Numerous studies spanning the past quarter century have used varied designs and methods in multiple settings and have consistently demonstrated that sexual minority youth are among those most likely to report suicidality (suicidal thoughts, plans, and attempts). This article reviews the methodological challenges that have defined and limited research in this area, including issues of sampling, the measurement of sexual minority status, and the measurement of suicide risk. Attention is then given to risk and protective factors for suicide among sexual minority youth. Normative risk and protective factors, those common to all youth, and risk and protective factors unique to sexual minority youth are reviewed. In closing, attention is given to the state of suicide prevention and intervention efforts that target sexual minority youth, along with recommendations for further research.
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