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Depression, Suicidality, and Substance Abuse Among Sexual Risk Behavior Subgroups of Male High School Students
1Department of Educational and Psychological Studies, University of Miami, P.O. 248065, Coral Gables, FL, 33123, USA. r.mcmahon@miami.edu.
Archives of Sexual Behavior
|May 17, 2026
Summary
This study identified distinct sexual risk behavior profiles among male adolescents. Forced sexual intercourse was linked to higher rates of alcohol abuse and suicide risk.
Area of Science:
- Adolescent Health
- Mental Health
- Sexual Health
Background:
- Adolescent sexual behavior is complex and associated with various health risks.
- Understanding distinct sexual risk profiles is crucial for targeted interventions.
Purpose of the Study:
- To identify subgroups of male adolescents based on sexual risk behaviors.
- To compare these subgroups on alcohol abuse, depression symptoms, and suicide risk.
Main Methods:
- Cluster analysis was used to derive sexual behavior subgroups from a sample of 1551 male adolescents.
- Multinomial regression compared subgroups on alcohol abuse and psychiatric symptoms.
Main Results:
- A subgroup defined by forced sexual intercourse showed significantly higher rates of alcohol abuse and suicide risk.
- Early sexual intercourse was associated with younger age and more suicide attempts.
- Having four or more lifetime sexual partners was linked to older age, more alcohol abuse, and suicide attempts.
Conclusions:
- Sexually experienced male adolescents exhibit distinct sexual risk profiles.
- These profiles are associated with varying levels of mental health and substance abuse issues.
- Findings highlight the need for tailored interventions addressing sexual risk and mental health in male adolescents.
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