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To examine whether sexual orientation is an independent risk factor for reported suicide attempts.

Data were from the Massachusetts 1995 Centers for Disease Control and Prevention Youth Risk Behavior Survey, which included a question on sexual orientation. Ten drug use, 5 sexual behavior, and 5 violence/victimization variables chosen a priori were assessed as possible mediating variables. Hierarchical logistic regression models determined independent predictors of suicide attempts.

Public high schools in Massachusetts.

Representative, population-based sample of high school students. Three thousand three hundred sixty-five (81%) of 4167 responded to both the suicide attempt and sexual orientation questions.

Self-reported suicide attempt in the past year.

One hundred twenty-nine students (3.8%) self-identified as gay, lesbian, bisexual, or …