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Enhancing Classification of Sexual Orientation and Gender Identity Information Among Suicide Decedents Reported in
Avery M Anderson1, Landon D Hughes1, Banapsha Rahman1
1Avery M. Anderson is with the College of Nursing, University of Colorado Anschutz Medical Campus, Aurora. Landon D. Hughes is with the Department of Population Medicine, Harvard Pilgrim Health Care Institute, and Harvard Medical School, Boston, MA. Banapsha Rahman is with the Department of Population Medicine, Harvard Pilgrim Health Care Institute. Kirsty A. Clark is with the Department of Medicine, Health, and Society and the Department of Psychology and Human Development, Vanderbilt University, Nashville, TN.
Abstract:
We developed and refined a systematic keyword search process to flag sexual orientation and gender identity indicators in National Violent Death Reporting System suicide narratives (2003-2021). Applying this process to 298 662 records resulted in 2580 records being flagged for review; 1221 (47%) were classified as sexually or gender minoritized (SGM), increasing the sample of identified SGM decedents by 32%. Our findings highlight persistent failures in accurate surveillance, limiting understanding of SGM suicide mortality. Narrative review methods enhance SGM identification and can improve evidence-based suicide prevention and public health policy. (Am J Public Health. 2026;116(6):755-760. https://doi.org/10.2105/AJPH.2026.308460).
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