Abstract
Objective
We estimate the prevalence of suicidal ideation among partnered U.S. adults overall and by sexual identity using a population-representative sample of cohabiting and married adults.
Background
Intimate partner problems and other aspects of intimate relationships are substantial precipitating factors to suicide. Even so, there are currently no family-based interventions targeting suicide risk among adults; this may be because little is known as to how prevalent suicidal ideation and behaviors are in the context of intimate relationships. Sexually diverse adults show higher proportions of suicidal ideation than heterosexual adults.
Method
Weighted logistic regression was used to analyze data from a subsample of the National Couples’ Health and Time Study (n = 3,618), a population-representative sample of cohabiting and married adults. Unadjusted and model-adjusted prevalence estimates for suicidal ideation (thoughts and plans) were calculated.
Results
The model adjusted prevalence estimates for suicide thoughts and plans were similar to estimates among general population samples. Bisexual and queer+ respondents had double the odds of reporting suicide thoughts and plans compared with gay, lesbian, and heterosexual respondents.
Conclusions
Cohabiting and married adults showed a similar prevalence of suicidal ideation as the general population. Bisexual and queer+ adults are a growing U.S. population and require unique attention because they confront higher suicide risk compared with not only heterosexual but also gay and lesbian adults.
Implications
Family-based interventions are needed to target suicidal ideations and behaviors among adults, including those who are married or cohabiting. Sexually diverse adults should not be treated as a monolithic group when tailoring interventions for sexually diverse populations.