Associations Between Verbal and Physical Abuse in the Home and Mental Health Indicators Among Heterosexual and Lesbian, Gay, Bisexual, and Questioning High School Students in the US-Adolescent Behaviors and Experiences Survey, 2021

J Adolesc Health. 2024 Jan;74(1):198-201. doi: 10.1016/j.jadohealth.2023.07.028. Epub 2023 Oct 3.

Abstract

Purpose: A number of factors may contribute to disparities in mental health and suicidality for lesbian, gay, bisexual, and questioning (LGBQ) students, including parental abuse.

Methods: The Centers for Disease Control and Prevention's (CDC) Adolescent Behaviors and Experiences Survey included a nationally representative sample of US high school students during the COVID-19 pandemic. The current analyses examined experiences of verbal and physical abuse in the home with mental health and suicidality among LGBQ students compared to heterosexual students.

Results: The relationship between abuse and mental health and suicidality was significant for all students; however, LGBQ students experienced substantially more abuse and had significantly poorer mental health and greater suicidality than heterosexual students.

Discussion: Experiencing verbal or physical abuse in the home is strongly associated with poor mental health and suicidality among youth, regardless of sexual identity; however, among LGBQ students who experienced abuse, the prevalence of poor mental health and suicidality reached crisis levels.

Keywords: Abuse; LGBTQ youth; Mental health; Suicidality; Violence.

MeSH terms

  • Adolescent
  • Adolescent Behavior* / psychology
  • Female
  • Heterosexuality / psychology
  • Homosexuality, Female*
  • Humans
  • Mental Health
  • Pandemics
  • Physical Abuse
  • Sexual and Gender Minorities*
  • Students