{"title":"Age-Specific Association Between Sleep Health and Suicidal Thoughts: A Large Scale Cross Sectional Study.","authors":"Fei Wang, Rui Zhong, Yibo Wu, Tingshao Zhu","doi":"10.1080/13811118.2026.2707475","DOIUrl":"https://doi.org/10.1080/13811118.2026.2707475","url":null,"abstract":"<p><strong>Background: </strong>Sleep health is a key factor influencing mental and physical well-being. Existing research has predominantly focused on the relationship between single sleep problems and suicidal thoughts, lacking a comprehensive investigation from the perspectives of multidimensional sleep health and the life course.</p><p><strong>Objective: </strong>This study aimed to utilize a large-scale sample to explore the association between multidimensional sleep health and suicidal thoughts, and to examine the moderating role of age in this relationship.</p><p><strong>Methods: </strong>Using data from 35,502 Chinese adults, we assessed multiple sleep dimensions and suicidal thoughts via self-report. Analyses included linear regression, Canonical Correlation Analysis (CCA), and moderation tests.</p><p><strong>Results: </strong>Regression analyses showed that, after controlling for covariates, poorer sleep health was significantly associated with a higher future suicide likelihood. Canonical Correlation Analysis further revealed a significant multivariate association between patterns of sleep health and patterns of suicidal behavior, primarily driven by insomnia and sleep variability. Moderation analysis indicated that age significantly moderated the relationship between sleep variability and suicidal thoughts; this association was strongest among young adults, followed by middle-aged adults, and weakest in older adults. Stratified Canonical Correlation Analysis also showed that the overall strength of the sleep-suicide association decreased with increasing age.</p><p><strong>Conclusion: </strong>Multidimensional sleep health, particularly insomnia and sleep variability, is a significant correlate of suicidal thoughts. The association is age-specific, highlighting the need for developmentally tailored, sleep-focused interventions.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"1-21"},"PeriodicalIF":2.2,"publicationDate":"2026-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148705079","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Zuxing Wang, Yikai Dou, Yu Ye, Yulin Tong, Zhili Zou
{"title":"Sociodemographic Development and Influencing Factors of the Global Burden of Self-Harm, 1990-2021: Findings from the Global Burden of Disease Study 2021.","authors":"Zuxing Wang, Yikai Dou, Yu Ye, Yulin Tong, Zhili Zou","doi":"10.1080/13811118.2026.2711089","DOIUrl":"https://doi.org/10.1080/13811118.2026.2711089","url":null,"abstract":"<p><strong>Background: </strong>Self-harm is a significant global public health challenge with substantial psychological and economic impacts. This study analyzes trends in self-harm, focusing on the effects of the COVID-19 pandemic and sociodemographic index (SDI) on self-harm outcomes. We aim to explore the association between temporal trends, SDI, and the global burden of self-harm.</p><p><strong>Methods: </strong>Data from the Global Burden of Disease Study 2021 were used to evaluate age-standardized prevalence (ASPR), incidence (ASIR), mortality (ASMR), and disability-adjusted life years (DALYs) rates across 204 countries. Percentage changes from 2019 to 2021 and estimated annual percentage change (EAPC) from 1990-2021 were calculated, and Spearman's correlation was used to analyze relationships between EAPC and SDI. Risk factors for self-harm mortality were also assessed.</p><p><strong>Results: </strong>In 2021, 746,379 global deaths from self-harm were reported (ASMR = 8.99 per 100,000). Both ASPR and ASIR increased during the COVID-19 pandemic. Greenland had the highest burden, while South Asia showed significant sex differences, particularly higher prevalence and incidence among females. The burden of self-harm was elevated among individuals aged 70 and above. A positive correlation was found between ASMR and EAPC, and a negative one with SDI. High alcohol use accounted for 9.3% of self-harm deaths.</p><p><strong>Conclusions: </strong>The study highlights the need for targeted mental health interventions, particularly in regions like Greenland, South Asia, and among older adults. The pandemic's impact on self-harm rates underscores the urgency of mental health support, especially in lower SDI regions, to mitigate risk factors such as high alcohol use.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"1-18"},"PeriodicalIF":2.2,"publicationDate":"2026-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148673064","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jillian R Scheer, Selime R Salim, Rachel Girard, Gabriella Epshteyn, Natalie Chasten, Kriti Behari, Lauren Bochicchio, Jessie V Ford, Cindy B Veldhuis, Melanie M Wall, Tonda L Hughes
{"title":"Death-Related Thoughts, Suicidal Ideation, and Substance Use Risk Among Sexual Minority Women: The Role of Sexual Violence Victimization.","authors":"Jillian R Scheer, Selime R Salim, Rachel Girard, Gabriella Epshteyn, Natalie Chasten, Kriti Behari, Lauren Bochicchio, Jessie V Ford, Cindy B Veldhuis, Melanie M Wall, Tonda L Hughes","doi":"10.1080/13811118.2026.2710175","DOIUrl":"10.1080/13811118.2026.2710175","url":null,"abstract":"<p><strong>Objective: </strong>This study examined whether death-related thoughts, passive suicidal ideation (SI), and active SI prospectively predict risk of alcohol use disorder (AUD) and cigarette use among sexual minority women (SMW), and whether these associations differ by exposure to single versus multiple forms of sexual violence.</p><p><strong>Method: </strong>Data came from a 24-year, five-wave U.S. longitudinal study of SMW's health, using Waves 3 (2010-2012; <i>N</i> = 726) and 4 (2017-2019; <i>N</i> = 525). Multivariable logistic regression models tested associations between Wave 3 sexual violence exposure (single type, multiple types, vs. none) and death-related thoughts, passive SI, and active SI. Additional models examined whether Wave 3 death-related thoughts and SI predicted Wave 4 AUD risk and cigarette use, adjusting for sociodemographic characteristics and Wave 3 alcohol and cigarette use. Moderation by sexual violence exposure was tested using interaction terms.</p><p><strong>Results: </strong>Exposure to a single type of sexual violence was associated with death-related thoughts, whereas exposure to multiple types was associated with both death-related thoughts and active SI. Prospectively, death-related thoughts predicted AUD risk, and passive SI predicted cigarette use. Exploratory analyses suggested that the association between death-related thoughts and cigarette use was stronger among SMW without sexual violence histories than among those with exposure to multiple types of sexual violence.</p><p><strong>Conclusions: </strong>These findings highlight sexual violence as a determinant of death- and suicide-related cognitions and demonstrate that these cognitions prospectively shape substance use risk among SMW. Results underscore the importance of targeting upstream cognitive vulnerability processes in trauma-responsive prevention and intervention efforts.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"1-19"},"PeriodicalIF":2.2,"publicationDate":"2026-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148648277","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mohammad P Mahmoudzadeh, Mohammadreza Pirmordi, Komeil Zahedi Tajrishi, Ali Salehi, Kamyar Mansouri
{"title":"A Large-Sample Replication and Validation of the Three-Step Theory of Suicide in Iranian Students.","authors":"Mohammad P Mahmoudzadeh, Mohammadreza Pirmordi, Komeil Zahedi Tajrishi, Ali Salehi, Kamyar Mansouri","doi":"10.1080/13811118.2026.2698811","DOIUrl":"https://doi.org/10.1080/13811118.2026.2698811","url":null,"abstract":"<p><strong>Objective: </strong>Advancing evidence-based theories of suicide is critical for improving prevention efforts. The purpose of this study was to evaluate the Three-Step Theory of Suicide (3ST) in a sample of Iranian students.</p><p><strong>Method: </strong>Participants (<i>N</i> = 1017, mean age = 24.2, 58.2% female, 9.4% with a prior suicide attempt) completed measures of psychological pain, hopelessness, connectedness, suicide capability, suicide ideation, suicide attempt, and demographics. Results largely support the theory's central premises.</p><p><strong>Results: </strong>First, an interactive model of pain and hopelessness accounted for substantial variance (≈51%) in suicide ideation in the overall sample and in women. Among men, the full model (pain, hopelessness, and their interaction) explained similar amount of variance (≈ 52%) in suicide ideation, while the interaction term was not significant and did not explain additional variance over the main effects. Also, as hypothesized, connectedness was protective against escalating suicide ideation severity among those with suicide desire. Finally, suicide capability and its dispositional and practical component predicted suicide attempt history over and above current suicide ideation.</p><p><strong>Conclusion: </strong>These findings support the validity of 3ST of suicide within the context of a middle-income country. Implications for suicide prevention, clinical intervention and future research directions are discussed.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"1-17"},"PeriodicalIF":2.2,"publicationDate":"2026-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148590107","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Akiyoshi Shimura, Masako Iida, Yuta Takada, Yuji Furui, Yuichi Inoue
{"title":"Sleep Problems as Prospective Predictors of Suicidal Ideation.","authors":"Akiyoshi Shimura, Masako Iida, Yuta Takada, Yuji Furui, Yuichi Inoue","doi":"10.1080/13811118.2026.2703972","DOIUrl":"https://doi.org/10.1080/13811118.2026.2703972","url":null,"abstract":"<p><strong>Objective: </strong>While the association between suicide and sleep problems has been reported, the effect size and temporal directionality remain unclear. This study examined whether sleep problems prospectively predict suicidal ideation.</p><p><strong>Methods: </strong>In 2022, a self-administered online questionnaire including the Pittsburgh Sleep Quality Index (PSQI), the Patient Health Questionnaire-9, and the Suicidal Ideation Scale (SIS) was distributed to a stratified random sample from a web survey panel and to local city government officers. The same questionnaire was administered again after 3 months. Cross-lagged model analyses were conducted to assess temporal and directional associations.</p><p><strong>Results: </strong>A total of 652 participants (mean age, 49.7 years) provided valid responses at both time points. Weak suicidal ideation was observed in 25.2% of participants, and moderate-to-strong ideation in 3.7% (SIS Q1: \"wish to die\"). Sleep disturbance (PSQI ≥ 6) was observed in 32.8% of participants. Cross-lagged analyses showed that PSQI global score and sleep latency prospectively predicted suicidal ideation. These associations remained significant after adjusting for depressive symptoms. Bidirectional associations between sleep disturbance and suicidal ideation were also observed. The presence of sleep disturbance predicted future suicidal ideation in univariate analysis (OR = 3.97) and remained significant in the PHQ-9-adjusted model (OR = 1.59).</p><p><strong>Conclusion: </strong>Sleep problems were identified as prospective predictors of suicidal ideation. Sleep disturbances may represent modifiable targets for intervention in suicide prevention.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"1-21"},"PeriodicalIF":2.2,"publicationDate":"2026-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148519653","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
María Montagud-Andrés, Miriam Marco, Antonio López-Quílez, Pablo Escobar-Hernández, Marisol Lila, Enrique Gracia
{"title":"Spatio-Temporal Patterns of Suicide-Related Emergency Calls Over a 11-Year Period in the Valencian Community, Spain (2013-2023).","authors":"María Montagud-Andrés, Miriam Marco, Antonio López-Quílez, Pablo Escobar-Hernández, Marisol Lila, Enrique Gracia","doi":"10.1080/13811118.2026.2697902","DOIUrl":"https://doi.org/10.1080/13811118.2026.2697902","url":null,"abstract":"<p><strong>Introduction: </strong>Suicide is a complex public health issue influenced by a range of psychological, social, and environmental factors. It displays marked spatial and temporal variation, with certain regions consistently experiencing higher rates, while temporal trends fluctuate over years and seasons. Understanding both dimensions is important; therefore, adopting a spatio-temporal approach enables a more comprehensive analysis.</p><p><strong>Methodology: </strong>Geocode data on suicide-related calls (N = 82,816) from the Valencian Community, Spain, between 2013 and 2023 were provided by the Valencian Regional Government. We used a Bayesian spatio-temporal Poisson regression modeling with an integrated nested Laplace approximation (INLA) to identify the spatial and temporal distribution of suicide-related calls.</p><p><strong>Results: </strong>The study revealed a higher incidence of suicide-related calls in urban areas with a lower aging index, greater residential instability, and a higher percentage of one-person households. A clear seasonal pattern emerged, with the fewest calls occurring in the winter months, particularly in February, and most calls occurring from May to September. The spatial distribution of relative risk is presented in the corresponding map, highlighting marked geographic disparities.</p><p><strong>Conclusion: </strong>The observed spatial clustering, sociodemographic correlates, and strong seasonal peaks in suicide-related calls highlight the importance of incorporating spatio-temporal evidence into the design of timely, place-based suicide prevention and community response efforts.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"1-18"},"PeriodicalIF":2.2,"publicationDate":"2026-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148418191","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kate L Senich, Oumou Toure, Shelley A Gresko, Ruth Agwaze, Arielle Sheftall, Ian Cero
{"title":"Moderating Effects of Adolescent Social Network on the Relationship Between Adverse Childhood Experiences and Adult Suicidal Thoughts and Behaviors.","authors":"Kate L Senich, Oumou Toure, Shelley A Gresko, Ruth Agwaze, Arielle Sheftall, Ian Cero","doi":"10.1080/13811118.2026.2698805","DOIUrl":"10.1080/13811118.2026.2698805","url":null,"abstract":"<p><strong>Objective: </strong>Adverse childhood experiences (ACEs) are shown to increase risk for suicidality. Given the high prevalence of ACEs, identifying contexts contributing to suicidal ideation and attempts can aid in combatting suicide rates. Literature indicates that aspects of youths' social network structures can provide protection against suicidal ideation and behaviors. Thus, we hypothesize that higher social network metrics in youth may moderate the relationship between ACEs and later suicidality.</p><p><strong>Methods: </strong>Using the National Longitudinal Study of Adolescent to Adult Health (Add Health) data set, we analyzed a sample of adolescents from grades 7 to 12 during the 1994-1995 school year and followed their outcomes until 2008-2009. Multiple regression models examined interactive effects of ACEs and four different social network indices (size, density, in-degree, and out-degree) on suicidal ideation and attempts.</p><p><strong>Results: </strong>A total of 2,596 individuals were included in our analyses. A significant interaction revealed that at higher levels of network density, each ACE increased the risk of suicidal ideation. No other network indices moderated the relationship between ACEs and suicidal ideation or attempts.</p><p><strong>Conclusion: </strong>This study found that increasing youth network density may confer (or be a marker of) risk of suicidal ideation for individuals with childhood adversity. Our findings have implications for prevention programs, especially those intended toward building strong social networks.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"1-16"},"PeriodicalIF":2.2,"publicationDate":"2026-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148409957","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Group Therapy for Adolescents at Risk of Suicide: A Scoping Review.","authors":"Chen Mike, Joy Benatov","doi":"10.1080/13811118.2026.2695740","DOIUrl":"https://doi.org/10.1080/13811118.2026.2695740","url":null,"abstract":"<p><p>Adolescent suicidality is a pressing global health concern, yet group-based therapeutic interventions for this population remain underexplored. This scoping review aimed to systematically map the existing literature on group therapy for adolescents and young adults aged 10-25 years experiencing suicidal ideation or behaviors. Ten peer-reviewed studies were identified through a comprehensive database search and analyzed across key dimensions, including participant demographics, interventions' theoretical frameworks, therapeutic mechanisms, intervention structure, clinical outcomes, and implementation challenges. The findings reveal that group therapy for adolescents at risk of suicide is applied using a variety of theoretical orientations, including cognitive-behavioral, dialectical-behavioral, psychodynamic, and narrative approaches, and across diverse clinical settings. Most interventions were short and time limited. Interventions generally yielded positive outcomes, including reductions in suicidal ideation, depressive symptoms, anxiety, and emotional dysregulation. Despite promising results, studies also had methodoligocal limitations, including small samples and most studies lacked control group or randomization. Furthermore, few interventions included cultural adaptation or addressed the potential risk of suicide contagion in group settings. Taken together, findings underscore the need for further research employing rigorous designs and culturally informed practices. Nonetheless, group therapy appears to be a potentially effective component in the continuum of care for adolescents at risk of suicide.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"1-17"},"PeriodicalIF":2.2,"publicationDate":"2026-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148374317","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
David P Cenkner, Sarah K Stevens, Sono Lee, Alyson K Zalta
{"title":"A Daily Diary Study of How Affective States Are Associated with and Predict Suicidal Ideation in Adults Seeking Intensive Outpatient Treatment.","authors":"David P Cenkner, Sarah K Stevens, Sono Lee, Alyson K Zalta","doi":"10.1080/13811118.2025.2573839","DOIUrl":"10.1080/13811118.2025.2573839","url":null,"abstract":"<p><strong>Objective: </strong>Negative affective states are known risk factors for suicidal ideation (SI). However, most research to date has used cross-sectional or longitudinal designs with long follow-up periods to understand these relationships. Thus, the current study aimed to understand how specific negative affective states may act as acute risk factors for same day SI and predict next day SI.</p><p><strong>Methods: </strong>Daily diary cards from 83 adults (4,648 observations; <i>M</i><sub>age</sub> = 29.5; 67% female; 61% White) seeking treatment at an 8-week dialectical behavioral therapy (DBT) intensive outpatient program were analyzed. Sadness, anger, anxiety, guilt, and shame were independently evaluated to understand their association with same day SI intensity and examine how they predicted next day SI intensity.</p><p><strong>Results: </strong>Multilevel regression revealed at the within person level that increases in all five affective states was associated with same day SI. However, only increased sadness and guilt, and decreased anxiety, predicted next day SI, covarying for same day SI.</p><p><strong>Conclusion: </strong>Sadness and guilt may be salient acute risk factors for next day SI. Clinicians who implement treatments that use daily diary cards, such as DBT, may want to attend to these specific affective states when monitoring client diary cards and during suicide risk assessment.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"721-732"},"PeriodicalIF":2.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145273374","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Prevalence and Associations of Suicidal Thoughts and Suicide Attempts by Sexual Orientation Among Students in Lithuania.","authors":"Jokūbas Gužas, Paulius Skruibis","doi":"10.1080/13811118.2025.2565500","DOIUrl":"10.1080/13811118.2025.2565500","url":null,"abstract":"<p><strong>Objective: </strong>Research indicates that non-heterosexual students face a higher risk of suicidal thoughts and attempts compared to heterosexual peers. However, differences in suicidal behavior between sexual orientation groups among students in Lithuania remain underexplored.</p><p><strong>Method: </strong>Data were collected via an online survey of students from 17 higher education institutions in Lithuania. Participants answered sociodemographic questions, reported suicidal thoughts and attempts at various time periods, and completed the PHQ-4. Prevalence was calculated for the full sample and sexual orientation groups. Logistic regression examined associations between suicidal behavior and sexual orientation, controlling for confounding variables.</p><p><strong>Results: </strong>The full sample included 2,012 participants (ages 18-29, <i>M</i> = 21.62, <i>SD</i> = 2.35), of whom 13.5% identified as bisexual and 4.4% as lesbian/gay. Suicidal thoughts were reported by 40.7%-63.6% of heterosexual, 53.4%-76.1% of lesbian/gay students, and 66.5%-89.7% of bisexual students. Suicide attempts were reported by 1.0%-15.0% of heterosexual, 2.3%-20.5% of lesbian/gay, and 4.1%-25.8% of bisexual students. Lesbian/gay students had higher odds of suicidal behavior compared to heterosexual students (AOR = 1.710, 95% CI [1.017, 2.875]), while bisexuals exhibited even higher odds (AOR 1.710-4.197, 95% CI [1.242, 6.047]). Bisexuals also showed higher odds compared to lesbian/gay students (AOR 2.529-2.626, 95% CI [1.307, 4.895]).</p><p><strong>Conclusions: </strong>A higher proportion of non-heterosexual students in Lithuania report suicidal thoughts and attempts compared to heterosexual counterparts. The findings further underscore a relationship between sexual orientation and suicidal behavior, with bisexual students exhibiting the highest vulnerability.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"662-675"},"PeriodicalIF":2.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145190632","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}