, Wyman PA, Brown CH, Matthieu MM, Olivares TE, Hartel D, et al. Immigration generation status and its association with suicide attempts, substance use, and depressive symptoms among Latino adolescents in the USA. Prev Sci. 2008;9(4):299–310.

    Article  PubMed  PubMed Central  Google Scholar 

  15. Cardoso JB, Szlyk HS, Goldbach J, Swank P, Zvolensky MJ. General and ethnic-biased bullying among Latino students: exploring risks of depression, suicidal ideation, and substance use. J Immigr Minor Health. 2018;20(4):816–22.

    Article  PubMed  Google Scholar 

  16. Colby SL, Ortman JM. Projections of the size and composition of the US population: 2014 to 2060: population estimates and projections; 2017.

  17. Hedegaard H, Curtin SC, Warner M. Suicide rates in the United States continue to increase: US Department of Health and Human Services, Centers for Disease Control and …; 2018

  18. Meyer IH. Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: conceptual issues and research evidence. Psychol Bull. 2003;129(5):674.

    Article  PubMed  PubMed Central  Google Scholar 

  19. Myers HF. Ethnicity-and socio-economic status-related stresses in context: an integrative review and conceptual model. J Behav Med. 2009;32(1):9–19.

    Article  PubMed  Google Scholar 

  20. Baams L, Grossman AH, Russell ST. Minority stress and mechanisms of risk for depression and suicidal ideation among lesbian, gay, and bisexual youth. Dev Psychol. 2015;51(5):688.

    Article  PubMed  PubMed Central  Google Scholar 

  21. Goldbach JT, Gibbs JJ. A developmentally informed adaptation of minority stress for sexual minority adolescents. J Adolesc. 2017;55:36–50.

    Article  PubMed  Google Scholar 

  22. Im Y, Oh W-O, Suk M. Risk factors for suicide ideation among adolescents: five-year national data analysis. Arch Psychiatr Nurs. 2017;31(3):282–6.

    Article  PubMed  Google Scholar 

  23. Sörberg Wallin A, Zeebari Z, Lager A, Gunnell D, Allebeck P, Falkstedt D. Suicide attempt predicted by academic performance and childhood IQ: a cohort study of 26 000 children. Acta Psychiatr Scand. 2018;137(4):277–86.

    Article  PubMed  Google Scholar 

  24. Diaz JD. School attachment among Latino youth in rural Minnesota. Hisp J Behav Sci. 2005;27(3):300–18.

    Article  Google Scholar 

  25. Zychinski KE, Polo AJ. Academic achievement and depressive symptoms in low-income Latino youth. J Child Fam Stud. 2012;21(4):565–77.

    Article  Google Scholar 

  26. Taylor C, Peter T. Every class in every school: final report on the first national climate survey on homophobia, biphobia, and transphobia in Canadian schools 2011.

    Google Scholar 

  27. Bos HM, Sandfort TG, De Bruyn EH, Hakvoort EM. Same-sex attraction, social relationships, psychosocial functioning, and school performance in early adolescence. Dev Psychol. 2008;44(1):59.

    Article  PubMed  Google Scholar 

  28. Bernert RA, Kim JS, Iwata NG, Perlis ML. Sleep disturbances as an evidence-based suicide risk factor. Curr Psychiatry Rep. 2015;17(3):15.

    Article  Google Scholar 

  29. Reisman S. Sadly awake: short sleep duration and depressive symptoms among adolescents. J Sleep Disord Ther. 2017;6(277):2167-0277.1000277

  30. Loredo JS, Soler X, Bardwell W, Ancoli-Israel S, Dimsdale JE, Palinkas LA. Sleep health in US Hispanic population. Sleep. 2010;33(7):962–7.

    Article  PubMed  PubMed Central  Google Scholar 

  31. Fitzgerald CT, Messias E, Buysse DJ. Teen sleep and suicidality: results from the youth risk behavior surveys of 2007 and 2009. J Clin Sleep Med. 7:2011, 351.

  32. Dai H, Ingram DG, Taylor JB. Hierarchical and mediation analysis of disparities in very short sleep among sexual minority youth in the US. Behav Sleep Med. 2015;2019:1–14.

    Google Scholar 

  33. Jelenchick LA, Eickhoff JC, Moreno MA. “Facebook depression?” social networking site use and depression in older adolescents. J Adolesc Health. 2013;52(1):128–30.

    Article  PubMed  Google Scholar 

  34. Rostad WL, Basile KC, Clayton HB. Association among television and computer/video game use, victimization, and suicide risk among US high school students. J Interpers Violence. 2018;0886260518760020

  35. Luxton DD, June JD, Fairall JM. Social media and suicide: a public health perspective. Am J Public Health. 2012;102(S2):S195–200.

    Article  PubMed  PubMed Central  Google Scholar 

  36. Anderson M, Jiang J. Teens, social media & technology 2018. Pew Res Cent. 2018;31:2018.

    Google Scholar 

  37. Han X, Han W, Qu J, Li B, Zhu Q. What happens online stays online?—social media dependency, online support behavior and offline effects for LGBT. Comput Hum Behav. 2019;93:91–8.

    Article  Google Scholar 

  38. Duarte C, Pittman SK, Thorsen MM, Cunningham RM, Ranney ML. Correlation of minority status, cyberbullying, and mental health: a cross-sectional study of 1031 adolescents. J Child Adolesc Trauma. 2018;11(1):39–48.

    Article  PubMed  PubMed Central  Google Scholar 

  39. Miller JW, Naimi TS, Brewer RD, Jones SE. Binge drinking and associated health risk behaviors among high school students. Pediatrics. 2007;119(1):76–85.

    Article  PubMed  Google Scholar 

  40. Seil KS, Desai MM, Smith MV. Sexual orientation, adult connectedness, substance use, and mental health outcomes among adolescents: findings from the 2009 New York City Youth Risk Behavior Survey. Am J Public Health. 2014;104(10):1950–6.

    Article  PubMed  PubMed Central  Google Scholar 

  41. Shih RA, Miles JN, Tucker JS, Zhou AJ, D’Amico EJ. Racial/ethnic differences in adolescent substance use: mediation by individual, family, and school factors. J Stud Alcohol Drugs. 2010;71(5):640–51.

    Article  PubMed  PubMed Central  Google Scholar 

  42. Hinduja S, Patchin JW. Bullying, cyberbullying, and suicide. Arch Suicide Res. 2010;14(3):206–21.

    Article  PubMed  Google Scholar 

  43. Myers ZR, Swearer SM, Martin MJ, Palacios R. Cyberbullying and traditional bullying: the experiences of poly-victimization among diverse youth. Int J Technoethics (IJT). 2017;8(2):42–60.

    Article  Google Scholar 

  44. Duong J, Bradshaw C. Associations between bullying and engaging in aggressive and suicidal behaviors among sexual minority youth: the moderating role of connectedness. J Sch Health. 2014;84(10):636–45.

    Article  PubMed  Google Scholar 

  45. Brener ND, Kann L, McManus T, Kinchen SA, Sundberg EC, Ross JG. Reliability of the 1999 youth risk behavior survey questionnaire. J Adolesc Health. 2002;31(4):336–42.

    Article  PubMed  Google Scholar 

  46. Dai H. Tobacco product use among lesbian, gay, and bisexual adolescents. Pediatrics. 2017;139(4):e20163276.

    Article  PubMed  Google Scholar 

  47. Proulx CN, Coulter RW, Egan JE, Matthews DD, Mair C. Associations of lesbian, gay, bisexual, transgender, and questioning–inclusive sex education with mental health outcomes and school-based victimization in US high school students. J Adolesc Health. 2019;64(5):608–14.

    Article  PubMed  PubMed Central  Google Scholar 

  48. Ash-Houchen W, Lo CC. Intersections of gender and sexual minority status: co-occurring bullying victimization among adolescents. Comput Hum Behav. 2018;80:262–70.

    Article  Google Scholar 

  49. Messias E, Kindrick K, Castro J. School bullying, cyberbullying, or both: correlates of teen suicidality in the 2011 CDC Youth Risk Behavior Survey. Compr Psychiatry. 2014;55(5):1063–8.

    Article  PubMed  PubMed Central  Google Scholar 

  50. Oberski D. Mixture models: latent profile and latent class analysis. In: Modern statistical methods for HCI. Cham: Springer; 2016. p. 275–87.

    Chapter  Google Scholar 

  51. McCutcheon AL. Latent class analysis. Newbury Park: Sage; 1987.

    Book  Google Scholar 

  52. Muthén L, Muthén B. Mplus User Guide. Chapter 8: Mixture modeling with longitudinal data; 2018.

  53. Little RJ. A test of missing completely at random for multivariate data with missing values. J Am Stat Assoc. 1988;83(404):1198–202.

    Article  Google Scholar 

  54. Enders CK, Bandalos DL. The relative performance of full information maximum likelihood estimation for missing data in structural equation models. Struct Equ Model. 2001;8(3):430–57.

    Article  Google Scholar 

  55. Muthén B, Shedden K. Finite mixture modeling with mixture outcomes using the EM algorithm. Biometrics. 1999;55(2):463–9.

    Article  PubMed  Google Scholar 

  56. Lo Y, Mendell NR, Rubin DB. Testing the number of components in a normal mixture. Biometrika. 2001;88(3):767–78.

    Article  Google Scholar 

  57. Jung T, Wickrama KA. An introduction to latent class growth analysis and growth mixture modeling. Soc Personal Psychol Compass. 2008;2(1):302–17.

    Article  Google Scholar 

  58. Litwiller BJ, Brausch AM. Cyber bullying and physical bullying in adolescent suicide: the role of violent behavior and substance use. J Youth Adolesc. 2013;42(5):675–84.

    Article  PubMed  Google Scholar 

  59. Swahn MH, Bossarte RM, Ashby JS, Meyers J. Pre-teen alcohol use initiation and suicide attempts among middle and high school students: findings from the 2006 Georgia Student Health Survey. Addict Behav. 2010;35(5):452–8.

    Article  PubMed  Google Scholar 

  60. Kuper LE, Coleman BR, Mustanski BS. Coping with LGBT and racial–ethnic-related stressors: a mixed-methods study of LGBT youth of color. J Res Adolesc. 2014;24(4):703–19.

    Article  Google Scholar 

  61. Garnett BR, Masyn KE, Austin SB, Miller M, Williams DR, Viswanath K. The intersectionality of discrimination attributes and bullying among youth: an applied latent class analysis. J Youth Adolesc. 2014;43(8):1225–39.

    Article  PubMed  Google Scholar 

  62. Eifert EK, Hall ME, Gropper SS, Kondor M. Health promotion and institutions of higher education: one university’s experience. Am J Health Educ. 2017;48(4):219–21.

    Article  Google Scholar 

  63. Huebner DM, Rullo JE, Thoma BC, McGarrity LA, Mackenzie J. Piloting lead with love: a film-based intervention to improve parents’ responses to their lesbian, gay, and bisexual children. J Prim Prev. 2013;34(5):359–69.

    Article  PubMed  PubMed Central  Google Scholar 

  64. Wynn R, West-Olatunji C. Use of culture-centered counseling theory with ethnically diverse LGBT clients. J LGBT Issues Couns. 2009;3(3–4):198–214.

    Article  Google Scholar 

  65. Selkie E, Adkins V, Masters E, Bajpai A, Shumer D. Transgender adolescents’ uses of social media for social support. J Adolesc Health. 2020;66(3):275–80.

    Article  PubMed  Google Scholar 

  66. Giano Z. The influence of online experiences: the shaping of gay male identities. J Homosex. 2019:1–15

  67. O’Brien KHM, Putney JM, Hebert NW, Falk AM, Aguinaldo LD. Sexual and gender minority youth suicide: understanding subgroup differences to inform interventions. LGBT Health. 2016;3(4):248–51.

    Article  PubMed  Google Scholar 

  68. 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. J Homosex. 2010;58(1):10–51.

    Article  Google Scholar 

  69. Perez LG, Arredondo EM, McKenzie TL, Holguin M, Elder JP, Ayala GX. Neighborhood social cohesion and depressive symptoms among Latinos: does use of community resources for physical activity matter? J Phys Act Health. 2015;12(10):1361–8.

    Article  PubMed  PubMed Central  Google Scholar 

  70. Black WW, Fedewa AL, Gonzalez KA. Effects of “Safe School” programs and policies on the social climate for sexual-minority youth: a review of the literature. J LGBT Youth. 2012;9(4):321–39.

    Article  Google Scholar 

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Giano, Z., O’Neil, A.M., Stowe, M. et al. Examining Profiles of Latinx Sexual Minority Adolescents Associated with Suicide Risk. J Immigrant Minority Health 23, 452–462 (2021). https://doi.org/10.1007/s10903-020-01128-w

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