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Comment & Response
September 2017

Legalization of Same-Sex Marriage and Drop in Adolescent Suicide Rates: Association But Not Causation—Reply

Author Affiliations
  • 1Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland
  • 2Department of Global Health and Population, Harvard T. H. Chan School of Public Health, Boston, Massachusetts
  • 3Division of Adolescent and Young Adult Medicine, Boston Children’s Hospital, Boston, Massachusetts
JAMA Pediatr. 2017;171(9):915-916. doi:10.1001/jamapediatrics.2017.1958

In Reply We are grateful to Kamtchum-Tatuene et al for their comments on our article.1 We appreciate the opportunity to clarify that the sample size of 231 413 listed for our secondary analysis in Table 21 included all students in all states with data on sexual orientation and does not indicate that 30% of students identified as sexual minorities. We described in the analysis section that we interacted sexual minority identity and state same-sex marriage to assess associations with suicide attempts. We reported in the results section that 12.7% of students identified as sexual minorities in 2015.