To the Editor: In their Grand Rounds article
about suicide in teenagers, Dr Zametkin and colleagues1
did not discuss sexual orientation as a risk factor. I find that many homosexual
patients have told me that awareness of their own sexual orientation began
in their childhoods, and as teenagers they were confused, frightened, embarrassed,
and thought of suicide.
The medical literature strongly supports such an association between
sexual orientation and suicidality. Remafedi et al,2
in a study of junior and senior public high school students, found suicide
attempts reported by 28.1% of bisexual/homosexual males compared with 4.2%
of heterosexual males (odds ratio, 7.10; 95% confidence interval, 3.05-16.53).
A recent review article3 cited 10 studies
that found consistently high rates of suicide attempts (20%-42%) among homosexual
teenagers. Bagley and Tremblay4 found that
rates of serious suicide attempts were 4 times higher in homosexual youth.
Finally, in examining data from the National Longitudinal Study of Adolescent
Health, Russel and Joiner5 conclude there
is "strong evidence that sexual minority youths are more likely than their
peers to think about and attempt suicide."
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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature
Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal
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