Funding for this research was provided by:
American Foundation for Suicide Prevention (YIG-1-152-19-Sheftall)
National Institute of Mental Health (1R21MH116206-01A1, 1R34MH119290-01)
Accepted: 14 August 2021
First Online: 4 September 2021
: <i>Primary Data Source-National YRBS</i>: For all years, the CDC’s Institutional Review Board (IRB) approved the YRBS protocol. All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
: This study was determined as not human subjects research as data were not directly obtained by these researchers through intervention/interaction and identifiable private information was not utilized. A secondary data analysis was completed of the National YRBS, publicly available and de-identified data. Data is available for download at: ExternalRef removed
: Informed consent was obtained from all respondents of the National YRBS. Location parental permission procedures were followed.
: The authors declare no competing interests.