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March 13, 2002

Sexual Orientation and Suicide Risk Among Teenagers—Reply

Author Affiliations

Stephen J.LurieMD, PhD, Senior EditorIndividualAuthor

JAMA. 2002;287(10):1265-1266. doi:10.1001/jama.287.10.1261

In Reply: While I agree with Dr Brobow that bisexual and homosexual teenagers are at greater risk for suicide attempts, 2 points remain unclear.

First, it is not known whether bisexual or homosexual teenagers complete suicide more frequently than do heterosexual teenagers. It is known, however, that previous attempts are a risk factor for future attempts and completed suicide. A second and more interesting question that Bobrow raises is which specific interventions for this unique population might effectively reduce the high rate of attempts. Given the paucity of effective interventions for youth in general, this area of research is particularly compelling and will require innovative and creative approaches.