Emily Marre



Document Type


Degree Name



Dept. of Public Health and Preventive Medicine


Oregon Health & Science University


Purpose: Applying the minority stress model with attention to intersecting social identities, this study tested the effects of sexual minority-specific harassment on several mental health outcomes. Adult support, race/ethnicity, and sex were also tested as moderators of these effects. Methods: Data from the 2006-2009 Oregon Healthy Teens Survey were analyzed using logistic regression for complex samples to examine the relationship between sexual minority identity, sexual minority-specific harassment, and three mental health outcomes (depression, suicidal ideation, and previous suicide attempt) while testing the importance of race/ethnicity, age, sex, and adult support among 1,087 11th grade students in Oregon. Results: The odds that a sexual minority youth who reports sexual minority-specific harassment in school would report depression, suicidal ideation, or suicide attempt in the in the last year are 1.65 (95%CI: 1.02, 2.66), 1.75 (95% CI: 1.17, 2.49), and 1.84 (95% CI: 1.21, 2.80) times the odds that a sexual minority youth who does not report sexual minority-specific harassment in school for of each respective outcome. Homophobic victimization had different effects on depression across sex categories, indicating the importance of considering individuals’ multiple social identities. Conclusion: Results underscore the deleterious effect of homophobic victimization on depression, suicidal ideation, and previous suicide attempt. These findings highlight the need for development, passage, and implementation of school policies that address homophobic bullying and other forms of bias-based bullying and harassment




School of Medicine



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