The study focused mainly on Oregon, and its methods were praised by an Institute of Medicine committee:
The study’s social index rated counties on five measures: prevalence of same-sex couples; registered Democratic voters; liberal views; schools with gay-straight alliances; schools with policies against bullying gay students; and schools with antidiscrimination policies that included sexual orientation.
Gay, lesbian and bisexual teens living in counties with the lowest social index scores were 20 percent more likely to have attempted suicide than gays in counties with the highest index scores. Overall, about 25 percent of gay teens in low-scoring counties had attempted suicide, versus 20 percent of gay teens in high-scoring counties.
Among straight teens, suicide attempts were 9 percent more common in low-scoring counties. There were 1,584 total suicide attempts — 304 of those among gays, lesbians and bisexuals.
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