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Difference-in-Differences Analysis of the Association Between State Same-Sex Marriage Policies and Adolescent Suicide Attempts

Overview of attention for article published in JAMA Pediatrics, April 2017
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About this Attention Score

  • In the top 5% of all research outputs scored by Altmetric
  • One of the highest-scoring outputs from this source (#1 of 1,961)
  • High Attention Score compared to outputs of the same age (99th percentile)
  • High Attention Score compared to outputs of the same age and source (98th percentile)

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129 Mendeley
Title
Difference-in-Differences Analysis of the Association Between State Same-Sex Marriage Policies and Adolescent Suicide Attempts
Published in
JAMA Pediatrics, April 2017
DOI 10.1001/jamapediatrics.2016.4529
Pubmed ID
Authors

Julia Raifman, Ellen Moscoe, S. Bryn Austin, Margaret McConnell

Abstract

Suicide is the second leading cause of death among adolescents between the ages of 15 and 24 years. Adolescents who are sexual minorities experience elevated rates of suicide attempts. To evaluate the association between state same-sex marriage policies and adolescent suicide attempts. This study used state-level Youth Risk Behavior Surveillance System (YRBSS) data from January 1, 1999, to December 31, 2015, which are weighted to be representative of each state that has participation in the survey greater than 60%. A difference-in-differences analysis compared changes in suicide attempts among all public high school students before and after implementation of state policies in 32 states permitting same-sex marriage with year-to-year changes in suicide attempts among high school students in 15 states without policies permitting same-sex marriage. Linear regression was used to control for state, age, sex, race/ethnicity, and year, with Taylor series linearized standard errors clustered by state and classroom. In a secondary analysis among students who are sexual minorities, we included an interaction between sexual minority identity and living in a state that had implemented same-sex marriage policies. Implementation of state policies permitting same-sex marriage during the full period of YRBSS data collection. Self-report of 1 or more suicide attempts within the past 12 months. Among the 762 678 students (mean [SD] age, 16.0 [1.2] years; 366 063 males and 396 615 females) who participated in the YRBSS between 1999 and 2015, a weighted 8.6% of all high school students and 28.5% of 231 413 students who identified as sexual minorities reported suicide attempts before implementation of same-sex marriage policies. Same-sex marriage policies were associated with a 0.6-percentage point (95% CI, -1.2 to -0.01 percentage points) reduction in suicide attempts, representing a 7% relative reduction in the proportion of high school students attempting suicide owing to same-sex marriage implementation. The association was concentrated among students who were sexual minorities. State same-sex marriage policies were associated with a reduction in the proportion of high school students reporting suicide attempts, providing empirical evidence for an association between same-sex marriage policies and mental health outcomes.

Twitter Demographics

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Mendeley readers

The data shown below were compiled from readership statistics for 129 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
United States 2 2%
Spain 1 <1%
Netherlands 1 <1%
Czechia 1 <1%
Unknown 124 96%

Demographic breakdown

Readers by professional status Count As %
Student > Ph. D. Student 29 22%
Student > Master 21 16%
Researcher 16 12%
Student > Bachelor 12 9%
Unspecified 12 9%
Other 39 30%
Readers by discipline Count As %
Medicine and Dentistry 30 23%
Social Sciences 30 23%
Unspecified 22 17%
Psychology 21 16%
Nursing and Health Professions 8 6%
Other 18 14%

Attention Score in Context

This research output has an Altmetric Attention Score of 2378. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 12 March 2019.
All research outputs
#420
of 12,679,485 outputs
Outputs from JAMA Pediatrics
#1
of 1,961 outputs
Outputs of similar age
#27
of 253,147 outputs
Outputs of similar age from JAMA Pediatrics
#1
of 92 outputs
Altmetric has tracked 12,679,485 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 99th percentile: it's in the top 5% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 1,961 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 80.0. This one has done particularly well, scoring higher than 99% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 253,147 tracked outputs that were published within six weeks on either side of this one in any source. This one has done particularly well, scoring higher than 99% of its contemporaries.
We're also able to compare this research output to 92 others from the same source and published within six weeks on either side of this one. This one has done particularly well, scoring higher than 98% of its contemporaries.