15Evidence B

When a child says they are attracted to the same sex: Do not scold, do not kick them out, and do not send them to "conversion therapy": The attitude at home is related to whether they will attempt suicide

Among Chinese secondary students, children who like the same sex or both sexes attempt suicide in a year about 3 to 5.5 times as often as others. Overseas research finds that teens strongly rejected at home attempt suicide far more later. Those parents send for “conversion” also attempt suicide far more.

Cost

No cost. The difficulty lies in parents first processing t…

Benefit

A domestic survey covered 506 secondary schools in 7 provinces, 150822 students from grade 7 through grade 12.…

Cost

No cost. The difficulty lies in parents first processing their own emotions and refraining from saying harsh words in the moment.

Benefit

A domestic survey covered 506 secondary schools in 7 provinces, 150822 students from grade 7 through grade 12. Past-year suicide attempts among boys: opposite-sex only 2.2%, same-sex only 6.9%, both sexes 12.2%. Girls: 3.1%, 8.9%, 10.9%. That is about 3 to 5.5 times peers who only like the opposite sex. Researchers subtracted age, academic pressure, family finances, and bullying. After that, for boys the two groups had odds ratio OR 3.13 (95% CI 2.28–4.28) and 3.83 (2.85–5.14). A meta-analysis of 35 studies found odds ratio OR 3.50 (2.98–4.12) for sexual-minority adolescents attempting suicide. A U.S. study interviewed 224 gay and bisexual youth aged 21 to 25 about family reactions in adolescence. Versus peers with almost no family rejection, high rejection had odds ratio OR 8.4 for attempting suicide. In another study, parents who themselves tried to change the child’s sexual orientation: odds ratio OR 3.08 (1.39–6.83) for the child’s suicide attempt. Parents who also sent the child to a therapist or religious figure: 5.07 (2.38–10.79) (China / multi-country / U.S.) Suicide attempts within one year were uncommon, so the odds ratios and relative risks are close.

Original sources

Huang Y, Li P, Guo L, et al. (2018). Sexual minority status and suicidal behaviour among Chinese adolescents: a nationally representative cross-sectional study. BMJ Open, 8(8), e020969. https://doi.org/10.1136/bmjopen-2017-020969;di Giacomo E, Krausz M, Colmegna F, Aspesi F, Clerici M. (2018). Estimating the Risk of Attempted Suicide Among Sexual Minority Youths: A Systematic Review and Meta-analysis. JAMA Pediatrics, 172(12), 1145–1152. https://doi.org/10.1001/jamapediatrics.2018.2731;Ryan C, Huebner D, Diaz RM, Sanchez J. (2009). Family rejection as a predictor of negative health outcomes in white and Latino lesbian, gay, and bisexual young adults. Pediatrics, 123(1), 346–352. https://doi.org/10.1542/peds.2007-3524;Ryan C, Toomey RB, Diaz RM, Russell ST. (2020). Parent-Initiated Sexual Orientation Change Efforts With LGBT Adolescents: Implications for Young Adult Mental Health and Adjustment. Journal of Homosexuality, 67(2), 159–173. https://doi.org/10.1080/00918369.2018.1538407;全国人大常委会 (2024 年修正). 未成年人保护法(第十七条). https://flk.npc.gov.cn/detail?id=ff8081818f197cf001905e567af635a0;全国人大常委会 (2015). 反家庭暴力法(第二条). https://flk.npc.gov.cn/detail?id=2c909fdd678bf17901678bf7f9d60889

Open source link
Book note

B is given because these are all one-time surveys; the degree of family rejection is based on recollections in adulthood, which can only demonstrate a correlation, not causation. Parents do not need to agree immediately, but should first avoid doing things that harm the child. Legally, parents must not abuse or abandon children, nor may they commit domestic violence against them. Frequent verbal abuse and intimidation also constitute domestic violence. If a child is depressed or says they no longer want to live, first refer to 12356, see Section 1, Article 25 (when experiencing suicidal ideation, refer to 12356). You can also visit the psychiatric department according to Section 8, Article 12 (conduct a depression screening once between 18 years of age). Regarding why you should never touch "conversion therapy," see Section 6, Article 28 (do not engage in sexual orientation conversion). The beneficiary is the child, and also yourself.

My note