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.
Raifman J, Moscoe E, Austin SB. Legalization of Same-Sex Marriage and Drop in Adolescent Suicide Rates: Association But Not Causation—Reply. JAMA Pediatr. 2017;171(9):915–916. doi:10.1001/jamapediatrics.2017.1958
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