To determine whether the social environment surrounding lesbian, gay, and bisexual youth may contribute to their higher rates of suicide attempts, controlling for individual-level risk factors. A total of 31 11th grade students [4. We created a composite index of the social environment in 34 counties, including 1 the proportion of same-sex couples, 2 the proportion of registered Democrats, 3 the presence of gay-straight alliances in schools, and 4 school policies nondiscrimination and antibullying that specifically protected lesbian, gay, and bisexual students. Lesbian, gay, and bisexual youth were significantly more likely to attempt suicide in the previous 12 months, compared with heterosexuals
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