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The extant literature on suicide-related thoughts and behaviors (STB) has highlighted increased patterns of risk among specific minoritized populations, including lesbian, gay, bisexual, transgender, questioning, intersex, two spirit, and queer (LGBTQ+) youth. Compared to their heterosexual and cisgender peers, LGBTQ+ youth are at increased risk for having STB. Identity-specific stressors such as homonegativity and anti-queerness are among the unique factors posited to contribute to this risk and inhibit factors that protect against suicide. The school setting has been a focal point for suicide prevention and intervention and may also play a key role in linking students to care; however, schools also hold the potential to provide supports and experiences that may buffer against risk factors for STB in LGBTQ+ students. This systematic literature review presents findings from 44 studies examining school-related correlates of STB in LGBTQ+ students, informing an ecological approach to suicide prevention for school settings. Findings underscore the importance of school context for preventing STB in LGBTQ+ youth. Approaches that prioritize safety and acceptance of LGBTQ+ youth should span multiple layers of a student's ecology, including district and state level policies and school programs and interventions, such as Gender and Sexuality Alliances and universal bullying prevention programs. Beyond their role as a primary access point for behavioral health services, schools offer a unique opportunity to support suicide prevention by combating minority stressors through promoting positive social relationships and a safe community for LGBTQ+ students., (Copyright © 2021 Society for the Study of School Psychology. Published by Elsevier Ltd. All rights reserved.)

Bystander intervention (i.e., a third party decides to defend a victim when witnessing a conflict) has been identified as an effective strategy to resolve bullying incidents (O'Connell, Pepler, & Craig, 1999). Researchers suggest that student willingness to intervene (WTI) is a robust predictor of bystander intervention (Nickerson, Aloe, Livingston, & Feeley, 2014). Toxic masculinity has been defined as "the constellation of socially regressive [masculine] traits that serve to foster domination, the devaluation of women, homophobia, and wanton violence" (Kupers, 2005, p. 71). Though some aspects of toxic masculinity (e.g., low empathy) have received some empirical attention regarding their role in determining prosocial behavior, many aspects of toxic masculinity have not. Little research has examined how constructs such as attitudes surrounding bullying and sexual harassment, social dominance orientation, and homophobic bullying are related to longitudinal changes in WTI across adolescence. The present study uses growth mixture modeling (GMM) to examine the heterogeneity of WTI among middle school boys in the Midwest (N = 805). Students were classified into three profiles of WTI over time: a "stable high" class (70.9%), a "decreasing" class (22%), and a "stable low" class (7.1%). When compared with the "stable high" class, students with higher levels of dominance and pro-bullying attitudes were associated with an 11% (AOR = 1.11, 95% CI [1.01-1.21] and a 55% (AOR = 1.55, 95% CI [1.05-2.31] increase in the odds of being in the "decreasing" class, respectively. Youth who reported higher rates of homophobic name calling perpetration had a 16% (AOR = 1.16, 95% CI [1.02-1.34] increase in the odds of being in the stable low class compared to the stable high class. Additionally, both homophobic name calling victimization and empathy were associated with a 17% (AOR = 0.83, 95% CI [0.70-0.98] and 18% (AOR = 0.82, 95% CI [0.69-0.98] lower odds of being in the stable low class. The findings support the theoretical framework which posits that features of toxic masculinity are associated with less WTI and thus carry implications for intervention design (Carlson, 2008; Leone et al., 2016)., (Copyright © 2019 Society for the Study of School Psychology. Published by Elsevier Ltd. All rights reserved.)