Journal of Adolescent Health最新文献

{"title":"A Story Untold: An Adolescent’s Journey of the Scottish Care System","authors":"Craig Houston M.Sc. , Ruth Emond Ph.D.","doi":"10.1016/j.jadohealth.2025.01.022","DOIUrl":"10.1016/j.jadohealth.2025.01.022","url":null,"abstract":"","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"76 6","pages":"Page 1126"},"PeriodicalIF":5.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143756227","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Variability in Health Outcomes According to Pediatric to Adult Transfer-of-Care Status Among Young Adults With Sickle Cell Disease","authors":"Tarun Aurora M.D., M.S.C.I. ,&nbsp;Emilia Nascimento Ph.D. ,&nbsp;Patricia Moura M.D., Ph.D. ,&nbsp;Heloisa Helena Miranda M.D. ,&nbsp;Thais Oliveira N.P. ,&nbsp;Nick Faris M.Div. ,&nbsp;Ana A. Baumann Ph.D. ,&nbsp;Jane S. Hankins M.D., M.S. ,&nbsp;Clarisse Lobo M.D., Ph.D.","doi":"10.1016/j.jadohealth.2025.01.023","DOIUrl":"10.1016/j.jadohealth.2025.01.023","url":null,"abstract":"<div><h3>Purpose</h3><div>Transitioning from pediatric to adult care is critical for young adults with sickle cell disease. While the transfer typically occurs at age 18, some pediatric providers continue care into adulthood. This study evaluates whether remaining in pediatric care versus transferring to adult care affects health outcomes. We hypothesized that those who remain in pediatric care after age 18 would experience fewer acute health-care events and better outcomes than those who transfer to adult care.</div></div><div><h3>Methods</h3><div>A retrospective cohort study was conducted at HEMORIO, a blood center in Rio de Janeiro, Brazil. Health-care utilization (outpatient visits, emergency department visits, hospitalizations), hydroxyurea use, care abandonment, and mortality were compared among young adults with sickle cell disease aged 18–23 under pediatric or adult care. Wilcoxon rank sum tests and Fisher’s exact tests were used for statistical analysis.</div></div><div><h3>Results</h3><div>Among 472 eligible patients (50% female, 71% Hb SS or Hb Sβ0 thalassemia), 81 (17%) remained in pediatric care, while 391 (83%) transferred to adult care. After age 18, patients in pediatric care had fewer emergency visits and hospitalizations compared to those in adult care. Transferred patients showed increased emergency visits and hospitalizations relative to their adolescent period, whereas those remaining in pediatric care experienced reduced rates of these events.</div></div><div><h3>Discussion</h3><div>Transitioning to adult care is associated with increased adverse outcomes despite more frequent ambulatory visits. Enhancing transition programs to improve adult care integration and engagement is essential to address these disparities.</div></div>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"76 6","pages":"Pages 1001-1007"},"PeriodicalIF":5.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143813040","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Climate Change Stress Among Adolescents In California: Associations With Psychological Distress, Suicide Ideation, and Social and Demographic Factors","authors":"Grace M. Hindmarch ,&nbsp;Jocelyn Meza Ph.D. ,&nbsp;Riti Shimkhada Ph.D. ,&nbsp;Imelda Padilla-Frausto Ph.D. ,&nbsp;Daniel Eisenberg Ph.D.","doi":"10.1016/j.jadohealth.2025.02.019","DOIUrl":"10.1016/j.jadohealth.2025.02.019","url":null,"abstract":"<div><h3>Purpose</h3><div>Extreme weather events related to climate change have negative impacts on mental health. Less is known about how the awareness of climate change, known as climate change stress, impacts adolescent mental health. This study explores the association between climate change stress and psychological distress and suicide ideation among adolescents in California and factors associated with climate change stress.</div></div><div><h3>Methods</h3><div>This study uses cross-sectional data from the 2021 and 2022 California Health Interview Survey adolescent data set. All analyses used California Health Interview Survey weights to be representative of the statewide population. Pearson’s Chi-squared tests and 2-sample t-tests were used to explore differences between adolescents reporting climate change stress or not. Binary logistic regressions were used to explore the association between climate stress and psychological distress and suicide ideation.</div></div><div><h3>Results</h3><div>38.1 percent of California’s adolescents report climate change stress. Adolescents who report this stress are more likely to be female, gender nonconforming, White, from higher-income families, have adverse childhood experiences, frequently use social media, be involved in their community, and feel civic efficacy. Climate change stress is associated with 2.395 times greater odds of psychological distress in the past month and 1.853 times greater odds of suicide ideation in the past year.</div></div><div><h3>Discussion</h3><div>Climate change stress is common for adolescents in California and associated with psychological distress and suicide ideation. This is an emerging topic that needs more focus. Researchers, policymakers, and mental health experts can work together to address the impacts of climate change on the mental well-being of adolescents.</div></div>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"76 6","pages":"Pages 1098-1104"},"PeriodicalIF":5.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144058945","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Disability and Bullying Victimization Among Adolescents in Nepal: The Influence of Community Gender Norms","authors":"Zarmeen Shakil M.A.,&nbsp;Alexandria Ree Hadd Ph.D.,&nbsp;Abbie Shervinskie M.P.H.,&nbsp;Cari Jo Clark Sc.D., M.P.H.","doi":"10.1016/j.jadohealth.2025.03.001","DOIUrl":"10.1016/j.jadohealth.2025.03.001","url":null,"abstract":"<div><h3>Purpose</h3><div>Bullying victimization affects the well-being and academic success of children and adolescents, especially those with disabilities. However, bullying victimization is underexplored in low-middle-income countries. This study investigates the relationship between disability status and bullying victimization while exploring the role of gender norms on this relationship and examining gender differences in Nepal.</div></div><div><h3>Methods</h3><div>The sample consisted of 593 Nepali school-going adolescents across 19 municipalities. Logistic regression analyses were conducted to examine the relationship between disability status, measured by Washington Group Short Set on Functioning, and bullying victimization, measured by Reduced-Aggression-Victimization Scale. We then tested if community gender norms moderated this relationship. Subgroup analyses were then conducted by gender.</div></div><div><h3>Results</h3><div>Eight percent of adolescents reported disabilities and bullying, respectively. Adolescents with disabilities had significantly higher odds of experiencing bullying victimization compared to their nondisabled peers (<em>B</em> = 0.99, <em>p</em> = 0.01). Community gender norms moderated this relationship, such that adolescents with disabilities living in communities with more gender unequal norms had a heightened risk of bullying victimization (<em>B</em> = 6.84, <em>p =</em> 0<em>.</em>02). Subgroup analysis indicated that the relationship between disability status and bullying victimization was stronger for boys than girls.</div></div><div><h3>Discussion</h3><div>Our findings highlight the vulnerability of adolescents with disabilities to bullying victimization and the need for gender-sensitive interventions in schools and communities. Targeting harmful gender norms in schools may mitigate bullying victimization for students with disabilities. Further research is needed in low-middle-income countries to explore the role of gender norms on bullying victimization in larger and diverse samples.</div></div>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"76 6","pages":"Pages 1083-1089"},"PeriodicalIF":5.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144027802","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Identifying Promising Message Themes for Youth Who Use Multiple Tobacco Products","authors":"Sarah D. Kowitt Ph.D., M.P.H. ,&nbsp;Seth M. Noar Ph.D. ,&nbsp;Isabelle Duguid ,&nbsp;Meg Johnson ,&nbsp;Allison J. Lazard Ph.D. ,&nbsp;James F. Thrasher Ph.D., M.A., M.S. ,&nbsp;Adam O. Goldstein M.D., M.P.H.","doi":"10.1016/j.jadohealth.2025.02.004","DOIUrl":"10.1016/j.jadohealth.2025.02.004","url":null,"abstract":"<div><h3>Purpose</h3><div>While most tobacco prevention and cessation ads focus on a single product, little research exists on developing campaigns to influence youth who use multiple tobacco products (MTPs).</div></div><div><h3>Methods</h3><div>To examine the effects of message themes in ads targeting MTP use, we conducted an online within-subjects experiment with n = 310 US youth (ages 13–20) who reported past 30-day vaping and smoking cigarettes or cigars. Participants were randomly assigned to rate 6 messages from different themes about the consequences of vaping and smoking (e.g., “Vaping and smoking can lead to anxiety and irritability”) from a pool of 49 messages.</div></div><div><h3>Results</h3><div>Regarding intended effects, all message themes performed significantly better than control on perceived message effectiveness (PME) (<em>p</em> &lt; .01). In addition, themes about chemical exposures and health effects on organs with explanations for how health effects occurred led to higher PME than most other themes (including health effects on organs without explanations), while the nicotine addiction theme led to lower PME than most other themes (<em>p</em> &lt; .05). Regarding unintended effects, health effects on organs with explanations led to a greater likelihood of thinking vaping is more harmful than smoking versus control (<em>p</em> &lt; .05), although unintended effects were smaller than intended effects.</div></div><div><h3>Discussion</h3><div>Themes about chemical exposures and health effects on organs with explanations were perceived as more effective than other themes for ads targeting youth who use MTPs. However, health effects on organs with explanations also increased vaping relative harm, and future research is needed to examine any potential unintended consequences on behavior from such messaging.</div></div>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"76 6","pages":"Pages 1069-1076"},"PeriodicalIF":5.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143775053","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Co-Occurring Prevalence of Non-Suicidal Self-Injury and Disordered Eating Among Adolescents and Young Adults: A Systematic Review","authors":"Sarah R. Eisenman M.Sc. ,&nbsp;Isabella Jackson ,&nbsp;Lee D. Hudson Ph.D. ,&nbsp;Adriana Vázquez-Vázquez Ph.D.","doi":"10.1016/j.jadohealth.2025.01.016","DOIUrl":"10.1016/j.jadohealth.2025.01.016","url":null,"abstract":"<div><div>Disordered eating (DE) and non-suicidal self-injury (NSSI) are transdiagnostic phenomena particularly prevalent among youth; but documentation of the prevalence of DE/NSSI comorbidity is limited. This review aimed to (1) synthesize existing prevalence data on comorbid DE/NSSI among this population and (2) describe co-occurring NSSI and specific DE behaviors where possible. PubMed, PsycINFO, EMBASE, and Web of Science were searched; 15 studies were included in this review. The Newcastle-Ottawa Scale adapted for cross-sectional studies was used to assess the risk of bias; five studies were rated as low risk of bias and 10 as moderate risk of bias. The weighted average comorbid prevalence of DE/NSSI was 4.46%, and differences across gender, age, DE behaviors, and measure types are discussed. There was limited available data for the characteristics of NSSI within comorbid DE. Clinicians should screen for comorbidity when either DE or NSSI is present. The primary methodological issue of included studies was the variance in reliability and validity of DE and NSSI measures; future research should address these issues and prioritize inclusion of non-White, non-Western, and gender/sexual minority youth.</div></div>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"76 6","pages":"Pages 985-994"},"PeriodicalIF":5.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143588044","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"National Coverage of Adolescent Opioid Overdose Prevention Content in Pediatrics Clerkships","authors":"Nitin Vidyasagar ,&nbsp;Elena Whitney ,&nbsp;Sarah Shapiro ,&nbsp;Dima K. Halabi ,&nbsp;Manish Pathuri ,&nbsp;Mim Ari M.D. ,&nbsp;Maria A. Alkureishi M.D.","doi":"10.1016/j.jadohealth.2025.02.012","DOIUrl":"10.1016/j.jadohealth.2025.02.012","url":null,"abstract":"<div><h3>Purpose</h3><div>Amidst rising fentanyl-related adolescent overdose deaths, pediatricians’ confidence in addressing opioid overdose risk and opioid use disorder is lacking, possibly due to inadequate training. Teaching opioid overdose prevention in the Pediatrics clerkship can address knowledge gaps and raise awareness of this public health emergency; however, it is necessary to assess its current coverage.</div></div><div><h3>Methods</h3><div>A cross-sectional web-based survey was administered to Pediatrics clerkship directors of U.S. allopathic and osteopathic medical schools in April 2024.</div></div><div><h3>Results</h3><div>Eighty-five of 189 schools responded (45%). Less than two-thirds (54 of 85) cover any related content, and none teach all essential areas, highlighting opportunities for curricular expansion. While topics like screening for opioid use and medications for opioid use disorder are occasionally addressed (41.2%, 9.4%), using the HEADSS (Home, Education, Activities, Drugs, Suicidality, Sex) assessment to address critical aspects like naloxone and fentanyl test kits remain largely untaught (4.8%, 3.7%).</div></div><div><h3>Discussion</h3><div>These findings underscore the need for curricular tools to enhance opioid overdose prevention education in Pediatrics clerkships.</div></div>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"76 6","pages":"Pages 1117-1121"},"PeriodicalIF":5.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144046807","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Timing of Bullying Experiences and Sexual Orientation Differences in Depressive Symptoms From Late Childhood to Adolescence: A Prospective Cohort Study","authors":"Yin Xu Ph.D. ,&nbsp;Qazi Rahman Ph.D.","doi":"10.1016/j.jadohealth.2025.02.010","DOIUrl":"10.1016/j.jadohealth.2025.02.010","url":null,"abstract":"<div><h3>Purpose</h3><div>Lesbian, gay, and bisexual (LGB) adolescents report more bullying and depressive symptoms than their heterosexual peers, but there are no longitudinal studies on how changes in bullying over time influence changes in depressive symptoms from childhood to adolescence. We tested sexual orientation differences in the developmental trajectories of depressive symptoms from age 11 to 17 and the influence of increases in being bullied from age 11 to 13 upon increased sexual orientation differences in depressive symptoms.</div></div><div><h3>Methods</h3><div>The Avon Longitudinal Study of Parents and Children, a prospective birth cohort from the United Kingdom, was used (N = 5,037, 53.38% female, 87.53% White). Analyses were performed using structural equation modeling.</div></div><div><h3>Results</h3><div>LGB adolescents reported significantly more depressive symptoms than heterosexual adolescents at ages 11, 13, 14, and 17, and these group differences increased from age 11 to 17, ranging from 0.21 to 0.84. Depressive symptoms increased from age 11 to 17 for both heterosexual and LGB adolescents, with a greater increase observed in LGB adolescents, total effect (standardized regression coefficient, <em>β</em>) = 0.82. Sexual orientation differences in the rate of increases in depressive symptoms were partially explained by greater increases in being bullied from age 11 to 13 reported by LGB than heterosexual adolescents, indirect effect = 0.14.</div></div><div><h3>Discussion</h3><div>Greater increases in being bullied from late childhood to early adolescence are associated with a greater rate of increases in depressive symptoms from age 11 to 17 among LGB adolescents compared to heterosexual adolescents.</div></div>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"76 6","pages":"Pages 1090-1097"},"PeriodicalIF":5.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144047415","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluating Clinician Experience in Health Care Transition: Results From Six Health Systems","authors":"Ariadne Lie M.D. ,&nbsp;Marybeth Jones M.D., M.S. ,&nbsp;Julie Corder C.N.P. ,&nbsp;Carrie Cuomo D.N.P. ,&nbsp;Lauren Galpin M.D. ,&nbsp;Reem Hasan M.D., Ph.D. ,&nbsp;Terri Hickam M.S.W. ,&nbsp;Lisa Lestishock D.N.P. ,&nbsp;Stephanie Pratt M.S.W. ,&nbsp;Emily Rosenthal M.D. ,&nbsp;Andrea M. Baran M.S. ,&nbsp;Patience White M.D., M.A.","doi":"10.1016/j.jadohealth.2024.11.011","DOIUrl":"10.1016/j.jadohealth.2024.11.011","url":null,"abstract":"<div><h3>Purpose</h3><div>There is a paucity of evidence examining clinician experiences with structured health-care transition (HCT) programs. Among HCT Learning Collaborative participants, this study describes clinician experiences with implementation of a structured HCT process: Got Transition’s 6 Core Elements.</div></div><div><h3>Methods</h3><div>Representative members from 6 health systems designed a survey to collect clinician feedback regarding HCT and demographic and practice information. The survey included adapted Got Transition Current Assessment of HCT Activities Level 4 and Clinician Feedback surveys as well as the following factors: clinical role, care setting, status, time involved in HCT process implementation, presence of champion, and partnership between pediatric and adult systems. Surveys were distributed across pediatric and adult clinical settings to 855 clinicians involved in HCT process implementation efforts during August and September 2022. Statistical analysis was performed to identify relationships between key clinician demographic data and responses on the survey.</div></div><div><h3>Results</h3><div>A total of 272 clinicians provided feedback (31% response rate) on implementing a structured HCT process. About two-thirds reported that fidelity to a structured HCT process was present. The 6 Core Elements most implemented processes included transition policy, tracking, and transition planning. The majority of clinicians agreed that a structured HCT process improves safety and quality of care, as well as both patient and clinician experiences. Time invested in HCT processes was significantly associated with securing senior leadership buy-in. Presence of an identifiable institutional HCT process improvement champion was significantly associated with positive clinician experiences.</div></div><div><h3>Discussion</h3><div>Clinicians found positive benefits in providing a structured HCT process using the 6 Core Elements and having a champion in their health system. They acknowledge that added time and continued investment in practice-wide HCT processes are needed.</div></div>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"76 6","pages":"Pages 995-1000"},"PeriodicalIF":5.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143043762","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"National Trends of Suicidal Thoughts and Behaviors Among Asian American Young Adults Between 2008 and 2019: The Intersection of Sex and Sexual Identity","authors":"Hyeouk Chris Hahm Ph.D., L.C.S.W. ,&nbsp;Seungbin Oh Ph.D. ,&nbsp;Brian TaeHyuk Keum Ph.D. ,&nbsp;Cindy H. Liu Ph.D. ,&nbsp;Madison Kitchen Ed.M., M.S.W. ,&nbsp;Julia Starrett ,&nbsp;Michael Tang M.P.H. ,&nbsp;Thomas Joiner Ph.D.","doi":"10.1016/j.jadohealth.2025.03.009","DOIUrl":"10.1016/j.jadohealth.2025.03.009","url":null,"abstract":"<div><h3>Purpose</h3><div>There is insufficient literature examining the intersections among sex, sexual orientation, and suicidal thoughts and behaviors (STBs) among Asian American (AA) young adults.</div></div><div><h3>Methods</h3><div>Data from the National Survey of Drug Use and Health (2008–2019), focusing on AAs aged 18–25 (n = 8,600), were analyzed, with sexual identity questions included in the 2015–2019 data. A total of 268 (7.45%_wt) respondents identified themselves as lesbian, gay, or bisexual. Joinpoint regression analysis was used to examine trends over time, and predictive modeling was used to assess the impact of intersecting identities on STBs. Logistic regression was used to test the association between STBs and sex, sexual orientation, and the intersection of sex and sexual orientation.</div></div><div><h3>Results</h3><div>Trends for STBs showed an upward trajectory. Joinpoint regression analysis revealed a significant increase in suicidal thoughts, plans, and attempts, with annual percentage changes of 3.34% per year (<em>p</em> = .03), 7.45% per year (<em>p</em> = .002), and 7.52% per year (<em>p</em> = .04), respectively. There was a clear disparity based on sexual identity: while trends for STBs among heterosexuals were flat across all STBs, for sexual minorities, the annual percentage changes for suicidal thoughts, plans, and attempts were 11.27% (<em>p</em> = .43), 42.4% (<em>p</em> = .06), and 64.9% (<em>p</em> = .23), respectively, although these increases were not statistically significant.</div></div><div><h3>Discussion</h3><div>It is crucial to develop effective suicide prevention strategies or address mental health disparities for AA young adults while <em>accounting</em> for the intersection of sex and sexual minority status.</div></div>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"77 1","pages":"Pages 76-83"},"PeriodicalIF":5.5,"publicationDate":"2025-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144201366","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}