title: Sexual orientation and suicidal behaviour in adolescents and young adults: systematic review and meta-analysis.
abstract: BackgroundResearch suggests that lesbian, gay and bisexual (LGB) adolescents have a higher risk of suicidal behaviours than their heterosexual peers, but little is known about specific risk factors.AimsTo assess sexual orientation as a risk factor for suicidal behaviours, and to identify other risk factors among LGB adolescents and young adults.MethodA systematic search was made of six databases up to June 2015, including a grey literature search. Population-based longitudinal studies considering non-clinical populations aged 12-26 years and assessing being LGB as a risk factor for suicidal behaviour compared with being heterosexual, or evaluating risk factors for suicidal behaviour within LGB populations, were included. Random effect models were used in meta-analysis.ResultsSexual orientation was significantly associated with suicide attempts in adolescents and youths (OR = 2.26, 95% CI 1.60-3.20). Gay or bisexual men were more likely to report suicide attempts compared with heterosexual men (OR = 2.21, 95% CI 1.21-4.04). Based on two studies, a non-significant positive association was found between depression and suicide attempts in LGB groups.ConclusionsSexual orientation is associated with a higher risk of suicide attempt in young people. Further research is needed to assess completed suicide, and specific risk factors affecting the LGB population.
authors.affiliation: A. Miranda-Mendizábal, MD, MPH, Health Services Research Group, Institut Hospital del Mar d'Investigacións Mèdiques (IMIM) and Department of Health and Experimental Sciences, Pompeu Fabra University (UPF), Barcelona; P. Castellví, PhD, Health Services Research Group, IMIM and Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), Barcelona; O. Parés-Badell, MD, MPH, Health Services Research Group, IMIM, Barcelona; J. Almenara, MD, PhD, Faculty of Nursing and Physiotherapy, University of Cádiz; I. Alonso, PhD, Morales Meseguer Hospital, Murcia; M. J. Blasco, MSc, Health Services Research Group, IMIM, Department of Health and Experimental Sciences, UPF, and CIBERESP, Barcelona; A. Cebrià, PhD, Department of Mental Health, Corporació Sanitaria Parc Taulí, Sabadell; A. Gabilondo, MD, PhD, Outpatient Mental Health Care Network, Osakidetza-Basque Health Service, and Mental Health and Psychiatric Care Research Unit, BioDonosti Health Research Institute; M. Gili, PhD, Institut Universitari d'Investigació en Ciències de la Salut (IUNICS-IDISPA), University of Balearic Islands, Palma de Mallorca; C. Lagares, PhD, Department of Statistics and Operative Research, University of Cádiz; J. A. Piqueras, PhD, Department of Health Psychology, Miguel Hernandez University of Elche; M. Roca, MD, PhD, IUNICS-IDISPA and Network of Preventive Activities and Health Promotion, University of Balearic Islands, Palma de Mallorca; J. Rodríguez-Marín, PhD, T. Rodríguez-Jiménez, PhD, v. Soto-Sanz, BSc, Department of Health Psychology, Miguel Hernandez University of Elche; G. Vilagut, Health Services Research Group, IMIM, and CIBERESP, Barcelona; Jordi Alonso, MD, PhD, Health Services Research Group, IMIM, Department of Health and Experimental Sciences, UPF, and CIBERESP, Barcelona, Spain.
authors.forename: A
authors.initials: A
authors.lastname: Miranda-Mendizábal
authors.affiliation: A. Miranda-Mendizábal, MD, MPH, Health Services Research Group, Institut Hospital del Mar d'Investigacións Mèdiques (IMIM) and Department of Health and Experimental Sciences, Pompeu Fabra University (UPF), Barcelona; P. Castellví, PhD, Health Services Research Group, IMIM and Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), Barcelona; O. Parés-Badell, MD, MPH, Health Services Research Group, IMIM, Barcelona; J. Almenara, MD, PhD, Faculty of Nursing and Physiotherapy, University of Cádiz; I. Alonso, PhD, Morales Meseguer Hospital, Murcia; M. J. Blasco, MSc, Health Services Research Group, IMIM, Department of Health and Experimental Sciences, UPF, and CIBERESP, Barcelona; A. Cebrià, PhD, Department of Mental Health, Corporació Sanitaria Parc Taulí, Sabadell; A. Gabilondo, MD, PhD, Outpatient Mental Health Care Network, Osakidetza-Basque Health Service, and Mental Health and Psychiatric Care Research Unit, BioDonosti Health Research Institute; M. Gili, PhD, Institut Universitari d'Investigació en Ciències de la Salut (IUNICS-IDISPA), University of Balearic Islands, Palma de Mallorca; C. Lagares, PhD, Department of Statistics and Operative Research, University of Cádiz; J. A. Piqueras, PhD, Department of Health Psychology, Miguel Hernandez University of Elche; M. Roca, MD, PhD, IUNICS-IDISPA and Network of Preventive Activities and Health Promotion, University of Balearic Islands, Palma de Mallorca; J. Rodríguez-Marín, PhD, T. Rodríguez-Jiménez, PhD, v. Soto-Sanz, BSc, Department of Health Psychology, Miguel Hernandez University of Elche; G. Vilagut, Health Services Research Group, IMIM, and CIBERESP, Barcelona; Jordi Alonso, MD, PhD, Health Services Research Group, IMIM, Department of Health and Experimental Sciences, UPF, and CIBERESP, Barcelona, Spain.
authors.forename: P
authors.initials: P
authors.lastname: Castellví
authors.affiliation: A. Miranda-Mendizábal, MD, MPH, Health Services Research Group, Institut Hospital del Mar d'Investigacións Mèdiques (IMIM) and Department of Health and Experimental Sciences, Pompeu Fabra University (UPF), Barcelona; P. Castellví, PhD, Health Services Research Group, IMIM and Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), Barcelona; O. Parés-Badell, MD, MPH, Health Services Research Group, IMIM, Barcelona; J. Almenara, MD, PhD, Faculty of Nursing and Physiotherapy, University of Cádiz; I. Alonso, PhD, Morales Meseguer Hospital, Murcia; M. J. Blasco, MSc, Health Services Research Group, IMIM, Department of Health and Experimental Sciences, UPF, and CIBERESP, Barcelona; A. Cebrià, PhD, Department of Mental Health, Corporació Sanitaria Parc Taulí, Sabadell; A. Gabilondo, MD, PhD, Outpatient Mental Health Care Network, Osakidetza-Basque Health Service, and Mental Health and Psychiatric Care Research Unit, BioDonosti Health Research Institute; M. Gili, PhD, Institut Universitari d'Investigació en Ciències de la Salut (IUNICS-IDISPA), University of Balearic Islands, Palma de Mallorca; C. Lagares, PhD, Department of Statistics and Operative Research, University of Cádiz; J. A. Piqueras, PhD, Department of Health Psychology, Miguel Hernandez University of Elche; M. Roca, MD, PhD, IUNICS-IDISPA and Network of Preventive Activities and Health Promotion, University of Balearic Islands, Palma de Mallorca; J. Rodríguez-Marín, PhD, T. Rodríguez-Jiménez, PhD, v. Soto-Sanz, BSc, Department of Health Psychology, Miguel Hernandez University of Elche; G. Vilagut, Health Services Research Group, IMIM, and CIBERESP, Barcelona; Jordi Alonso, MD, PhD, Health Services Research Group, IMIM, Department of Health and Experimental Sciences, UPF, and CIBERESP, Barcelona, Spain.
authors.forename: O
authors.initials: O
authors.lastname: Parés-Badell
authors.affiliation: A. Miranda-Mendizábal, MD, MPH, Health Services Research Group, Institut Hospital del Mar d'Investigacións Mèdiques (IMIM) and Department of Health and Experimental Sciences, Pompeu Fabra University (UPF), Barcelona; P. Castellví, PhD, Health Services Research Group, IMIM and Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), Barcelona; O. Parés-Badell, MD, MPH, Health Services Research Group, IMIM, Barcelona; J. Almenara, MD, PhD, Faculty of Nursing and Physiotherapy, University of Cádiz; I. Alonso, PhD, Morales Meseguer Hospital, Murcia; M. J. Blasco, MSc, Health Services Research Group, IMIM, Department of Health and Experimental Sciences, UPF, and CIBERESP, Barcelona; A. Cebrià, PhD, Department of Mental Health, Corporació Sanitaria Parc Taulí, Sabadell; A. Gabilondo, MD, PhD, Outpatient Mental Health Care Network, Osakidetza-Basque Health Service, and Mental Health and Psychiatric Care Research Unit, BioDonosti Health Research Institute; M. Gili, PhD, Institut Universitari d'Investigació en Ciències de la Salut (IUNICS-IDISPA), University of Balearic Islands, Palma de Mallorca; C. Lagares, PhD, Department of Statistics and Operative Research, University of Cádiz; J. A. Piqueras, PhD, Department of Health Psychology, Miguel Hernandez University of Elche; M. Roca, MD, PhD, IUNICS-IDISPA and Network of Preventive Activities and Health Promotion, University of Balearic Islands, Palma de Mallorca; J. Rodríguez-Marín, PhD, T. Rodríguez-Jiménez, PhD, v. Soto-Sanz, BSc, Department of Health Psychology, Miguel Hernandez University of Elche; G. Vilagut, Health Services Research Group, IMIM, and CIBERESP, Barcelona; Jordi Alonso, MD, PhD, Health Services Research Group, IMIM, Department of Health and Experimental Sciences, UPF, and CIBERESP, Barcelona, Spain.
authors.forename: J
authors.initials: J
authors.lastname: Almenara
authors.affiliation: A. Miranda-Mendizábal, MD, MPH, Health Services Research Group, Institut Hospital del Mar d'Investigacións Mèdiques (IMIM) and Department of Health and Experimental Sciences, Pompeu Fabra University (UPF), Barcelona; P. Castellví, PhD, Health Services Research Group, IMIM and Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), Barcelona; O. Parés-Badell, MD, MPH, Health Services Research Group, IMIM, Barcelona; J. Almenara, MD, PhD, Faculty of Nursing and Physiotherapy, University of Cádiz; I. Alonso, PhD, Morales Meseguer Hospital, Murcia; M. J. Blasco, MSc, Health Services Research Group, IMIM, Department of Health and Experimental Sciences, UPF, and CIBERESP, Barcelona; A. Cebrià, PhD, Department of Mental Health, Corporació Sanitaria Parc Taulí, Sabadell; A. Gabilondo, MD, PhD, Outpatient Mental Health Care Network, Osakidetza-Basque Health Service, and Mental Health and Psychiatric Care Research Unit, BioDonosti Health Research Institute; M. Gili, PhD, Institut Universitari d'Investigació en Ciències de la Salut (IUNICS-IDISPA), University of Balearic Islands, Palma de Mallorca; C. Lagares, PhD, Department of Statistics and Operative Research, University of Cádiz; J. A. Piqueras, PhD, Department of Health Psychology, Miguel Hernandez University of Elche; M. Roca, MD, PhD, IUNICS-IDISPA and Network of Preventive Activities and Health Promotion, University of Balearic Islands, Palma de Mallorca; J. Rodríguez-Marín, PhD, T. Rodríguez-Jiménez, PhD, v. Soto-Sanz, BSc, Department of Health Psychology, Miguel Hernandez University of Elche; G. Vilagut, Health Services Research Group, IMIM, and CIBERESP, Barcelona; Jordi Alonso, MD, PhD, Health Services Research Group, IMIM, Department of Health and Experimental Sciences, UPF, and CIBERESP, Barcelona, Spain.
authors.forename: I
authors.initials: I
authors.lastname: Alonso
authors.affiliation: A. Miranda-Mendizábal, MD, MPH, Health Services Research Group, Institut Hospital del Mar d'Investigacións Mèdiques (IMIM) and Department of Health and Experimental Sciences, Pompeu Fabra University (UPF), Barcelona; P. Castellví, PhD, Health Services Research Group, IMIM and Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), Barcelona; O. Parés-Badell, MD, MPH, Health Services Research Group, IMIM, Barcelona; J. Almenara, MD, PhD, Faculty of Nursing and Physiotherapy, University of Cádiz; I. Alonso, PhD, Morales Meseguer Hospital, Murcia; M. J. Blasco, MSc, Health Services Research Group, IMIM, Department of Health and Experimental Sciences, UPF, and CIBERESP, Barcelona; A. Cebrià, PhD, Department of Mental Health, Corporació Sanitaria Parc Taulí, Sabadell; A. Gabilondo, MD, PhD, Outpatient Mental Health Care Network, Osakidetza-Basque Health Service, and Mental Health and Psychiatric Care Research Unit, BioDonosti Health Research Institute; M. Gili, PhD, Institut Universitari d'Investigació en Ciències de la Salut (IUNICS-IDISPA), University of Balearic Islands, Palma de Mallorca; C. Lagares, PhD, Department of Statistics and Operative Research, University of Cádiz; J. A. Piqueras, PhD, Department of Health Psychology, Miguel Hernandez University of Elche; M. Roca, MD, PhD, IUNICS-IDISPA and Network of Preventive Activities and Health Promotion, University of Balearic Islands, Palma de Mallorca; J. Rodríguez-Marín, PhD, T. Rodríguez-Jiménez, PhD, v. Soto-Sanz, BSc, Department of Health Psychology, Miguel Hernandez University of Elche; G. Vilagut, Health Services Research Group, IMIM, and CIBERESP, Barcelona; Jordi Alonso, MD, PhD, Health Services Research Group, IMIM, Department of Health and Experimental Sciences, UPF, and CIBERESP, Barcelona, Spain.
authors.forename: M J
authors.initials: MJ
authors.lastname: Blasco
authors.affiliation: A. Miranda-Mendizábal, MD, MPH, Health Services Research Group, Institut Hospital del Mar d'Investigacións Mèdiques (IMIM) and Department of Health and Experimental Sciences, Pompeu Fabra University (UPF), Barcelona; P. Castellví, PhD, Health Services Research Group, IMIM and Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), Barcelona; O. Parés-Badell, MD, MPH, Health Services Research Group, IMIM, Barcelona; J. Almenara, MD, PhD, Faculty of Nursing and Physiotherapy, University of Cádiz; I. Alonso, PhD, Morales Meseguer Hospital, Murcia; M. J. Blasco, MSc, Health Services Research Group, IMIM, Department of Health and Experimental Sciences, UPF, and CIBERESP, Barcelona; A. Cebrià, PhD, Department of Mental Health, Corporació Sanitaria Parc Taulí, Sabadell; A. Gabilondo, MD, PhD, Outpatient Mental Health Care Network, Osakidetza-Basque Health Service, and Mental Health and Psychiatric Care Research Unit, BioDonosti Health Research Institute; M. Gili, PhD, Institut Universitari d'Investigació en Ciències de la Salut (IUNICS-IDISPA), University of Balearic Islands, Palma de Mallorca; C. Lagares, PhD, Department of Statistics and Operative Research, University of Cádiz; J. A. Piqueras, PhD, Department of Health Psychology, Miguel Hernandez University of Elche; M. Roca, MD, PhD, IUNICS-IDISPA and Network of Preventive Activities and Health Promotion, University of Balearic Islands, Palma de Mallorca; J. Rodríguez-Marín, PhD, T. Rodríguez-Jiménez, PhD, v. Soto-Sanz, BSc, Department of Health Psychology, Miguel Hernandez University of Elche; G. Vilagut, Health Services Research Group, IMIM, and CIBERESP, Barcelona; Jordi Alonso, MD, PhD, Health Services Research Group, IMIM, Department of Health and Experimental Sciences, UPF, and CIBERESP, Barcelona, Spain.
authors.forename: A
authors.initials: A
authors.lastname: Cebrià
authors.affiliation: A. Miranda-Mendizábal, MD, MPH, Health Services Research Group, Institut Hospital del Mar d'Investigacións Mèdiques (IMIM) and Department of Health and Experimental Sciences, Pompeu Fabra University (UPF), Barcelona; P. Castellví, PhD, Health Services Research Group, IMIM and Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), Barcelona; O. Parés-Badell, MD, MPH, Health Services Research Group, IMIM, Barcelona; J. Almenara, MD, PhD, Faculty of Nursing and Physiotherapy, University of Cádiz; I. Alonso, PhD, Morales Meseguer Hospital, Murcia; M. J. Blasco, MSc, Health Services Research Group, IMIM, Department of Health and Experimental Sciences, UPF, and CIBERESP, Barcelona; A. Cebrià, PhD, Department of Mental Health, Corporació Sanitaria Parc Taulí, Sabadell; A. Gabilondo, MD, PhD, Outpatient Mental Health Care Network, Osakidetza-Basque Health Service, and Mental Health and Psychiatric Care Research Unit, BioDonosti Health Research Institute; M. Gili, PhD, Institut Universitari d'Investigació en Ciències de la Salut (IUNICS-IDISPA), University of Balearic Islands, Palma de Mallorca; C. Lagares, PhD, Department of Statistics and Operative Research, University of Cádiz; J. A. Piqueras, PhD, Department of Health Psychology, Miguel Hernandez University of Elche; M. Roca, MD, PhD, IUNICS-IDISPA and Network of Preventive Activities and Health Promotion, University of Balearic Islands, Palma de Mallorca; J. Rodríguez-Marín, PhD, T. Rodríguez-Jiménez, PhD, v. Soto-Sanz, BSc, Department of Health Psychology, Miguel Hernandez University of Elche; G. Vilagut, Health Services Research Group, IMIM, and CIBERESP, Barcelona; Jordi Alonso, MD, PhD, Health Services Research Group, IMIM, Department of Health and Experimental Sciences, UPF, and CIBERESP, Barcelona, Spain.
authors.forename: A
authors.initials: A
authors.lastname: Gabilondo
authors.affiliation: A. Miranda-Mendizábal, MD, MPH, Health Services Research Group, Institut Hospital del Mar d'Investigacións Mèdiques (IMIM) and Department of Health and Experimental Sciences, Pompeu Fabra University (UPF), Barcelona; P. Castellví, PhD, Health Services Research Group, IMIM and Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), Barcelona; O. Parés-Badell, MD, MPH, Health Services Research Group, IMIM, Barcelona; J. Almenara, MD, PhD, Faculty of Nursing and Physiotherapy, University of Cádiz; I. Alonso, PhD, Morales Meseguer Hospital, Murcia; M. J. Blasco, MSc, Health Services Research Group, IMIM, Department of Health and Experimental Sciences, UPF, and CIBERESP, Barcelona; A. Cebrià, PhD, Department of Mental Health, Corporació Sanitaria Parc Taulí, Sabadell; A. Gabilondo, MD, PhD, Outpatient Mental Health Care Network, Osakidetza-Basque Health Service, and Mental Health and Psychiatric Care Research Unit, BioDonosti Health Research Institute; M. Gili, PhD, Institut Universitari d'Investigació en Ciències de la Salut (IUNICS-IDISPA), University of Balearic Islands, Palma de Mallorca; C. Lagares, PhD, Department of Statistics and Operative Research, University of Cádiz; J. A. Piqueras, PhD, Department of Health Psychology, Miguel Hernandez University of Elche; M. Roca, MD, PhD, IUNICS-IDISPA and Network of Preventive Activities and Health Promotion, University of Balearic Islands, Palma de Mallorca; J. Rodríguez-Marín, PhD, T. Rodríguez-Jiménez, PhD, v. Soto-Sanz, BSc, Department of Health Psychology, Miguel Hernandez University of Elche; G. Vilagut, Health Services Research Group, IMIM, and CIBERESP, Barcelona; Jordi Alonso, MD, PhD, Health Services Research Group, IMIM, Department of Health and Experimental Sciences, UPF, and CIBERESP, Barcelona, Spain.
authors.forename: M
authors.initials: M
authors.lastname: Gili
authors.affiliation: A. Miranda-Mendizábal, MD, MPH, Health Services Research Group, Institut Hospital del Mar d'Investigacións Mèdiques (IMIM) and Department of Health and Experimental Sciences, Pompeu Fabra University (UPF), Barcelona; P. Castellví, PhD, Health Services Research Group, IMIM and Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), Barcelona; O. Parés-Badell, MD, MPH, Health Services Research Group, IMIM, Barcelona; J. Almenara, MD, PhD, Faculty of Nursing and Physiotherapy, University of Cádiz; I. Alonso, PhD, Morales Meseguer Hospital, Murcia; M. J. Blasco, MSc, Health Services Research Group, IMIM, Department of Health and Experimental Sciences, UPF, and CIBERESP, Barcelona; A. Cebrià, PhD, Department of Mental Health, Corporació Sanitaria Parc Taulí, Sabadell; A. Gabilondo, MD, PhD, Outpatient Mental Health Care Network, Osakidetza-Basque Health Service, and Mental Health and Psychiatric Care Research Unit, BioDonosti Health Research Institute; M. Gili, PhD, Institut Universitari d'Investigació en Ciències de la Salut (IUNICS-IDISPA), University of Balearic Islands, Palma de Mallorca; C. Lagares, PhD, Department of Statistics and Operative Research, University of Cádiz; J. A. Piqueras, PhD, Department of Health Psychology, Miguel Hernandez University of Elche; M. Roca, MD, PhD, IUNICS-IDISPA and Network of Preventive Activities and Health Promotion, University of Balearic Islands, Palma de Mallorca; J. Rodríguez-Marín, PhD, T. Rodríguez-Jiménez, PhD, v. Soto-Sanz, BSc, Department of Health Psychology, Miguel Hernandez University of Elche; G. Vilagut, Health Services Research Group, IMIM, and CIBERESP, Barcelona; Jordi Alonso, MD, PhD, Health Services Research Group, IMIM, Department of Health and Experimental Sciences, UPF, and CIBERESP, Barcelona, Spain.
authors.forename: C
authors.initials: C
authors.lastname: Lagares
authors.affiliation: A. Miranda-Mendizábal, MD, MPH, Health Services Research Group, Institut Hospital del Mar d'Investigacións Mèdiques (IMIM) and Department of Health and Experimental Sciences, Pompeu Fabra University (UPF), Barcelona; P. Castellví, PhD, Health Services Research Group, IMIM and Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), Barcelona; O. Parés-Badell, MD, MPH, Health Services Research Group, IMIM, Barcelona; J. Almenara, MD, PhD, Faculty of Nursing and Physiotherapy, University of Cádiz; I. Alonso, PhD, Morales Meseguer Hospital, Murcia; M. J. Blasco, MSc, Health Services Research Group, IMIM, Department of Health and Experimental Sciences, UPF, and CIBERESP, Barcelona; A. Cebrià, PhD, Department of Mental Health, Corporació Sanitaria Parc Taulí, Sabadell; A. Gabilondo, MD, PhD, Outpatient Mental Health Care Network, Osakidetza-Basque Health Service, and Mental Health and Psychiatric Care Research Unit, BioDonosti Health Research Institute; M. Gili, PhD, Institut Universitari d'Investigació en Ciències de la Salut (IUNICS-IDISPA), University of Balearic Islands, Palma de Mallorca; C. Lagares, PhD, Department of Statistics and Operative Research, University of Cádiz; J. A. Piqueras, PhD, Department of Health Psychology, Miguel Hernandez University of Elche; M. Roca, MD, PhD, IUNICS-IDISPA and Network of Preventive Activities and Health Promotion, University of Balearic Islands, Palma de Mallorca; J. Rodríguez-Marín, PhD, T. Rodríguez-Jiménez, PhD, v. Soto-Sanz, BSc, Department of Health Psychology, Miguel Hernandez University of Elche; G. Vilagut, Health Services Research Group, IMIM, and CIBERESP, Barcelona; Jordi Alonso, MD, PhD, Health Services Research Group, IMIM, Department of Health and Experimental Sciences, UPF, and CIBERESP, Barcelona, Spain.
authors.forename: J A
authors.initials: JA
authors.lastname: Piqueras
authors.affiliation: A. Miranda-Mendizábal, MD, MPH, Health Services Research Group, Institut Hospital del Mar d'Investigacións Mèdiques (IMIM) and Department of Health and Experimental Sciences, Pompeu Fabra University (UPF), Barcelona; P. Castellví, PhD, Health Services Research Group, IMIM and Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), Barcelona; O. Parés-Badell, MD, MPH, Health Services Research Group, IMIM, Barcelona; J. Almenara, MD, PhD, Faculty of Nursing and Physiotherapy, University of Cádiz; I. Alonso, PhD, Morales Meseguer Hospital, Murcia; M. J. Blasco, MSc, Health Services Research Group, IMIM, Department of Health and Experimental Sciences, UPF, and CIBERESP, Barcelona; A. Cebrià, PhD, Department of Mental Health, Corporació Sanitaria Parc Taulí, Sabadell; A. Gabilondo, MD, PhD, Outpatient Mental Health Care Network, Osakidetza-Basque Health Service, and Mental Health and Psychiatric Care Research Unit, BioDonosti Health Research Institute; M. Gili, PhD, Institut Universitari d'Investigació en Ciències de la Salut (IUNICS-IDISPA), University of Balearic Islands, Palma de Mallorca; C. Lagares, PhD, Department of Statistics and Operative Research, University of Cádiz; J. A. Piqueras, PhD, Department of Health Psychology, Miguel Hernandez University of Elche; M. Roca, MD, PhD, IUNICS-IDISPA and Network of Preventive Activities and Health Promotion, University of Balearic Islands, Palma de Mallorca; J. Rodríguez-Marín, PhD, T. Rodríguez-Jiménez, PhD, v. Soto-Sanz, BSc, Department of Health Psychology, Miguel Hernandez University of Elche; G. Vilagut, Health Services Research Group, IMIM, and CIBERESP, Barcelona; Jordi Alonso, MD, PhD, Health Services Research Group, IMIM, Department of Health and Experimental Sciences, UPF, and CIBERESP, Barcelona, Spain.
authors.forename: M
authors.initials: M
authors.lastname: Roca
authors.affiliation: A. Miranda-Mendizábal, MD, MPH, Health Services Research Group, Institut Hospital del Mar d'Investigacións Mèdiques (IMIM) and Department of Health and Experimental Sciences, Pompeu Fabra University (UPF), Barcelona; P. Castellví, PhD, Health Services Research Group, IMIM and Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), Barcelona; O. Parés-Badell, MD, MPH, Health Services Research Group, IMIM, Barcelona; J. Almenara, MD, PhD, Faculty of Nursing and Physiotherapy, University of Cádiz; I. Alonso, PhD, Morales Meseguer Hospital, Murcia; M. J. Blasco, MSc, Health Services Research Group, IMIM, Department of Health and Experimental Sciences, UPF, and CIBERESP, Barcelona; A. Cebrià, PhD, Department of Mental Health, Corporació Sanitaria Parc Taulí, Sabadell; A. Gabilondo, MD, PhD, Outpatient Mental Health Care Network, Osakidetza-Basque Health Service, and Mental Health and Psychiatric Care Research Unit, BioDonosti Health Research Institute; M. Gili, PhD, Institut Universitari d'Investigació en Ciències de la Salut (IUNICS-IDISPA), University of Balearic Islands, Palma de Mallorca; C. Lagares, PhD, Department of Statistics and Operative Research, University of Cádiz; J. A. Piqueras, PhD, Department of Health Psychology, Miguel Hernandez University of Elche; M. Roca, MD, PhD, IUNICS-IDISPA and Network of Preventive Activities and Health Promotion, University of Balearic Islands, Palma de Mallorca; J. Rodríguez-Marín, PhD, T. Rodríguez-Jiménez, PhD, v. Soto-Sanz, BSc, Department of Health Psychology, Miguel Hernandez University of Elche; G. Vilagut, Health Services Research Group, IMIM, and CIBERESP, Barcelona; Jordi Alonso, MD, PhD, Health Services Research Group, IMIM, Department of Health and Experimental Sciences, UPF, and CIBERESP, Barcelona, Spain.
authors.forename: J
authors.initials: J
authors.lastname: Rodríguez-Marín
authors.affiliation: A. Miranda-Mendizábal, MD, MPH, Health Services Research Group, Institut Hospital del Mar d'Investigacións Mèdiques (IMIM) and Department of Health and Experimental Sciences, Pompeu Fabra University (UPF), Barcelona; P. Castellví, PhD, Health Services Research Group, IMIM and Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), Barcelona; O. Parés-Badell, MD, MPH, Health Services Research Group, IMIM, Barcelona; J. Almenara, MD, PhD, Faculty of Nursing and Physiotherapy, University of Cádiz; I. Alonso, PhD, Morales Meseguer Hospital, Murcia; M. J. Blasco, MSc, Health Services Research Group, IMIM, Department of Health and Experimental Sciences, UPF, and CIBERESP, Barcelona; A. Cebrià, PhD, Department of Mental Health, Corporació Sanitaria Parc Taulí, Sabadell; A. Gabilondo, MD, PhD, Outpatient Mental Health Care Network, Osakidetza-Basque Health Service, and Mental Health and Psychiatric Care Research Unit, BioDonosti Health Research Institute; M. Gili, PhD, Institut Universitari d'Investigació en Ciències de la Salut (IUNICS-IDISPA), University of Balearic Islands, Palma de Mallorca; C. Lagares, PhD, Department of Statistics and Operative Research, University of Cádiz; J. A. Piqueras, PhD, Department of Health Psychology, Miguel Hernandez University of Elche; M. Roca, MD, PhD, IUNICS-IDISPA and Network of Preventive Activities and Health Promotion, University of Balearic Islands, Palma de Mallorca; J. Rodríguez-Marín, PhD, T. Rodríguez-Jiménez, PhD, v. Soto-Sanz, BSc, Department of Health Psychology, Miguel Hernandez University of Elche; G. Vilagut, Health Services Research Group, IMIM, and CIBERESP, Barcelona; Jordi Alonso, MD, PhD, Health Services Research Group, IMIM, Department of Health and Experimental Sciences, UPF, and CIBERESP, Barcelona, Spain.
authors.forename: T
authors.initials: T
authors.lastname: Rodríguez-Jiménez
authors.affiliation: A. Miranda-Mendizábal, MD, MPH, Health Services Research Group, Institut Hospital del Mar d'Investigacións Mèdiques (IMIM) and Department of Health and Experimental Sciences, Pompeu Fabra University (UPF), Barcelona; P. Castellví, PhD, Health Services Research Group, IMIM and Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), Barcelona; O. Parés-Badell, MD, MPH, Health Services Research Group, IMIM, Barcelona; J. Almenara, MD, PhD, Faculty of Nursing and Physiotherapy, University of Cádiz; I. Alonso, PhD, Morales Meseguer Hospital, Murcia; M. J. Blasco, MSc, Health Services Research Group, IMIM, Department of Health and Experimental Sciences, UPF, and CIBERESP, Barcelona; A. Cebrià, PhD, Department of Mental Health, Corporació Sanitaria Parc Taulí, Sabadell; A. Gabilondo, MD, PhD, Outpatient Mental Health Care Network, Osakidetza-Basque Health Service, and Mental Health and Psychiatric Care Research Unit, BioDonosti Health Research Institute; M. Gili, PhD, Institut Universitari d'Investigació en Ciències de la Salut (IUNICS-IDISPA), University of Balearic Islands, Palma de Mallorca; C. Lagares, PhD, Department of Statistics and Operative Research, University of Cádiz; J. A. Piqueras, PhD, Department of Health Psychology, Miguel Hernandez University of Elche; M. Roca, MD, PhD, IUNICS-IDISPA and Network of Preventive Activities and Health Promotion, University of Balearic Islands, Palma de Mallorca; J. Rodríguez-Marín, PhD, T. Rodríguez-Jiménez, PhD, v. Soto-Sanz, BSc, Department of Health Psychology, Miguel Hernandez University of Elche; G. Vilagut, Health Services Research Group, IMIM, and CIBERESP, Barcelona; Jordi Alonso, MD, PhD, Health Services Research Group, IMIM, Department of Health and Experimental Sciences, UPF, and CIBERESP, Barcelona, Spain.
authors.forename: V
authors.initials: V
authors.lastname: Soto-Sanz
authors.affiliation: A. Miranda-Mendizábal, MD, MPH, Health Services Research Group, Institut Hospital del Mar d'Investigacións Mèdiques (IMIM) and Department of Health and Experimental Sciences, Pompeu Fabra University (UPF), Barcelona; P. Castellví, PhD, Health Services Research Group, IMIM and Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), Barcelona; O. Parés-Badell, MD, MPH, Health Services Research Group, IMIM, Barcelona; J. Almenara, MD, PhD, Faculty of Nursing and Physiotherapy, University of Cádiz; I. Alonso, PhD, Morales Meseguer Hospital, Murcia; M. J. Blasco, MSc, Health Services Research Group, IMIM, Department of Health and Experimental Sciences, UPF, and CIBERESP, Barcelona; A. Cebrià, PhD, Department of Mental Health, Corporació Sanitaria Parc Taulí, Sabadell; A. Gabilondo, MD, PhD, Outpatient Mental Health Care Network, Osakidetza-Basque Health Service, and Mental Health and Psychiatric Care Research Unit, BioDonosti Health Research Institute; M. Gili, PhD, Institut Universitari d'Investigació en Ciències de la Salut (IUNICS-IDISPA), University of Balearic Islands, Palma de Mallorca; C. Lagares, PhD, Department of Statistics and Operative Research, University of Cádiz; J. A. Piqueras, PhD, Department of Health Psychology, Miguel Hernandez University of Elche; M. Roca, MD, PhD, IUNICS-IDISPA and Network of Preventive Activities and Health Promotion, University of Balearic Islands, Palma de Mallorca; J. Rodríguez-Marín, PhD, T. Rodríguez-Jiménez, PhD, v. Soto-Sanz, BSc, Department of Health Psychology, Miguel Hernandez University of Elche; G. Vilagut, Health Services Research Group, IMIM, and CIBERESP, Barcelona; Jordi Alonso, MD, PhD, Health Services Research Group, IMIM, Department of Health and Experimental Sciences, UPF, and CIBERESP, Barcelona, Spain.
authors.forename: G
authors.initials: G
authors.lastname: Vilagut
authors.affiliation: A. Miranda-Mendizábal, MD, MPH, Health Services Research Group, Institut Hospital del Mar d'Investigacións Mèdiques (IMIM) and Department of Health and Experimental Sciences, Pompeu Fabra University (UPF), Barcelona; P. Castellví, PhD, Health Services Research Group, IMIM and Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), Barcelona; O. Parés-Badell, MD, MPH, Health Services Research Group, IMIM, Barcelona; J. Almenara, MD, PhD, Faculty of Nursing and Physiotherapy, University of Cádiz; I. Alonso, PhD, Morales Meseguer Hospital, Murcia; M. J. Blasco, MSc, Health Services Research Group, IMIM, Department of Health and Experimental Sciences, UPF, and CIBERESP, Barcelona; A. Cebrià, PhD, Department of Mental Health, Corporació Sanitaria Parc Taulí, Sabadell; A. Gabilondo, MD, PhD, Outpatient Mental Health Care Network, Osakidetza-Basque Health Service, and Mental Health and Psychiatric Care Research Unit, BioDonosti Health Research Institute; M. Gili, PhD, Institut Universitari d'Investigació en Ciències de la Salut (IUNICS-IDISPA), University of Balearic Islands, Palma de Mallorca; C. Lagares, PhD, Department of Statistics and Operative Research, University of Cádiz; J. A. Piqueras, PhD, Department of Health Psychology, Miguel Hernandez University of Elche; M. Roca, MD, PhD, IUNICS-IDISPA and Network of Preventive Activities and Health Promotion, University of Balearic Islands, Palma de Mallorca; J. Rodríguez-Marín, PhD, T. Rodríguez-Jiménez, PhD, v. Soto-Sanz, BSc, Department of Health Psychology, Miguel Hernandez University of Elche; G. Vilagut, Health Services Research Group, IMIM, and CIBERESP, Barcelona; Jordi Alonso, MD, PhD, Health Services Research Group, IMIM, Department of Health and Experimental Sciences, UPF, and CIBERESP, Barcelona, Spain jalonso@imim.es.
authors.forename: J
authors.initials: J
authors.lastname: Alonso
mesh_terms: D012307:Risk Factors; D012725:Sexual Behavior; D000072339:Sexual and Gender Minorities / Q000523:psychology*; D059020:Suicidal Ideation; D013406:Suicide, Attempted / Q000523:psychology*