Table 5 Associations of telemental health care utilization in adolescents endorsing suicidal thoughts and behaviors by sexual identity, 2021

Am Indian/Alaskan Native/Native Hawaiian (AI/AN/NHPI)

0.227 (0.043– 1.204)

0.491 (0.134 –1.801)

0.492 (0.103– 2.339)

0.443 (0.090 –2.184)

0.671 (0.132– 3.404)

0.531 (0.114 –2.481)

Black

0.203 (0.070–0.590)

0.844 (0.354 –2.013)

0.557 (0.188– 1.647)

0.632 (0.288 –1.386)

0.023 (0.005–0.116)

0.912 (0.267 –3.122)

Hispanic/Latino

0.439 (0.122– 1.581)

0.230 (0.050 –1.053)

0.755 (0.215– 2.651)

0.413 (0.084 –2.026)

0.847 (0.161– 4.469)

0.194 (0.021 –1.781)

Multi-race Latino

0.660 (0.315– 1.382)

0.359 (0.204 –0.631)

0.700 (0.327– 1.496)

0.411 (0.210 –0.803)

0.442 (0.158– 1.240)

0.482 (0.200 –1.161)

Multi-race non-Latino

1.525 (0.436– 5.337)

1.451 (0.756 –2.785)

2.009 (0.386– 10.444)

2.067 (0.969 –4.410)

1.599 (0.189– 13.551)

2.915 (1.217 –6.980)

White

REF

REF

REF

REF

REF

REF

Always/Most of the time

1.408 (0.455– 4.362)

0.693 (0.229 –2.096)

1.496 (0.542– 4.133)

0.533 (0.144 –1.971)

1.913 (0.434– 8.429)

0.719 (0.193 –2.682)

Sometimes

0.720 (0.267– 1.941)

0.420 (0.186 –0.946)

0.299 (0.111–0.806)

0.448 (0.192 – 1.044)

1.121 (0.176–7.129)

0.418 (0.117 –1.500)

Never/Rarely

REF

REF

REF

REF

REF

REF

No

REF

REF

REF

REF

REF

REF

Yes

1.022 (0.633– 1.652)

0.884 (0.550 –1.420)

0.663 (0.410– 1.073)

0.897 (0.541 –1.488)

0.456 (0.170– 1.220)

0.938 (0.434 –2.025)

No

REF

REF

REF

REF

REF

REF

Yes

1.197 (0.658– 2.177)

2.034 (0.771 –5.364)

1.157 (0.586– 2.283)

3.206 (1.200 –8.565)

0.956 (0.343– 2.664)

4.589 (1.492 –14.111)

No

REF

REF

REF

REF

REF

REF

Yes

0.863 (0.476– 1.564)

0.824 (0.459 –1.480)

1.313 (0.612– 2.817)

0.969 (0.539 –1.743)

1.615 (0.586– 4.452)

0.805 (0.327 –1.980)

No

REF

REF

REF

REF

REF

REF

Yes

0.760 (0.399– 1.449)

0.655 (0.392 –1.097)

0.549 (0.295– 1.019)

0.912 (0.462 –1.801)

0.905 (0.408– 2.010)

0.897 (0.338 –2.380)

No

REF

REF

REF

REF

REF

REF

Yes

1.410 (0.720– 2.762)

1.726 (0.707 –4.213)

1.243 (0.610– 2.533)

2.344 (0.720 –7.631)

1.245 (0.374– 4.141)

4.537 (1.069 –19.264)

No

REF

REF

REF

REF

REF

REF

Yes

1.419 (0.697– 2.890)

0.817 (0.486 –1.372)

1.636 (0.747– 3.586)

0.706 (0.394 –1.264)

0.947 (0.376– 2.382)

0.553 (0.262 –1.169)

No

REF

REF

REF

REF

REF

REF

Yes

1.140 (0.654– 1.988)

1.289 (0.692 –2.401)

1.316 (0.614– 2.821)

1.711 (0.866 –3.380)

0.881 (0.402– 1.927)

1.179 (0.561 –2.477)

No

REF

REF

REF

REF

REF

REF

Yes

1.439 (0.866– 2.389)

0.952 (0.531 –1.708)

1.459 (0.712– 2.989)

1.025 (0.539 –1.946)

1.271 (0.527– 3.068)

0.811 (0.331 –1.990)

No

REF

REF

REF

REF

REF

REF

Yes

0.778 (0.424– 1.427)

0.753 (0.450 –1.261)

0.975 (0.538– 1.770)

0.695 (0.395 - 1.222)

0.898 (0.358 - 2.252)

0.829 (0.367 - 1.872)